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Chest pain ! Ulcer ! Antral Erosions !
I am experiencing chest pain in different areas of my chest, along with excessive gas that is released through flatulence. I have taken PPI and prokinetic medications, which provided slight relief, but the pain returned after a month. Could you review my endoscopy report and explain the possible cause of the chest pain and suggest the next steps for treatment?
Answers (1)
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Dr. Sarathchandra Gorantla
Gastroenterologist
17 yrs exp
Hyderabad
Symptoms of migrating chest pain and excessive gas with flatulence, along with previous endoscopic findings of antral gastritis and duodenal ulcers, this presentation is consistent with non-cardiac chest pain (NCCP) related to dyspepsia.
The pain can vary in duration from seconds to hours and may be triggered by eating or drinking.
Common Causes
Your symptoms likely stem from:
Gastroesophageal reflux disease (GERD)
Esophageal hypersensitivity
APD
Need to get treated H.pylori infection,as h.pylori is the most common cause of duodenal ulcers
Next Steps
Regular meal timing
Avoiding trigger foods
Stress management techniques
Follow-up evaluation after 4-6 weeks of treatment
While your symptoms are consistent with non-cardiac chest pain, any severe or persistent chest pain should be evaluated promptly to rule out cardiac causes
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.