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Getting pain in back chest
I am started getting pain initially in the middle of the upper stomach now I have am continuous Pain the the back of the chest. It is on the full upper back chest. With pan D it is not reducing . Is this gall bladder pain or if is due to gas. Kindly suggest
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Get USG ABD to rule out gall stones
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Video consult me for the prescription.
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When was your last period? Is there any history of heart disease or blood clots on the lungs in the past?
Sounds dyspeptic and could be acid reflux or gallstones. Please be examined by your local doctor and have the following,
1. Gaviscon
2. If no relief from Gaviscon, try Omeprazole capsules 20mg once a day for a week
3. Have bloods tests for Liver functions tests and Amylase
4. Ultrasound scan of your abdomen.
All the best.
J G S R
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Your pain pattern suggests musculoskeletal issue, possibly related to gallbladder or referred pain:
**Differential Diagnosis:**
1. **Gallbladder pain:** Right upper quadrant, radiates to back - fits your description
2. **Gastritis/GERD:** Upper stomach pain, can radiate to chest/back
3. **Musculoskeletal:** Intercostal muscle strain, rib pain
4. **Pancreatitis:** Upper abdominal pain radiating to back
5. **Cardiac:** Less likely in 30yr female but needs exclusion
**Immediate Steps:**
1. Ultrasound abdomen (check gallbladder, pancreas)
2. ECG to rule out cardiac cause
3. Complete blood count, liver function tests, lipase
4. Try antacid (pantoprazole 40mg before breakfast)
**Management:**
- Avoid fatty, spicy foods
- Small frequent meals
- Pain relief: paracetamol, antispasmodics (drotaverine)
- If gallstone confirmed, may need surgical consultation
Since Pantoprazole D didn't help, gallbladder pathology more likely than acid reflux. Get ultrasound urgently.
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Do connect and consult
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Usg whole abdomen advisable. Nexpro RD40 ONE IN EMPTY STOMACH FOR ten days. Flexon Mr two times a day after food for 3to5 days.
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Hard to say like that. Can be gall bladder, can be hyperacidity, can be stomach ulcers, can be musculoskeletal. Kindly consult with me on 94 two six 86 seven eight 96.
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Does symptom increases after food or after 2 hrs?? Kindly consult for more
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Its due to indigestion
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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