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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pain In Right Side Of Abdomen And Burning Sensation Below Chest

I had been having chest burning pains and had an EKG. It came back abnormal. I had a heart cathrization and Ihad 20% plaque. Now, I am having pain in my right side and burning in my below chest area. It lasts for about 2 hours. Should I get and upper or lower GI?
Mon, 29 Jun 2015
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Cardiologist,  's  Response
Hello. Thank you for asking on HCM. I understand your concern.

The features of the pain that you described, are more likely to have a oesophageal or gastric origin. In my opinion, I would recommend that you had some changes in diet, as a first step. I am referring to all the food and other materials that can irritate gastric mucosa and overstimulate acid production, such as:
- caffeine, tea (xanthyne derivatives)
- chocolate
- spicy food
- grilled food
- tobacco, alcohol etc.
Also, you should have your last meal at least 90 minutes before you lie down and check the Helicobacter pylori in stool. If these measures don't work, then I recommend a trial with a protein pump inhibitor (PPI) drug, such as omeprazole 20 mg x 2 tb/d for the first 2 weeks, and 1 tb/d for other 2 weeks. If the symptoms persist, then go ahead with the upper gastro-intestinal endoscopy. I am not saying it is counterindicated to do it right away, but my opinion remains that you should undertake the above mentioned changes first.

I hope I was helpful. Regards.
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Suggest Treatment For Pain In Right Side Of Abdomen And Burning Sensation Below Chest

Hello. Thank you for asking on HCM. I understand your concern. The features of the pain that you described, are more likely to have a oesophageal or gastric origin. In my opinion, I would recommend that you had some changes in diet, as a first step. I am referring to all the food and other materials that can irritate gastric mucosa and overstimulate acid production, such as: - caffeine, tea (xanthyne derivatives) - chocolate - spicy food - grilled food - tobacco, alcohol etc. Also, you should have your last meal at least 90 minutes before you lie down and check the Helicobacter pylori in stool. If these measures don t work, then I recommend a trial with a protein pump inhibitor (PPI) drug, such as omeprazole 20 mg x 2 tb/d for the first 2 weeks, and 1 tb/d for other 2 weeks. If the symptoms persist, then go ahead with the upper gastro-intestinal endoscopy. I am not saying it is counterindicated to do it right away, but my opinion remains that you should undertake the above mentioned changes first. I hope I was helpful. Regards.