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Upper abdomen and lower chest feeling
For the past two months, my father 79 has been taking different medicines to get relief from a “block” or “jam” feeling between his upper abdomen and chest. The medicines he has tried are:
1. Itovyom/Ganaton
2. Bloatpill
3. Voltapraz 20
4. Omez DSR
5. Sucral O
6. Razo L
7. Acogut ( Lupin)
However, none of these have really helped him. His endoscopy report mentions “gastric erythema and erosion,” but nothing about a hiatal hernia.
His ECHO heart test and BNP test are normal.
Could this still be a case of a small hiatal hernia?
Should we go for a Barium Swallow Test to check for it, since the endoscopy didn’t mention it?
I’m attaching a picture marked with a red line to show the exact area where my father feels this block/jam sensation — between his upper abdomen and lower chest.
Please advise.
Answers (21)
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Need few more details
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Hi!Wouldn just want to know if he is alcoholic?takes pain killers??
And was RUT done or not??
Just let me know this to help you better
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If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Hello!
From your detailed description, your father’s symptoms — a feeling of block or jam between upper abdomen and chest — point towards a motility or diaphragmatic issue, even though the endoscopy showed only gastric erythema and erosions.
Let’s break this down clearly
Next Steps
✅ Continue current PPI once daily before breakfast
✅ Schedule a Barium Swallow with X-ray
✅ If inconclusive, an esophageal manometry may be the next test
✅ Avoid lying down after meals, elevate head-end while sleeping
✅ Eat smaller, frequent meals
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No need of barium swallow. He should take small frequent meals, avoid spicy, fried food, take more of fresh vegetables, fruits, curd. Avoid eating late in the evening. Avoid excess of tea, coffee..Maintain normal, healthy weight.
Sleep with head end slightly elevated.
Tab omeprazole 20mg one morning and one evening before meals.
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No need of barium swallow or nothing
Start cap rablac dsr twice daily before meal
Syp dulcolax 2 tsf in one glass of water at bed time 10 days
Probiotics
Plenty of fluid intake
Avoid use of pillow
Start walk and yoga for 30 minute
Avoid oily food and acidic things
Next Steps
Avoid tea coffe in morning ..
Breakfast as early as possible after awake
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Get Chest xray and xray abdomen first
Consult with gastroenterologist
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Hello,
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Take a glass of milk daily.
Thanks.
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If you want to discuss your problem in more detail, feel free to 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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Hello, I am Dr. Romain Rajan, General Physician. Your case has been allotted to me.
I understand your concern. The âblock or jamâ feeling between the upper abdomen and chest can be quite distressing and may occur due to issues related to the stomach or food pipe, even when heart tests are normal.
1. Advices
Take meals in smaller portions and avoid lying down for at least two to three hours after food.
Raise the head end of the bed slightly while sleeping and avoid spicy or heavy meals at night.
Continue one single acid medicine such as Razo L before breakfast daily for at least two weeks without changing brands frequently.
2. What to Monitor
Whether the sensation worsens after food or while lying flat.
Any new symptom such as pain radiating to the back or unexplained vomiting.
3. Management
Since endoscopy showed gastric redness and erosion but no hiatal hernia, yet the symptom persists, it is still possible that a small sliding hernia was missed. Such small hernias may not always appear during endoscopy.
You may go for a Barium Swallow Test, which gives a clearer picture of small or intermittent hernias. If that is normal and the discomfort continues, an esophageal manometry test can be considered later.
Till then continue the acid medicine regularly and follow lifestyle precautions.
4. When to Consult a Doctor Immediately
If the sensation turns into chest pain or breathlessness.
If there is repeated vomiting or black colored stools.
If the abdominal pain becomes constant or severe.
Every patientâs situation is unique. For accurate diagnosis and lasting relief, it is important to discuss your medical history and reports in detail.
ð You can reach out to me directly for this case and also connect with me in future for any medical consultation.
I am available on Practo or on WhatsApp at 85271646 seven seven for a one on one consultation, where you will receive
⢠A personalized treatment plan
⢠Safe medicine adjustments if required
⢠Quick follow ups to track your recovery
Take care, wishing you good health.
Best regards,
Dr. Romain Rajan
General Physician
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Go for barium as well as hrct abdomen. It's probably emergency
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Given the age of your father, do go for Barium meal and follow through.
You may also take HRCT abdomen.
Consult on video to discuss further.
Next Steps
Continue the medication after proper advice from the physician.
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There is no need for barium as endoscopy has already been done. You need a gastroenterologist consultation for your father
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Endoscopy confirms
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Get all the investigation suggested
Start syrup mucaine gel 20 ml twice daily for three weeks bfr food
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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. Chaithra H
General Physician
5 yrs exp
Bangalore
Do consult
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Dr. Vinod Kumar Verma
General Physician
9 yrs exp
Gurgaon
-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life . ....
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