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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Burning Sensation In Chest?

I never get heartburn, but the past 3 days my chest has been on fire. It started after pizza on Saturday night. Sunday I did have more tomato sauce with pasta. I guess it could be the sauce, but I've been eating it all my life and it's never bothered me. Today it was after eating a veggie wrap - mushrooms, spinach, bell peppers, zucchini on a whole wheat wrap. I know tomatoes and pepers can be acidic but would an irritation happen overnight like that? I'm 31 and never had problems with such foods before.
Mon, 21 Jul 2014
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General & Family Physician,  's  Response
Hello dear,

The symptoms as mentioned in your post can be attributed to acidity & reflux of acid from stomach is caused due to relaxation of the sphincter at the lower part of esophagus.

Management consists of:
1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised.
2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol.
3. Medical management- Proton pump inhibitors like Omeprazole, Pantoprazole (which prevent acid formation in stomach)+ Domperidone preparations (strengthens the sphincter & prevents reflux)

If symptoms still persist, it will be better to consult your treating Doctor/ Gastroenterologist.
Investigation like Ultrasound scan of abdomen & Upper GI endoscopy will be helpful in clinching the diagnosis.

Wish you a good health.
Take care.
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What Causes Burning Sensation In Chest?

Hello dear, The symptoms as mentioned in your post can be attributed to acidity & reflux of acid from stomach is caused due to relaxation of the sphincter at the lower part of esophagus. Management consists of: 1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised. 2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol. 3. Medical management- Proton pump inhibitors like Omeprazole, Pantoprazole (which prevent acid formation in stomach)+ Domperidone preparations (strengthens the sphincter & prevents reflux) If symptoms still persist, it will be better to consult your treating Doctor/ Gastroenterologist. Investigation like Ultrasound scan of abdomen & Upper GI endoscopy will be helpful in clinching the diagnosis. Wish you a good health. Take care.