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Dull ache in upper chest and back pain
I feel dull ache in upper chest at both sides, and dull and short pain in centre of the upper back, once i burp i feel relax in pain of upper chest.
Also i feel discomfort in upper stomach and at the same times needs for toilet, but no pain. And soon after eating i feel discomfort in lower abdomen. My endoscopy report is normal. And shows mild antral gastrites .
I have mild cervical spondalysis at c5 and c6
Kindly suggest something
Answers (6)
upper‑abdominal discomfort is typical of gas/reflux or non‑cardiac chest pain rather than heart disease, especially when endoscopy shows only mild antral gastritis.Carry your endoscopy report and spine report to a gastroenterologist and possibly a cardiologist for one‑time evaluation.Proton‑pump inhibitor (PPI) like pantoprazole/omeprazole before breakfast for 4–8 weeks, sometimes plus an H2 blocker or antacid as needed.
Next Steps
Eat small, frequent meals; avoid large, late‑night or very spicy/oily meals that increase acid and gas.
Health Tips
ecg for cardiac cause .
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Take small, frequent meals, avoid fatty, spicy foods, late evening meals, heavy meals in evening
Tab pantaprazole 40mg one daily before breakfast for 10 days.
Syp mucaine gel 5ml every 8hours for 10 days.
Drink more water.
For spondylitis, avoid neck bending, sideward rotation, using high pillow. Get serum calcium and vit d3 levels tested. If low, take supplements.
If pain, take tab zerodol sp one every 8 hours for 3 to 4 days.
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Your symptoms sound like what we call Dyspepsia and acid reflux. It is basically acid from your stomach kicking back up the food pipe (Oesophagus) and this causes the food pipe to go into a spasm causing your symptoms. The endoscopy can be normal with these symptoms.
Do the following
1. Avoid food/s that trigger your symptoms
2. Smoking cessation and alcohol avoidance along with addressing if overweight
3. Four weeks of medication with Omeprazole 20mg (please do not take the combination with Domperidone as we now have concerns using Domperidone due to serious heart complications).
4. Blood tests (if not already done)- CBP, Liver function test, TSH, HbA1C and Calcium levels
5. Ultrasound abdomen (if not already done) to look for any evidence of gallstones
5.Routine ECG
All the best
J G S R clinic
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