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Feeling of breathlessness after meals
Dear Doctors,
For almost a week I have been having constant feeling of fullness and breathlessness after every meals and after anything I eat . It doesn't go away even after having antacid. It stays for hours. Sometimes it subsides after I take my statin/betablocker. I have lumps on the left side of my abdomen. What to do to make this go away ? Why is this hours of breathlessness happening after every meals ? Please help and guide me
Answers (21)
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Hello 👋
I’ve gone through your symptoms carefully — the breathlessness and fullness after meals, lasting for hours and not improving even with antacids, need to be assessed in detail. Since you’re already on statin and beta-blocker, it’s important to consider both gastric and cardiac causes.
Here are the likely possibilities:
Gastroesophageal reflux with bloating (GERD + gastritis): Gas accumulation after meals can push the diaphragm upward, making it hard to breathe.
Hiatal hernia: Common in your age group, where part of the stomach moves up through the diaphragm, causing fullness, chest heaviness, and breathlessness after food.
Medication side-effect: Beta-blockers can sometimes worsen gastric motility and cause mild breathing discomfort.
Cardiac or abdominal pressure component: If the “lumps” on the left side are swelling or enlarged spleen/lipoma, that too can cause fullness and pressure symptoms.
What you should do immediately:
Eat small, frequent meals — avoid overeating.
Don’t lie down for 2–3 hours after food.
Avoid tea, coffee, oily foods, and late-night dinners.
Continue your cardiac medications but get a cardiac review + upper abdomen ultrasound done.
For now, you may take Pantoprazole 40 mg before breakfast and Simethicone syrup after meals for symptom relief until proper evaluation.
Your symptoms are treatable, but since you have both heart and stomach-related factors, a detailed review of your ECG, echo, and abdominal scan is needed to identify the exact cause and tailor treatment accordingly.
If you’d like me to personally assess your reports and guide you step-by-step with medicines, diet, and further evaluation, you can message me directly on WhatsApp —nine three two six zero two zero five three six — for a private consultation.
I’ll help you identify the root cause and ensure your breathlessness and bloating settle completely
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It seems like you have stomach ulcer. You will feel bloated and tired after every meal. That's how it present. Do diet adjustments and antacids for atleast 2weeks . Ulcer needs time to heal. If persistent then you need scopy to find out the cause and severity
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Consult for further evaluation
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Hi,
The best way ahead would be a detailed clinical interview to understand the symptoms and your comprehensive history.
For a personalized plan, find me by searching "Dr Abhinav Tewari Neuropsychiatrist Lucknow" on Google Maps — my details are listed there.
ẄĤÃŤŠÅPP available on nine four one five three nine four three seven nine
Kind Regards,
Dr Abhinav Tewari
Consultant Neuro-Psychiatrist
MBBS (A.I.I.M.S., New Delhi)
MD (Psychiatry) (A.I.I.M.S., New Delhi)
DNB (NBEMS)
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Both your complaints require a consultation with a General Surgeon for furthur evaluation in form of deatailed history taking and examination, appropriate investigations will be advised and then will be followed by required treatment.
1. Avoid heavy regular meals 3 times a day and rather go for multiple small light meals 5 to 6 times a day, after every 2 to 3 hours.
2. Exercise atleast 5 times a week even in form of brisk walking for minimum 30 to 45 mins.
3. As don't know about your weight and height to calculate your BMI, if it's higher, might even be due to this.
4. Change your diet, if BMI is higher, avoid simple carbohydrate and take complex carbohydrates, hight fibre diet, take food and oils with unsaturated fatty acids.
If near normal limits, take small, easy any and fast digesting food.
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Hi , you need to consult gastroenterologist
And do USG ABDOMEN and UGI endoscopy and ECG
may be it’s hiatal hernia, GERD ,
Next Steps
Avoid oily and spicy food, carbonated drinks
Don’t lie down immediately after eating
Health Tips
Consult me on Practo for further queries
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Kindly go see a general surgeon first the same
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You require consultation with Gastroenterologist.
Symptoms are suggestive of peptic ulcer.
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Please do consult general surgeon for abdominal masses
It needs evaluation.
If it subsiding after betblocker it may be the issue with ur heart or it is psychiatric.needs proper evaluation.
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Need to know proper detailed history and have to get few investigations done before reaching a particular diagnosis..
Kindly consult me
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Hello,
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Kindly consult a physician.
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You can consult me directly on Practo, or reach out via WhatsApp:
Eight Seven Six Two Seven Four Nine Nine Seven Four
I’ll guide you step-by-step with easy-to-follow treatment plans.
Early consultation helps avoid complications — feel free to connect.
Only whatsapp message no calls
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Consult superspecialist
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Need more history and symtomatology to properly evaluate your problem
Connect online
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion
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Are you obese and do you have constipation?
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Breathlessness is a symptom to be addressed. Probably something pertaining either with the heart or lungs. Thereby a cardiac workout is necessary, atleast as simple as ECG is needed for further evaluation along with history.
Next Steps
Book a consultation for a detailed review and workup.
Health Tips
In case of breathlessness associated with palpitations, chest pain, abdominal discomfort, bladder irregularities, Kindly seek Emergency Help ASAP
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Avoid spicy foods
Avoid coffee and tea in empty stomach
Use more of curd and butter milk
Drink plenty of water
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Consult online
Do not neglect contact will guide you further
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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