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Hi!Wouldn just want to know if he is alcoholic?takes pain killers?? And was RUT done or not?? Just let me know this to help you better

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Hello! From your detailed description, your father’s symptoms — a feeling of block or jam between upper abdomen and chest — point towards a motility or diaphragmatic issue, even though the endoscopy showed only gastric erythema and erosions. Let’s break this down clearly

No need of barium swallow. He should take small frequent meals, avoid spicy, fried food, take more of fresh vegetables,  fruits, curd. Avoid eating late in the evening. Avoid excess of tea, coffee..Maintain normal, healthy weight. Sleep with head end slightly elevated. Tab omeprazole 20mg one morning and one evening before meals.

No need of barium swallow or nothing Start cap rablac dsr twice daily before meal Syp dulcolax 2 tsf in one glass of water at bed time 10 days Probiotics Plenty of fluid intake Avoid use of pillow Start walk and yoga for 30 minute Avoid oily food and acidic things

Get Chest xray and xray abdomen first Consult with gastroenterologist

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Hello, I am Dr. Romain Rajan, General Physician. Your case has been allotted to me. I understand your concern. The “block or jam” feeling between the upper abdomen and chest can be quite distressing and may occur due to issues related to the stomach or food pipe, even when heart tests are normal. 1. Advices Take meals in smaller portions and avoid lying down for at least two to three hours after food. Raise the head end of the bed slightly while sleeping and avoid spicy or heavy meals at night. Continue one single acid medicine such as Razo L before breakfast daily for at least two weeks without changing brands frequently. 2. What to Monitor Whether the sensation worsens after food or while lying flat. Any new symptom such as pain radiating to the back or unexplained vomiting. 3. Management Since endoscopy showed gastric redness and erosion but no hiatal hernia, yet the symptom persists, it is still possible that a small sliding hernia was missed. Such small hernias may not always appear during endoscopy. You may go for a Barium Swallow Test, which gives a clearer picture of small or intermittent hernias. If that is normal and the discomfort continues, an esophageal manometry test can be considered later. Till then continue the acid medicine regularly and follow lifestyle precautions. 4. When to Consult a Doctor Immediately If the sensation turns into chest pain or breathlessness. If there is repeated vomiting or black colored stools. If the abdominal pain becomes constant or severe. Every patient’s situation is unique. For accurate diagnosis and lasting relief, it is important to discuss your medical history and reports in detail. 👉 You can reach out to me directly for this case and also connect with me in future for any medical consultation. I am available on Practo or on WhatsApp at 85271646 seven seven for a one on one consultation, where you will receive • A personalized treatment plan • Safe medicine adjustments if required • Quick follow ups to track your recovery Take care, wishing you good health. Best regards, Dr. Romain Rajan General Physician

Go for barium as well as hrct abdomen.  It's probably emergency

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Given the age of your father, do go for Barium meal and follow through. You may also take HRCT abdomen. Consult on video to discuss further.

There is no need for barium as endoscopy has already been done. You need a gastroenterologist consultation for your father

Endoscopy confirms

Get all the investigation suggested Start syrup mucaine gel 20 ml twice daily for three weeks bfr food

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Do consult

-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as - -Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history. Please follow good life style as • take plenty of fluid and • take less spicy and fatty foods and • take home made food only and do exercise regularly with yoga and meditation and • keep positive attitude to fight any disease and any problem of your life . ....