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Hi doctor I have done some routine test as I feel pressure and pain like under breast right side chest, also burps when drink more water. No breathing issues. Please advise.
Age 38
Male
Non smoke & non alcoholic
Escalated parameters
CBC (Blood Test)
MCV: 75.1 fL
MCH: 23.9 pg
RDW-CV: 16.6%
2. ESR
ESR: 27 mm/hr
3. HbA1c
HbA1c: 5.8%
4. Liver Function
GGT: 181 U/L
Alkaline Phosphatase: 119 U/L
5. Kidney / Metabolic
Uric Acid: 7.7 mg/dL
Potassium: 5.06 mEq/L
6. Inflammation Marker
CRP: 3.30 mg/L
Answers (12)
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Take lots of fluids.. may be due to gastritis. Do a USG whole abdomen.. review with reports
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Cut down on potassium containing foods. Rest will be fine. Go for ECG. Kindly consult with me on 94 two six 86 seven eight 96.
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Gastritis
Avoid spicy foods
Avoid coffee and tea in empty stomach
Use more of curd and butter milk
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Please send full CBC report. You can have anemia due to gastritis. Take tab Pan40 1tab odac for 7 days
If pain do not subside, please consult. Your lft is slightly deranged, it can be some gall stone.
Next Steps
send full report of cbc. Take a consult.
Health Tips
drink 4-5 lit water.
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Lft deranged.
Other reports quite good. Change life style n diet plan drastically first.
Gas
Tab nexpro RD40 ONE IN EMPTY STOMACH FOR ten days.
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Avoid fried and spicy food
Water intake more. Do connect and consult
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Need few more details for proper understanding of your issue.
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Do USG breast.
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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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Dr. Abhishek Anand
General Physician
3 yrs exp
Kolkata
1. Chest/upper abdominal pressure after drinking water, burping
This is not cardiac.
Your symptoms are classic for:
→ GERD + Gastric Distension + Gas Reflux
Especially:
• Right-sided chest pressure
• Burping after water/food
• Mild discomfort under right rib
This fits stomach and liver area irritation, not heart disease.
Your ECG is normal (you did not mention issues), and you have no breathing problems, which is reassuring.
2. Interpretation of Your Abnormal Test Results
CBC
• MCV 75.1 (low)
• MCH 23.9 (low)
• RDW 16.6 (high)
Suggests early iron-deficiency anemia or possible thalassemia trait.
(Usually due to long-standing acidity/poor absorption.)
ESR = 27 mm/hr
Mildly raised.
Seen in:
• Minor inflammation
• Gastritis
• Fatty liver
• Mild infection
This is not dangerous.
HbA1c = 5.8%
Prediabetes
Not diabetes, but you need:
• Weight control
• Low-carb diet
• Walking 30–40 min daily
GGT = 181 (high)
ALP = 119 (mild high)
This pattern is typical of:
→ Fatty liver + Gastritis + High bile reflux
Especially in people who are:
• Pre-diabetic
• Overweight
• High-carb diet
• Sedentary
• Taking acidity/gas medicines repeatedly
No sign of dangerous liver disease (AST/ALT normal).
Uric Acid = 7.7 mg/dL
High.
Causes:
• High protein
• Dal, rajma, chana
• Dehydration
• Sedentary lifestyle
• Prediabetes
You should reduce purine foods for a few weeks.
Potassium = 5.06
Borderline high.
Usually due to:
• Dehydration
• Lab variation
• Diet high in bananas/coconut water
Not concerning unless above 5.5.
CRP 3.3 (mild elevation)
Shows minor inflammation, commonly due to:
• Fatty liver
• Gastritis
• Acidity
• Recent viral infection
Not dangerous.
Next Steps
Treatment Plan (Simple & Effective)
A. For chest discomfort / burping / acidity
• Pantoprazole 40 mg + Domperidone → morning empty stomach for 14 days
OR
• Penta DSR (if already taking)
• Avoid drinking large amounts of water at once
Take smaller sips.
• Syp. Gelusil / Digene 10 ml when burping is bad.
B. For fatty liver
• Stop junk, fried, sugary, bakery foods
• Cut down rice/roti quantity
• Start 20–30 minutes brisk walk daily
• Reduce late-night eating
GGT improves within 4–6 weeks.
C. For iron-deficiency pattern
• Start Iron syrup/tablet daily for 6–8 weeks
• Vitamin C with meals
• Check stool for hidden blood (if required)
• Reduce tea/coffee (block iron absorption)
D. For high uric acid
Avoid:
• Red meat
• Organ meat
• Too much dal, rajma, chole
• Alcohol
• Soft drinks
Increase:
• Water intake
• Lemon water
• Fruits (except banana in excess)
If persistent: Febuxostat/Allopurinol (doctor-guided).
E. For prediabetes
• Walk daily
• Reduce sugar
• Reduce roti/rice portions
• Start weight control
You can reverse HbA1c in 2–3 months.
Health Tips
When to Worry
Seek medical attention if:
• Pain becomes severe
• Vomiting
• Jaundice
• Dark urine
• Fever
• Weight loss
Right now you have none of these.
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