With a normal ECG at 31 and belching/nausea already improving on Kinpride and Feculex, the pain you have marked in the left lower chest and under the left breast is most likely musculoskeletal - costochondritis or slips of the rib cartilage - kept going by the reflux and hiatus hernia. This is why acid medicines settled the belching but not the pain: the pain generator is the chest wall, not the stomach. Press over that spot; if it reproduces the exact pain, that confirms it. Continue the PPI for a full 6-8 weeks, avoid late dinners, lying down soon after eating and tea on an empty stomach, raise the head end of your bed, and add a short course of anti-inflammatory locally after checking with a doctor. Also examine the breast yourself for any lump, skin dimpling or nipple discharge - if any of these, get an ultrasound of the breast. Go to a hospital immediately if the pain becomes pressure-like, travels to the jaw or left arm, or comes with sweating and breathlessness. Book a consult with me on Practo and I will confirm this on examination and finish the treatment properly.
Answered2026-09-02 12:29:35
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