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Chronic Left-Sided Chest Pain With Norma
Doctor, I have chest pain for more than 3 years. The pain is mostly on the left side but sometimes moves around the ribs. It is not constant but comes and goes. ECG and Echo were normal. Endoscopy showed reflux. Pain sometimes increases when I lie down or after food, and sometimes it feels muscular or nerve-related. I feel pulling sensation occasionally. Medicines give partial relief but pain returns. I want to know if this is costochondritis, nerve pain, or gastric-related, and what tests/treatment you suggest."
Answers (2)
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What u have looks like a hiatus hernia causing reflux disease
I couldn't get a look at endoscopic image
The disease is of various subcategories
Acid reflux
Non acid reflux
Esophageal hypersensitivity
Functional heart burn
Also eosinophilic esophagitis needs to be ruled out.
U need 24 hr ph metry and impedance testing
Next Steps
U need 24 hr ph metry and impedance testing
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Dr. Ankush Bansal
Laparoscopic Surgeon
7 yrs exp
Faridabad
Your findings suggest symptomatic hiatal hernia with reflux rather than cardiac or rib disease.
Persistent pain despite medicines may occur due to acid exposure or esophageal spasm. Continue PPIs, lifestyle modification, and avoid late meals.
If symptoms remain troublesome, surgical evaluation for laparoscopic fundoplication or hernia repair can be considered.
Next Steps
Gastroenterologist consultation
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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.