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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain Upon Bending Down While Suffering From GERD?

I have been diagnosed with GERD. I am currently taking carafate 1Gm and Pantoprazole Sodium. I have ulcers on my stomach and throat. Recently, when I bend over it feels like something is in my chest and moves to the top of my chest and I can barely breathe and it hurts. I don t know what it is.
Tue, 29 Jan 2019
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Internal Medicine Specialist,  's  Response
Hi,

Chronic reflux can lead to the development of esophageal ulceration /erosive esophagitis (eventually stricture formation) and since it hurts, it is related to regurgitate acid coming in contact with mucosal ulceration. Bending over only inreases intra-abdominal pressure and facilitates regurgitation. Addition of prokinetic medication such as domperidone may help.

With chest pain, however, cardiac disease (Ischemic heart disease) must be carefully considered.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Tushar Kanti Biswas,
Internal Medicine Specialist
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What Causes Chest Pain Upon Bending Down While Suffering From GERD?

Hi, Chronic reflux can lead to the development of esophageal ulceration /erosive esophagitis (eventually stricture formation) and since it hurts, it is related to regurgitate acid coming in contact with mucosal ulceration. Bending over only inreases intra-abdominal pressure and facilitates regurgitation. Addition of prokinetic medication such as domperidone may help. With chest pain, however, cardiac disease (Ischemic heart disease) must be carefully considered. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist