Hello Aswadhy By going through your history and evaluation of your health status I must say that nothing to Worry. It seems pain because of gas which increases at its peak at night . Rx - Pantop dsr - before breakfast for 7 days Avoid excessive caffeine, spicy things and drink plenty of normal water , not too hot .
If it persist after taking dsr then kindly do following test as following - CBC blood X-ray ECG repeat
Thank you
Hello Chest pain occurs due to many cause According to new guidelines chest pain abdominal pain might have heart issue As your details it’s seems like gastric reflux which come out with burning sensation and alots burping too Kindly follow advice Tab pantop dsr before breakfast Syrup antacid (rebamac) twice a day Head elevated after meal at least 15 minutes and not sleep as well as Avoid spicy food Avoid coffee tea Drink water for good gut maintenance Avoid junk food too Kindly go through ECG if pain sharp radiating to left side shoulder to hand More consult to gastroenterologist and cardiologist if not effective Thanks
Hello ,
It can be gastric esophageal reflux disease or panic/anxiety episodes.(both have these symptoms)
But chest pain lasting for 3 days needs medical attention.
Ecg alone cannot rule out all diseases. So may need additional evaluation and treatment
Please go to ER for further evaluation Please dont treat at home.
Thank you
You have severe chest + upper stomach pain with night worsening, a sense of doom, and persistent symptoms for 3 days. This is NOT normal. You need medical evaluation now. Your ECG being normal is reassuring, but does NOT rule out dangerous non-heart causes. You should go to the ER today.
Severe chest pain, especially one that radiates, worsens at night, and comes with anxiety and fatigue, is concerning and warrants a thorough evaluation. Even if your ECG is normal, it is important to rule out any serious underlying conditions that might not be easily detected through initial tests. Possible causes for your symptoms might range from gastrointestinal issues like acid reflux or gastric ulcers, which can cause pain and burping, to more concerning cardiac or pulmonary conditions. The sharp, pricking nature of the pain you describe could suggest something like costochondritis, which is inflammation of the cartilage joining the ribs to the breastbone, but given the complexity of symptoms, professional medical input is crucial. Since your condition makes you feel anxious and fatigued, and its persistence over several days could possibly indicate an ongoing issue requiring attention, you should seek immediate medical help to have this assessed further. It could involve getting more specialized cardiovascular evaluations or even seeing a gastroenterologist if an esophageal cause is considered likely. Avoid lying flat which can worsen reflux-related symptoms, and try to elevate the head while resting. Refrain from consuming caffeine, nicotine, or heavy meals which could exacerbate symptoms. Please see healthcare immediately if you feel there’s an escalation in the severity or nature of pain as safety is paramount.
Hello Aswadhy, thank you for sharing your concern. From what you mentioned, I think you need a good physical evaluation by a certified Physician. Kindly visit one and get your evaluated well.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med
