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What Causes Stomach Pain, Bloating, Gurgling In The Stomach, Gas And Acid Reflux?

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Posted on Mon, 4 Sep 2017
Question: Dear Doctor,

In 2009 I got Diagnosed with IBS .....

Now in 2017 here is what is going on ....

Pain in Suprasternal Notch ....... Bottom of Suprasternal Notch ..... And a Lot of Tickling in that area as well

I thought I was suffering from GERD because I had all the symptoms ...... So I went to the to the Doctor for a Ton of Tests .....

2 Full Blown Blood Tests CBC .... CMP .... Thyroid Tests ..... Everything is Extremely Perfect with ALL Blood Tests ...

Chest Xray - Normal ...

Ultra Sound Entire Neck and from the Bottom of my Rib Cage ALL the Way up to my Chin -- Normal ....

ENT -- Did Throat Exam ..... Said I had Very Mild Silent Reflux .....

Wore a 24 hour Heart Holter -- Normal

I had ALL the Symptoms of GERD .....

Stomach Pain -- ALL over in the stomach and then also in Designated Area's

Bloating at times

Lots of Noises coming from the stomach ... Gurgling and like a half bottle of water swishing around...

Lots of Gas .....

Sometimes Light Acid Reflux ... Not often but I did have a little ....

Pain and Bloating after Eating .....

Upper Spasms in my Suprasternal Notch area

Feeling like Any time I was going to burp and feel like I was going to burp up Acid Reflux ..... But never did .... Just felt like it was hanging around below my Suprasternal Notch and at anytime it was going to happen ...

Hard Long Dry Burps .... When I would burp .... The pain in the Suprasternal Notch would subside ..... Get Less and less ....

Pain in Suprasternal Notch -- Like Lumpy Feeling -- Like there is a Golf Ball in my Throat .....

Trouble Swallowing Food .... Sometime have to turn my head to the right and swallow hard to push food down due to feeling dry ....

Excess Phlegm ....

Feeling like I have Excess Saliva .....

When I would swallow liquids SOMETIMES it would feel like the Liquid would be at the back of my throat and go down slowly ...... Like a Funnel.....

Sometimes during the Day.... Every now and then I will feel Absolutely wiped out .... Fatigued and Flu Like and within 20 minutes it ALL goes away .....

My OCD and Anxiety would make ALL this feel worse .....

So I seen a Functional Doctor and did his Protocol .....

Changed Diet

Supplements ...

Even did a 14 Day Juice Diet ..... Lost 15 lbs ... I didn't need to lose ....

Included Apple Cider Vinegar - 2 Tablespoons and Water every Morning .....

So Most of ALL the Symptoms went away ......

Then I was having Pain in my Chest .... Mainly on the Right side of my Breast Bone ....

Doctor said it is Costocondritis ...... When I would push on it hard enough I thought I could feel Sensation in my Suprasternal Notch .....

Plus I am High OCD and Anxiety -- HIGH ... Doctors are telling me that Anxiety is Mimicking Symptoms .....

I am at a Loss .....

So Now I am back with Functional Doctor -- Regular Doctor says I should follow his instructions for 3 months ..... because I Only followed them for a month and then switched to 3 different protocols and tried to combine a few as well .... Not a Good Decision ....

My Regular Doctor said to Stop Everything and go back to Functional Doctor and Follow Protocol for 3 months and give it time to work .....

I just started doing Coffee Enemas as well --- This is wiping me out .... Ugggggh .... Two was Enough ... I stopped doing that .....

I am ALL messed up with what to do ......

Thoughts .... XXXXXXX
doctor
Answered by Dr. Aashish Raghu (1 hour later)
Brief Answer:
Endoscopy and USG

Detailed Answer:
Hi there

Thanks for the query

I suggest you get an ultrasound abdomen to rule out Cholecystitis which can cause similar symptoms.

Also do an upper GI Endoscopy with Helicobacter pylori urease testing to confirm GERD and infection which can cause these symptoms.

You also need treatment for your anxiety concomitantly.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr. Aashish Raghu
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Aashish Raghu (42 minutes later)
More Tests .....

H Pylori ..... Negative .....

Celiac --- Negative .....

ENT -- Says Mild Reflux ....

New 2nd ENT -- Normal ....

My Docs say the Scope can cause Damage .... They don't think I should get scoped ....
XXXXXXX
doctor
Answered by Dr. Aashish Raghu (21 hours later)
Brief Answer:
Irritable bowel syndrome

Detailed Answer:
Thanks for your reply.

An ultrasound abdomen will help you in such case.

You need to get treated for your anxiety which may be a strong reason for Irritable bowel syndrome symptoms.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Aashish Raghu (3 minutes later)
What are they suppose to be looking for with an ultra sound of the abdomen ??

Curious .....

doctor
Answered by Dr. Aashish Raghu (3 minutes later)
Brief Answer:
Cholecystitis

Detailed Answer:
Gall bladder inflammation can also cause gastritis like symptoms. Cholecystitis can lead to altered fat metabolism asks cause abdominal disturbance.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Aashish Raghu (54 minutes later)
Quick Question ....

Would a person get the Tickle Throat feeling if they pushed in on their that by their Thyroid area .....

A Tickle that will make a person cough ... Is that Normal ... ???
doctor
Answered by Dr. Aashish Raghu (1 hour later)
Brief Answer:
Gag reflex

Detailed Answer:
Yes, the gag reflex can get activated with pushing the thyroid cartilage posteriorly. This can cause tickling feeling that leads to coughing.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Aashish Raghu (43 hours later)
Ok ....

So I got this Pain by the right side of the Breast Bone and the Doc says Costochondritis ...... Now I am getting a Pain on that is Dull at times in My right Shoulder Blade but closer to the middle of the back ......

Then I keep poking at my throat .... and the Doctor says --- You throat should not be pushed on and poked around like that ....

At times when the back of the Right should blade .. closer to the middle of trunk happens ... It seems like at times pain will radiate up the neck and give me a sore side of the neck as well .....

All my Tests above were clear ....

Now they think my Mind is creating pains and symptoms ....

Your Thoughts ,....

Scared ....
XXXXXXX
doctor
Answered by Dr. Aashish Raghu (4 hours later)
Brief Answer:
Need to treat anxiety

Detailed Answer:
The feeling radiating in your neck could be attributed to the GERD.

You do need good guidance and treatment for your anxiety which can make problems seem very troublesome if not treated.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Aashish Raghu (14 minutes later)
So you are saying that .....

Anxiety worsens issues .... And can also make fathom symptoms .....

All these symptoms ....

Curious ...
doctor
Answered by Dr. Aashish Raghu (20 hours later)
Brief Answer:
Somatisation

Detailed Answer:
Yes, Somatisation of symptoms can occur making psychological symptoms manifest physically.

It can lead to back pain, neck pain, tremors, insomnia etc.
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Aashish Raghu (24 hours later)
Ok .... Let me see what you think about this all going on .....

1. So Doctor says Costochondritis is the cause for the pain on just the right side of my chest/breastbone and the same height in my Right shoulder blade ....

2. I get Lower back pain as well ..... right side ... belt line area ..... And maybe that is from sitting/slouching a lot ..... Posture .....

I ate Salmon and a Baked Potato tonight and I had to swallow a few time hard as food felt stuck in the back of my throat ( bottom) .... :(

3. Now my throat feels tight ..... Not only the throat but all the way back to the muscle on the back of the neck .... Sometimes I even get tingles on my head from it ..... Maybe stress..... I am quite OCD/Anxiety .... And maybe Anxiety is making ALL these symptoms themselves ..... Dont know ???

4. I also get a bad Neck pain on the right side of my neck.... on the main muscle that will hurt all the way up and on the back of my head -- that main muscle ......

5. Doctor says I am pushing ... poking ... grabbing...squeezing and doing too much messing around with my throat ....He says too much in there and the throat doesn't like to be irritated like that .... and that can take a long time to heal .....

6. All the back pain Shoulder .... Lower Back .... Chest --- just a little to the right of the Breast Bone and Neck pain Muscle and behind ear ... All this is taking place on my Right side .....

Please answer each issue ....
XXXXXXX
doctor
Answered by Dr. Aashish Raghu (37 minutes later)
Brief Answer:
Please do a Serum 25 OH Vitamin D analysis

Detailed Answer:
All these symptoms could be explained by low Vitamin D. Please do get a Serum 25 OH Vitamin D analysis. Especially the muscle pains. Neck pain and back pain can be due to spondylosis.

Throat congestion can lead to the similar throat symptoms as you've mentioned. You can try betadine or salt water warm gargles.
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Aashish Raghu (52 minutes later)
Please tell me ALL this isn't Cancer .....

I have No History of Cancer in our Family

Dont Drink

Dont Smoke ... Never have .....

Good Diet ....

But a lot of Stress in my Life and Anxiety .....
XXXXXXX
doctor
Answered by Dr. Aashish Raghu (25 hours later)
Brief Answer:
Anxiety, reflux

Detailed Answer:
Hi XXXXXXX

Thanks for the query

You have GERD and reflux which explains the symptoms.

Your do not have cancer.

Anxiety needs to be addressed by your Psychiatrist which will solve the big problems.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Dr. Aashish Raghu
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Aashish Raghu (6 days later)
Ok.....

Another Concern .....

When I burp .... Is it possible for me to feel the costochondritis pain .....
XXXXXXX
doctor
Answered by Dr. Aashish Raghu (13 hours later)
Brief Answer:
Oesophagitis

Detailed Answer:
Yes, the chest wall will move during the act and can cause pain. Also oesophagitis can be associated with the GERD and can cause pain during burping.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Aashish Raghu (8 days later)
Ok .....

I have another Question .....

Some days I have Good Days and Some Days I have Bad Days ......

So I get this Costochrondritis and it hurts on the Joints of My Breast Bone ......

And Sometimes when I exhale ..... It will also Radiate from the Chest where it hurts to the Right Side of the Bottom of My Suprasternal Notch .......

Thoughts .....
XXXXXXX
doctor
Answered by Dr. Aashish Raghu (1 hour later)
Brief Answer:
Avoid coffee

Detailed Answer:
This is mainly pain from Gastritis the you are experiencing.

Costochondritis can aggravate with coffee as shown by some sources. Do avoid it.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Aashish Raghu (10 days later)
Sir......

So I go to a Very Well known ENT here in the States and I finally breakdown and get the Scope that goes into the Nose and Down my throat ......

They tell me You are Very Healthy and even sees the Food tubes that transfer into the Esophagus and says .....

No Silent Reflux ..... No Nodes on the Vocal Chords ....

Everything Looks Very Healthy .....

If your mouth feels dry ... it is because it does look a little dry .... So drink a little more water when you Eat ......

I have Post Nasal Drip which causes the Tickle Feeling and Itchy feeling in my Suprasternal Notch and will cause a cough with some phlegm when it tickles .....

Thinks the Twitch by my Thyroid is just Anxiety .....

But says ...... Very Healthy No Need to do Anything ..... Don't think about things as Stress will make you think there is something somewhere and there is not ..... Phantom symptoms can happen anywhere in the Body ... The Mind is Powerful ....

Thoughts ... XXXXXXX
doctor
Answered by Dr. Aashish Raghu (2 hours later)
Brief Answer:
Practice mindfulness

Detailed Answer:
Your Doctor is right.

Thinking about illnesses makes you feel ill and curious.

Try to shield your time performing mindfulness and adopt a time consuming activity.that will help get your mind to thinking about other things.

All tests and investigations have proved that you are fine, so, nothing to worry.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Aashish Raghu (11 days later)
3 Questions ......

1. Sometimes when I burp I hiccup right after burp then hiccup ..... Is this something that I should be concerned about ???

2. Sometimes in the morning when I wake up ... I hiccup about 4 - 5 times ... Is this something I should be concerned about ???

4. Sometimes I am just sitting with my neck down looking at my Computer and It feels like a fizzy bubble sensation just happened by my Thyroid as my neck is in the down position ...... is this something that I should be concerned about ??

3. Can Anxiety be the cause of All this Stuff that is happening ??
My OCD is now getting me to worry out of control about ALL this stuff ....

I am getting scared now with ALL this stuff happening to me and myself looking up bad stuff related to all this on the internet .....

Please Help ....
XXXXXXX


Lets try this over --- 5 Questions ......

1. Sometimes when I burp I hiccup right after burp then hiccup ..... Is this something that I should be concerned about ???

2. And what about a hiccup and then a burp right after one another at the same moment .... together .... hiccup first and then immediate burp... Is this something I should be concerned about ????

3. Sometimes in the morning when I wake up ... I hiccup about 4 - 5 times ... Is this something I should be concerned about ???

4. Sometimes I am just sitting with my neck down looking at my Computer and It feels like a fizzy bubble sensation just happened by my Thyroid as my neck is in the down position ...... is this something that I should be concerned about ??

5. Can Anxiety be the cause of All this Stuff that is happening ??
My OCD is now getting me to worry out of control about ALL this stuff ....

I am getting scared now with ALL this stuff happening to me and myself looking up bad stuff related to all this on the internet .....

Please Help ....
XXXXXXX


I got a Text Message on my phone that My Answers were addressed .... but when I came back here I see the Response didn't come through .....

So I will re ask the questions .....

Lets try this over --- 5 Questions ......

1. Sometimes when I burp I hiccup right after burp then hiccup ..... Is this something that I should be concerned about ???

2. And what about a hiccup and then a burp right after one another at the same moment .... together .... hiccup first and then immediate burp... Is this something I should be concerned about ????

3. Sometimes in the morning when I wake up ... I hiccup about 4 - 5 times ... Is this something I should be concerned about ???

4. Sometimes I am just sitting with my neck down looking at my Computer and It feels like a fizzy bubble sensation just happened by my Thyroid as my neck is in the down position ...... is this something that I should be concerned about ??

5. Can Anxiety be the cause of All this Stuff that is happening ??
My OCD is now getting me to worry out of control about ALL this stuff ....

I am getting scared now with ALL this stuff happening to me and myself looking up bad stuff related to all this on the internet .....

Please Help ....
XXXXXXX
doctor
Answered by Dr. Aashish Raghu (23 hours later)
Brief Answer:
Oesophageal manometry

Detailed Answer:
Hi XXXXXXX

These are symptoms of GERD which can be aggravated by anxiety.

Answers to your questions

1. and 2. - If you burp before or after hiccup there isn't any specific pathology or cause. It indicates diaphragmatic irritation due to stomach and oesophageal distention.

3. Daily morning hiccups could suggest diaphragmatic irritation and needs to be investigated. Oesophageal manometry will be useful.

4. The frizzy bubbly feeling is due to acidity. You are experiencing hyperawareness due to anxiety.

5. Anxiety and OCD can aggravate GERD symptoms as well as oesophageal motility disorders.

It is advisable to avoid looking looking up information on the net because most of them are unstructured and can lead one to uncharted territory without a clear understanding. Do consult your Doctor on the possibilities with relevant investigations at hand. Practice mindfulness to ward off from over thinking.

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Aashish Raghu (1 hour later)
Well .....

I just went for Another Full-Blown Blood Test ....

8 - 10 viles ( tubes ) ......

Everything came Back Healthy and Normal ....

Doctor again says ....

Your Anxiety , ADHD .... OCD .... has flared up your IBS .....

Says .... You could have GERD but ..... All indications of being anything else ..... There are No Indications to get Scoped .....

You Need to Calm down ..... Your mind is creating Phantom Symptoms ...... And Aggravating what you do have .....

Curious of Your Thoughts .....
XXXXXXX

doctor
Answered by Dr. Aashish Raghu (2 minutes later)
Brief Answer:
Manometry

Detailed Answer:
Anxiety and OCD do have roles in aggravating the symptoms for you but hiccups isn't usually common.

Oesophageal manometry is important. Do try to get it done.
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Aashish Raghu (12 minutes later)
I remember having the hiccups like forever .....

When I am Anxious and OCD and Nervous & Stressed .... I get them .......

When I am calm ...... They don't seem to be there .....

doctor
Answered by Dr. Aashish Raghu (3 minutes later)
Brief Answer:
Anxiety induced hypermobility

Detailed Answer:
That could be because your Gastric condition is being aggravated by anxiety, stimulating abnormal oesophageal movements.


Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Aashish Raghu (2 minutes later)
So Basically .....

Quit Worrying and Enjoy the Day God has granted you .....

Quit worrying about things that are not really there .....
doctor
Answered by Dr. Aashish Raghu (1 minute later)
Brief Answer:
Avoid over thinking. Practice mindfulness

Detailed Answer:
That is absolutely right. Only focus on what exists and don't over think. Over thinking is the cause of all worries.
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Aashish Raghu (8 hours later)
Ok.....

So I wake up and my stomach noises are loud ......

Now sometimes I have been waking up with pain in the stomach around belly button or lower ..... I do always have bowel movements a little after I awake ......

But I am concerned abut the growling and noises ...... and my OCD is going through the roof......

IBS ??? I mean Really ??

Sometimes the gurgling sounds happens in all different places ......

Help

And #2......

Please tell me ...... The Hiccup then burp at the same time .....

or the burp then hiccup at the same time ......

Not Cancer ........

Please help ....
XXXXXXX
doctor
Answered by Dr. Aashish Raghu (1 hour later)
Brief Answer:
Yes, That's the GERD

Detailed Answer:
You do have GERD symptoms which need to be addressed.

Your oesophagus is hypermobile. Needs investigation called Oesophageal manometry to confirm after which specific treatment can be instituted.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Aashish Raghu (15 minutes later)
And #2......

Please tell me ...... The Hiccup then burp at the same time .....

or the burp then hiccup at the same time ......

Not Cancer ........

Please help ....
XXXXXXX
doctor
Answered by Dr. Aashish Raghu (15 minutes later)
Brief Answer:
Not cancer

Detailed Answer:
Hiccup usually occurs due to diaphragmatic irritation. Burp indicates letting out of stomach digestive gases.

When the gas travels up the oesophagus it can stimulate an Irritable diaphragm and cause Hiccup followed by Burp.

Burp followed by Hiccup can indicate a larger gas bolus being propelled up thus stimulating an Irritable diaphragm.

These aren't signs of cancer.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Aashish Raghu (5 days later)
Ok .... Here's one for you .....

1. I get a pain dull sharp pain on my right side --- Like in the Middle of my shoulder blade and sometimes it will be close to the spine ....

I see a Rolfer and he says its always tight back there .... and he seems to always say its ribs ....

Sometimes I get the pain in the front of my chest and it will radiate to the back right upper shoulder blade part ...

It's the kind of paid where you want to back up against a wall and just move from side to side .....

All the Docs I see seem to tell me its the Costochondritis .....

I do lift ( work out ) heavy 5 times a week .... and I GOLF A LOT .... And am always practicing .... a lot of twisting ....

The Pain seems to come and go ... I will admit ... I do sit a lot and don't have the best Posture ... I do slouch quite a bit .....

A lot of time it seems to be linked to the right side front of my neck ..... And sometimes when I stretch my neck to the left side ... I can feel the pain in the Chest or the Back or both .....

2. And my Ribs are Tender to touch a lot of time on the right side .... just under my nipple in the front of my chest .... The Two lower ribs ..... and again .... I when I touch it It is tender .... I can always touch and recreate all pains where they are happening ... most of the time ....

So confused .....
doctor
Answered by Dr. Aashish Raghu (7 hours later)
Brief Answer:
Muscular

Detailed Answer:
Hi there

The symptoms you mentioned are attributable to muscular strain due to posture extremes.

Do take a break from playing and perform hot fomentation to the affected regions.

Costochondritis has mainly conservative management with NSAIDS and physiotherapy with which it would resolve.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Aashish Raghu (3 days later)
Sir,

Even though ALL my Tests came out Perfect ....

I still get twitches around my thyroid .....

My Costochondritis flares up as well.....

As you know My Anxiety kicks in when things are happening ....

My throat will hurt from time to time where I was poking on it ALL them time .....

The side of my neck will hurt and it will shoot a pinch into the right side of my chest ..... If I push the area of my neck where it hurts ... Not only will it hurt in my neck ... but it will make the place in my chest hurt along with the back of my Shoulder Blade .... Is this All Connected ....

Should I be concerned ..... I am scared with ALL this .....

Thank You ....
doctor
Answered by Dr. Aashish Raghu (2 hours later)
Brief Answer:
MRI neck and oesophageal manometry

Detailed Answer:
Posture issues can cause these problems which could be associated with the gastritis and your anxiety.

The pain and difficulties you feel have not been quantified by all the necessary Medical tests so it could be functional with a psychological component.

Please do an MRI scan of the neck and oesophageal manometry test to rule out motility disorders and inflammation.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Aashish Raghu (6 hours later)
I did an Ultra sound of the Neck and Many Many Neck Exams .... And All the Docs say I am Fabulous ....

I cannot do a MRI due to the Tinnitus Damage in My Ears ..... The Knocking .... Uggggh .....

Plus .... When the ENT pulled the scope out of my Nose the first exam .... I got injured ... I don't think I can endure a 2nd Anything getting put up my Nose until I am Completely Healed .....

I have to tell You ... I admit ... I have Horrible Posture and am wondering if that could be in Play ...... along with the Anxiety ....

Thoughts ?
doctor
Answered by Dr. Aashish Raghu (12 hours later)
Brief Answer:
Psychosomatic

Detailed Answer:
Anxiety and associated disorders can have a significant effect in the psychosomatic realm. Your thinking affects your posture.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Aashish Raghu (30 minutes later)
True .....

I am trying to have Better Posture ....

My Question is ..... Can Poor Posture ..... Make me feel like I am having these Symptoms and some Pain .....

Plus .... Adding Anxiety to the Mix .....

Can Anxiety give me ALL these So Called .... Phantom Symptoms ???

ALL Docs think that Anxiety is Causing All this ..... And me Not Improving because I am Self Diagnosing through the Internet .... Which I shouldn't compare to Ones Medical Degrees .....

Lost ......
doctor
Answered by Dr. Aashish Raghu (0 minute later)
Brief Answer:
You need to get it treated

Detailed Answer:
Anxiety does have a major role in the way you carry yourself and go about day to day activities because the thinking affects the behaviour and body function as well.

Even gastritis and diarrhoea are common in anxious individuals.

It is important to get yourself a Psychiatry consult and you'll see how much it gets better.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Aashish Raghu (35 minutes later)
May I Please Ask .....

So How Much Pain and How Sick can Anxiety actually make a Person feel .....


Plain and Simple .....

Thank You ........
doctor
Answered by Dr. Aashish Raghu (11 hours later)
Brief Answer:
It definitely accentuates suffering from organic disorders

Detailed Answer:
You do have symptoms of GERD and oesophageal motility disorder which needs investigations as I suggested.

The anxiety makes your problem worse because of added psychosomatic component. It can accentuate the pain. Quantification of the pain may be done as a comparative analysis before and after proper anti-anxiety or legally proposed treatment by a licensed Psychiatrist as needed. This will lead you to your answer for yourself.
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Aashish Raghu (9 hours later)
Ok .....

Another Question .....

I had a LIVE Blood Cell Analysis done the other week .....

Again .... The Microscopist couldn't believe the Quality of My Blood ....

His Words ..... A Person would Pay a Million Dollars to have an Immune System this Strong ......

Again ..... Another MORE than PERFECT TEST ......

I don't know if I told you that I got injured when the ENT did the Scope through my Nose and down my Throat ..... I am still healing from that .....

I am NOT going to Risk at this time for any more scoping being done .....

I don't want to get injured again .....

So the Microscopist said ..... That I am Perfect and My Gut Flora just needs time to Heal .....

The Microscopist is a Nobel Peace Prize Nominee ..... So he has me on.....

Sterol XXXXXXX --- Which builds the Immune System .....

Digestive Plant Enzymes ....

Aloe XXXXXXX -- An Aloe Product for Gut Healing ....

Antioxidants .....

Probiotics .....

And a couple of other things .....

He says .... You need to give the Gut time to HEAL and Allow TIME ..... Time will Heal the Body and get Your Body Reset and Back to Normal ....

He told me NOT to let my Mind go to Any Other Place as this will Only Amplify Symptoms that your Mind is Creating ..... Not Anything Else.....

Thoughts ????
doctor
Answered by Dr. Aashish Raghu (9 hours later)
Brief Answer:
Stress relief

Detailed Answer:
Your Doctor is right about the healing of the Mucosa.

You can wait and watch regarding the healing following which respective investigations can be done.

I advise you to practice mindfulness and Yoga for stress relief.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Aashish Raghu (3 hours later)
Can you explain a little bit more as I didn't understand your last response ....

Kindly ...
XXXXXXX

Plus the Microscopist Exact words were this :

"There are No Disease Factors in Your Blood" .....

There are NO Major Disease Factors in Your Blood" .....

He said My Blood would be Considered a A- Which is Excellent .... I had a Better Test than he ever saw.... and he said he as done over 68,000 Tests ... when he stopped Counting ....

A little bit of Uric Acid .... and a Bit of Candida ..... Which will Take time He Said to work its way out by taking the Supplements Above ..... 4-6 months to Heal Completely ....

He said NO Diseases -- NONE ....

He said I'll be you don't get a Common Cold or the Flu much .... and he was correct ... I ca't remember when I ever had a Cold or the Flu and that is even being around people that have .... And I don't get either one of them ....

He said ... All this little stuff in your Head ... Let it Go ... You are creating things you Don't even Have .....

Living Blood Test -- The Most Accurate Blood Test you can even do ....

He said also to Change My Diet .... Candida cannot exist without Sugar .....

Thoughts ???
doctor
Answered by Dr. Aashish Raghu (45 minutes later)
Brief Answer:
Practice stress relieving techniques

Detailed Answer:
Your Doctor is right about you being healthy.

You can wait till your food pipe or oesophagus is healed after which you can do manometry studies if required.

Do practice mindfulness and Yoga for stress relief.

Consult a Psychiatrist for Cognitive Behavioural Therapy or CBT.
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Aashish Raghu (4 days later)
Alright ...... Another Question ......

So I suppose to have this Chostochondritis ......

And it feels like sometimes it my be in the front of my chest and radiates to the same spot on my back in the Upper part of my right shoulder blade .....

Then sometimes it will hurt Right side Rib Cage .... Under Nipple ... but in the ribs .....

Then it will at times be in the Same Spot ... Left side Rib Cage Under the Nipple ....

All this along the bones ..... And I can Press where it hurts and it will hurt there .....

Then it All goes away ......

Ugggghhh
doctor
Answered by Dr. Aashish Raghu (4 minutes later)
Brief Answer:
Vitamin deficiency?

Detailed Answer:
The Costochondritis could be part of a generalised bone weakness which could be the reason for pain at multiple spots.

It would be wise to get calcium and Vitamin D3 supplements for a few months.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Aashish Raghu (11 days later)
Have another Quick Question ......


When a person swallows food ..... Can you feel it in the spot of the chest where I have Costochondritis .....

When the food goes down past that area ..... Sometimes I feel the sensation ..... Like a little pain as it passes ..... Not a lll the time .... but sometimes .....

Can this be ???

Thank You,,,,,
doctor
Answered by Dr. Aashish Raghu (9 minutes later)
Brief Answer:
Not Costochondritis

Detailed Answer:
If the food does not pass down smoothly you could feel it. Oesophageal motility disorders can be a cause but not Costochondritis.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Aashish Raghu (13 minutes later)
The food passes down fine ......

I just feel a little sensation once in a while where I have the Costochondritis ......

Does that make sense .....

And I am eating when I slouch .... I am not sitting up straight .....
XXXXXXX
doctor
Answered by Dr. Aashish Raghu (2 minutes later)
Brief Answer:
Not common in Costochondritis

Detailed Answer:
Okay. But it is not possible to feel the food finding it's way down your food pipe hard in a case of Costochondritis.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Aashish Raghu (17 minutes later)
I don't feel the food finding its way down ......

Just once in a while when I swallow .... Its like the nerves from my neck .... ill also hurt the Costochondritis .......


Does that make any sense ......
XXXXXXX
doctor
Answered by Dr. Aashish Raghu (4 minutes later)
Brief Answer:
Costochondritis can hurt chest wall while attempting to swallow

Detailed Answer:
The chest wall can hurt due to the Costochondritis while attempting to swallow or cough.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Aashish Raghu (5 hours later)
So I seen a Chiropractor that tells me I have a rib out in my back .... That is why it hurts back there

The Rolfer I see says I have ribs out as well .....

Then it hurts in the front of my chest near breast bone ..... Same location but in the front as well .....

Then it feels like there is a Nerve in the side of my neck that is all connected to this ....

So at times it will hurt in all 3 places ... When I swallow ... sometimes ...

When I take Deep breathes sometimes or when I cough ....

It just seems like all this is connected ......

Thoughts ......
doctor
Answered by Dr. Aashish Raghu (6 hours later)
Brief Answer:
CT scan chest

Detailed Answer:
It is interesting, what your chiropractor said.

It would be helpful to get a CT scan of the chest to confirm the presence of these ribs.

Could you attach the films and report please?

If you haven't done the CT scan yet could you please do them for confirmation of your chiropractors suspicion?
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Aashish Raghu (2 hours later)
It is also hard to breathe at times with the ribs being out ......

Once I get an adjustment or the Rolfer works on them ......

It seems the berating is better and I don't have issues ......

But if I work our or Play golf as I do ..... Twisting and Pounding the ball as hard as I can at 58 being in GREAT Shape ..... After that I feel it ...... And I need body work done .... I golf about 4-5 times a week .......

It's Brutal ......

doctor
Answered by Dr. Aashish Raghu (19 minutes later)
Brief Answer:
Further investigation

Detailed Answer:
That's definitely hard.

Do get Pulmonary function tests to rule out lung disorders and also CT scan chest to look for those abnormal ribs.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Aashish Raghu (10 minutes later)
Here is something that is also a flare up .....

Every morning when I awake .... I do sit ups .... and the Costochondritis ..... if that is what it is .... In the front of my chest ...... I can feel a little ache while I am doing the sit ups .... whether I have my hands behind my head or not .....


doctor
Answered by Dr. Aashish Raghu (3 minutes later)
Brief Answer:
Surgery

Detailed Answer:
This is helpful information.

This is suggestive if recalcitrant Costochondritis.

You need to get the sore cartilage surgically removed. First get a trial of steroid injections and if they don't work the cartilage can be removed and you be cured of costochondritis.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Aashish Raghu (1 hour later)
Why I think most of this pain is skeletal and muscular is that ..... When I move certain ways is when I can feel soreness ..... or irritation ......

I do NOT do a lot of stretching .... I know .... Not too good ..... Especially lifting Heavy weights in the gym and Playing so much golf .....

So when I do reach my right arm over my head to stretch .... I can feel the sensation of the pain ..... and when I move certain ways I can feel these issues .....

I think if I had soft tissue damage ..... This would not be .... and the pain isn't always constant ...... Which leads me to the theory of Skeletal and Muscular Irritation ....

Along with irritation in neck just above my collar bone .... Half way between the chin and the end of the jaw ... but on the bottom of the neck just above the collar bone ... Like a nerve or something .....

What are your thoughts .....
doctor
Answered by Dr. Aashish Raghu (2 minutes later)
Brief Answer:
Surgery

Detailed Answer:
I think you beg to do a chest CT scan and get the offending inflammed cartilage removed.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Aashish Raghu (2 hours later)
Another thing I notice ....

When I get the pain in the front of my chest .... right side near breast bone ...

I am working out today ( back ) and when I do rows and back exercises .....

When I get to the full potential of the pull or lift .... It will hurt in that area .....

That is what leads me to believe ... what is going in is Skeletal and Muscular ....

Not soft tissue behind body structure .....

Am I Correct ???

doctor
Answered by Dr. Aashish Raghu (6 hours later)
Brief Answer:
Costochondritis with associated muscle spasm

Detailed Answer:
The cause is the pain is primarily Costochondritis with associated muscle spasm.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
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Dr. Aashish Raghu

Orthopaedic Surgeon

Practicing since :2011

Answered : 5481 Questions

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Brief Answer: Endoscopy and USG Detailed Answer: Hi there Thanks for the query I suggest you get an ultrasound abdomen to rule out Cholecystitis which can cause similar symptoms. Also do an upper GI Endoscopy with Helicobacter pylori urease testing to confirm GERD and infection which can cause these symptoms. You also need treatment for your anxiety concomitantly. I hope I have answered your query. I will be available to answer your follow up queries. Regards, Dr. Aashish Raghu