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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pressure Under The Ribs When Diagnosed With GERD?

I have been diagnosed with GERD but lately the last few days I have been feeling like there is pressure around and under my ribs. When I eat I feel extremely full even if I eat just a little bit. Sometimes I feel like it is hard to breathe a little. It has been hot here like 90 s. Should I call my doctor and be seen? Thank you, Chris
Fri, 26 Aug 2016
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General & Family Physician,  's  Response
In GERD, the contents of the stomach come back into the esophagus. There are several causes of GERD. One possible reason has to do with the muscle at the bottom of the esophagus. Normally, this muscle closes to keep food and stomach acid from coming back up the esophagus. In some people with GERD, this muscle does not always work right. GERD often causes heartburn, a burning feeling in the chest and throat. Heartburn may happen many times a week, especially after eating or at night. Treatment options are medicines, surgery and endoscopic treatment. Lifestyle changes are also advised.
Advice
1.     Omeprazole 20 mg per oral empty stomach in the morning for 10 days
2.     Domperidone 10 mg per oral when you feel nausea
3.     Avoid alcohol, smoking, spicy food, and non-steroidal pain killer, coffee, fatty foods, mint, chocolate, tomato-based foods
4.     Avoid eating 3 hours before lying down
5.     Raise the head of your bed
6.     Do not heavily at a time. Divide your meals into smaller portions and eat them frequently during the day
7.     Avoid spicy foods, fatty foods, mint, chocolate, tomato-based foods, coffee, and citrus fruits
If you do not get relief after above measures then contact your doctor.
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What Causes Pressure Under The Ribs When Diagnosed With GERD?

In GERD, the contents of the stomach come back into the esophagus. There are several causes of GERD. One possible reason has to do with the muscle at the bottom of the esophagus. Normally, this muscle closes to keep food and stomach acid from coming back up the esophagus. In some people with GERD, this muscle does not always work right. GERD often causes heartburn, a burning feeling in the chest and throat. Heartburn may happen many times a week, especially after eating or at night. Treatment options are medicines, surgery and endoscopic treatment. Lifestyle changes are also advised. Advice 1. Omeprazole 20 mg per oral empty stomach in the morning for 10 days 2. Domperidone 10 mg per oral when you feel nausea 3. Avoid alcohol, smoking, spicy food, and non-steroidal pain killer, coffee, fatty foods, mint, chocolate, tomato-based foods 4. Avoid eating 3 hours before lying down 5. Raise the head of your bed 6. Do not heavily at a time. Divide your meals into smaller portions and eat them frequently during the day 7. Avoid spicy foods, fatty foods, mint, chocolate, tomato-based foods, coffee, and citrus fruits If you do not get relief after above measures then contact your doctor. Thanks