Hello,
The first thing I would have thought of would be an ulcer or something else going on in the stomach. The doctor took the correct step and got an
endoscopy which rules out those kinds of problems.
A large hiatal
hernia can put pressure on the lungs or heart, especially after a big meal, and could create a heavy feeling in the chest. I would suggest frequent small meals and see if that helps.
This might also be related to the other symptoms. Unfortunately,
nausea,
vomiting, and appetite loss are non-specific symptoms that can occur with a multitude of medical conditions, and so can be hard to diagnose.
Medicines are a very common cause, so the next thing I would think about is the
tramadol. Talk to the doctor about stopping this or trying another medicine, and see if that helps.
If nothing is changing, then a medical work up to find the cause might be necessary. A thorough physical exam and bloodwork would be the place to start.
The results might pinpoint a reason or lead to more specific testing. Talk to the doctor about further evaluation.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Ivan R. Rommstein, General Surgeon