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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain,burning And Pressure Below The Sternum?

Have had reflux symptoms, although the endoscopy 6 weeks ago was OK, only stated mild chronic inflammation. Have been left with very sore sternum, it has become painful. Also below the sternum I get very severe pain, burning, pressure like gnawing hunger type pains, that comes and goes last for a few minutes. It is suggested to be costochronditis. My full blood count is normal & EKG. Abdomen ultra sound all checked out. Do not handle the PPI's ie nexium very well with side effects, seem to make muscular & joint pain worse. Could there be anything else causing this pain ?
Mon, 13 Jun 2016
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Pulmonologist 's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
No need to worry for major heart or lung or abdominal pathology for your symptoms.
I don't think it is costochondritis because costochondritis can not cause burning and pressure kind of pain.
I still feel that your symptoms are due to GERD (gastroesophageal reflux disease).
Upper GI (gastrointestinal) scopy can be normal in GERD. So negative scopy can not rule out GERD.
Some lifestyle modifications are sufficient to treat GERD without taking nexium.
So follow these steps for better symptomatic relief.
1. Avoid stress and tension.
2. Avoid large meals, instead take frequent small meals.
3. Avoid hot and spicy food. Avoid junk food.
4. Quit smoking and Alcohol if you have these habits.
5. Go for walking after meals.
6. Keep 2-3 pillows under head in bed to prevent reflux.
Don't worry, you will be alright with all these.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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What Causes Severe Pain,burning And Pressure Below The Sternum?

Thanks for your question on Healthcare Magic. I can understand your concern. No need to worry for major heart or lung or abdominal pathology for your symptoms. I don t think it is costochondritis because costochondritis can not cause burning and pressure kind of pain. I still feel that your symptoms are due to GERD (gastroesophageal reflux disease). Upper GI (gastrointestinal) scopy can be normal in GERD. So negative scopy can not rule out GERD. Some lifestyle modifications are sufficient to treat GERD without taking nexium. So follow these steps for better symptomatic relief. 1. Avoid stress and tension. 2. Avoid large meals, instead take frequent small meals. 3. Avoid hot and spicy food. Avoid junk food. 4. Quit smoking and Alcohol if you have these habits. 5. Go for walking after meals. 6. Keep 2-3 pillows under head in bed to prevent reflux. Don t worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.