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Burning sensation in middle chest area
Hi
This is sridevi 33 years old
Iam suffering from gastric issue and recently it's increasing
Burning sensation occurs in middle chest area suggest precautions
Sridevi, burning in the middle of the chest that is worsening is most often acid reflux (GERD), specially if it comes after meals, on lying down or with spicy food and tea. A PPI like pantoprazole 40 mg empty stomach in the morning for 4 weeks, with an antacid at night, usually settles it. Along with that, no lying down for 2 hours after eating, smaller meals, and cut down tea, coffee and chillies. If the burning is more like pressure, spreads to the arm or jaw, comes on walking, or you have vomiting of blood, black stools or weight loss, that needs urgent hospital assessment, not tablets.
Next Steps
Start the PPI course and get a CBC and an ECG once, since it has been going on a while. If it does not clearly improve in 3-4 weeks, you need an endoscopy. Book a Practo consult with me and I will fix the prescription and duration for you.
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PRECAUTIONS....
Eat Smaller meal
1) Avoid lying down immediately after eating
2) Elevate the head of the bed by 6 to 9 inches
3) Maintenance of healthy weight
4) Quit smoking
5) Avoid trigger food like fatty item, caffeine,
Alcohol..
Tab PANTOPRAZOLE 40 MG Before Breakfast
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Life style modification
Don't eat frequent meals
Each meal should be taken with 4 -6 hour of gap
Sleep with left lateral position will decrease reflux symptoms
Avoid spicy / junk / processed carbohydrates
Avoid caffeine / nicotine
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Hello dear , if your burning sensation is fixed to a point as if you can finger point it then it can likely be due to heart issue , if its migrating then it is likely gastric issue
However there arr asspsiated symptoms like palpitation , sweating
Next Steps
however should not ignore bare minimum get an ecg donr
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