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Vitamin d deficineny and chest burns
Hi I M from banglore just want to know that My heart burns while breathing and I don't know my stool is black or dark brown can't recognise so done with all reports ecg echo lft kft lipid sugar ppbs homocyestine vitamin b12 and vitamin D3 and done with ecg echo CA 125 CA15.3 and CEA
Vitamin b12-240
Vitamin D3-5.5 that's why it's heart burn and m overweight 92 kg
Height 162 cm
Age 27
Plz suggest me do I need to go for endoscopy?
Answers (31)
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Most likely it should be Acid reflux with esophagitis
✓Your primary focous should be Focus on acid control + vitamin correction + weight reduction ..
Next Steps
✓theuraptic treatment should be trial first ..
✓endoscopy to be done if there is
✓Persistent vomiting
✓Unexplained anemia or weight loss
✓Symptoms not improving after 4–6 weeks of treatment
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Get stool examination for occult blood
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Your symptoms most likely suggest acid reflux (GERD), which is commonly seen in people who are overweight. Since your ECG and ECHO are normal, a heart problem is unlikely. Dark stools are a concern only if they are truly black, sticky, and foul-smelling; many times stools appear dark brown and are mistaken for black.
At this stage, an endoscopy is not immediately required unless there are warning signs or symptoms do not improve with treatment.
Next Steps
• Start an acid-reducing medicine (PPI) once daily before breakfast for 4 weeks
• Get a stool occult blood test to rule out hidden bleeding
• Take Vitamin D3 60,000 IU once weekly for 8–12 weeks
• Try gradual weight reduction, avoid late-night meals, spicy and oily foods
• Sleep with the head end slightly elevated
Health Tips
Acid reflux is very common and treatable. Most patients improve with medicines and lifestyle changes. Endoscopy is needed only if symptoms persist or warning signs appear.
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Check for occult blood in the stool,if it's positive consider upper gastrointestinal endoscopy.You may have gerd compounded by the weight gain resulting in chest burning.Take PPI for 3-4 weeks,and vitamin d 60000 iu once a week for atleast 12 weeks
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Please check your Thyroid hormone levels of not done. Feel free to consult online with me for advice
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• Your symptoms are most likely acid reflux (GERD) related to overweight and severe Vitamin D deficiency.
• Vitamin D 5.5 is very low → needs treatment.
• Vitamin B12 (240) is borderline low → supplementation advised.
Next Steps
Endoscopy?
• NOT needed now if:
• No true black tarry stools (melena)
• No vomiting blood
• No difficulty swallowing
• No unexplained weight loss or anemia
• DO endoscopy if:
• Stool is jet black, sticky, foul-smelling
• Pain persists >4–6 weeks despite treatment
• New alarm symptoms appear
Health Tips
• Start PPI (e.g. pantoprazole) once daily before breakfast
• Vitamin D3 loading dose (as per doctor)
• Vitamin B12 supplementation
• Weight reduction, avoid late meals, spicy/oily food, tea/coffee at night
If symptoms don’t improve in 4 weeks → endoscopy.
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Daily 10k steps
Reduce calories intake
D rise 60000iu weekly once for 8 weeks
Tab Pan D od before breakfast for 14days
Next Steps
Get stool occult blood test
And then upper GI scopy
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You have borderline low vit b12 and much lower vit d3. Take tab vit d3 60,000units one per week for 4 weeks.
Tab neurobion forte one daily for 4 weeks.
Take small frequent meals, avoid late evening meals, avoid fatty, spicy food,
Tab pantaprazole 40mg one daily before breakfast for 2 weeks.
Tab domperidone 10mg one every 8hours for 7 days.
Syp digeplex 5ml morning and evening for 2 weeks.
If heartburn is frequent or severe or long standing, go for upper G.I. endoscopy.
Also do test for H.pylori and share results.
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Take consultation with gastroenterologist.
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You should visit a nearby gastroenterologist for further evaluation.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Black colour stool is a sign of upper GI bleed.
If you are facing heart burn and black stool then you must definitely go for endoscopy.
Some time ingestion of iron tablets also causes changes in stool colour.
Better you go for endoscopy for better management.
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Because you have chest burning + possible black stool, consulting a gastroenterologist is strongly recommended. They may:
• First do stool occult blood + CBC
• Then decide on upper GI endoscopy
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Start anti-reflux treatment (as advised by a doctor):
PPI (like pantoprazole / omeprazole)
Lifestyle changes-
Avoid tea, coffee, spicy, oily food.
Weight reduction is very important.
Correct deficiencies-
Vitamin D supplementation (high dose needed.)
Vitamin B12 supplementation.
Stool occult blood test (simple, non-invasive).
First try medical treatment for GERD.
Endoscopy only if symptoms persists.
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Vit d3 very Very low, symptoms suggest acid reflux.
Inj uprise d60k once a week for 4 weeks intramuscular in gluteal reason.
CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST OTHERWISE NO THERAPY GIVES U PROPER RESULT.
STOOL TEST
COMPLETE N MICROSCOPIC, OCCULT BLOOD.
NEXPRO RD40 ONE IN EMPTY STOMACH FOR TEN DAYS.
MUCAIN GEL10 ML WITHOUT WATER NOTHING BY MOUTH TILL 30MIN CAN BE TAKEN 3TO4 TIMES.
RIFAGUT400 TWO TIMES A DAY AFTER FOOD FOR 2 WEEKS.
CONSULT SUPERSPECIALIST LIKE GASTROENTEROLOGIST HE WILL SUGGEST ABOUT ENDOSCOPY.
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From my experience, this sounds more like acid reflux than a serious heart problem, especially with low Vitamin D and being overweight. Many patients feel chest burning and breathing discomfort due to acidity.
Health Tips
Before doing more tests or taking medicines on your own, it’s best to see a doctor for a proper examination. Most symptoms improve with the right treatment, lifestyle changes, and vitamin correction. Further tests should be done only if clinically advised.
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Its better
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Vitamin D is definitely low however the heartburn seems related to something else like gastritis? B12 is on the lower side. Have you been having gastritis for a long time? If you really feel the color of your stool is darker then yes, an endoscopy would be helpful for evaluation
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Dr. Ishwa Vaderia
General Physician
1 yrs exp
Rajkot
Can help but
Need more history
Kindly consult on 9three28010077 for appointment
Text/audio/ video consultation available
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Needs proper history and evaluation. Kindly consult
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Shruti Pandve
General Physician
5 yrs exp
Mumbai
Kindly get stools checked for occult blood
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Kindly do connect and consult
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I advise to walk daily empty stomach in the morning at least 10000 steps and then drink plenty of water in 24 hours with water alarms apps, And take vitamin D3 Sachets in water or milk every 5 days of 5000 IU 7000IU Avoid spicy, oily, and fried foods. I advise you to eat slowly with extra chewings per bites and eat healthy green vegetables fruits every 4 hours from morning until you sleep
Next Steps
For better understanding you can consult online with me
Health Tips
Avoid eating packaged foods and drinks
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Dr. Pawan Kumar Tiwari
General Physician
5 yrs exp
Varanasi
Based on your symptoms of heartburn (especially if it's occurring while breathing, which could suggest something like acid reflux or another GI issue) and possible black stool (which can indicate upper gastrointestinal bleeding, like from an ulcer or irritation), along with your low vitamin D (severe deficiency at 5.5 ng/mL) and borderline-low B12 (240 pg/mL), an upper endoscopy is often recommended in guidelines to evaluate the esophagus, stomach, and duodenum for potential causes.Black or tarry stools are considered an "alarm symptom" that warrants prompt investigation, as they might signal bleeding higher in the digestive tract—dark brown stool is usually less concerning, but if it's truly black and sticky, that's more urgent.
Persistent heartburn also supports this, as it could point to GERD or related complications that need direct visualization.
Your normal cardiac tests (ECG, echo) are good news, ruling out heart problems, and the negative tumor markers (CA125, CA15-3, CEA) reduce cancer concerns, but endoscopy can still help diagnose non-cancer issues like inflammation or absorption problems contributing to your vitamin deficiencies.At age 27 and overweight (BMI around 35, which is obese class I), factors like diet, lifestyle, or even medications could be playing a role—losing weight might help with heartburn long-term. In the meantime, supplement your vitamins as prescribed (e.g., high-dose D3 and B12 if advised), stay hydrated, avoid spicy/fatty foods, and elevate your head while sleeping to ease reflux.Definitely consult a gastroenterologist in Bangalore soon—they can decide if endoscopy is the next step based on a full exam. Places like Manipal Hospital or Apollo have good GI departments. Don't delay if the stool turns clearly black or you notice blood, vomiting, or worsening pain.
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Dr. Abeed Ahmed
Diabetologist
11 yrs exp
Hyderabad
Keep all the reports aside .they are nothing to do with symptoms .. use tab sompraz d daily before break fast for 10 days .. and take tab polybion CZS afternoon . For 1 month .. dnt not take spicy food and tea and coffee it is just GERD
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Uprise d3 capsule weekly once for 12 weeks
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Dr. Anmol Kudal
General Physician
5 yrs exp
Nashik
For vit d take capsule uprise d3 60k once a week for 8 weeks.
For vitamin B12 take capsule nurokind + RF once after dinner for 15 days.
You can go for endoscopy.
Take capsule esomac D one hr before food once daily 1-0-0 for 7 days
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