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Hi Im A 29 Year Old Male About 260 Lbs.
Question: Hi im a 29 year old male about 260 lbs. ive had chest pains since march. first espisode i went to the er. they did a ekg and it was negative. a coulle month later the same thing happened. went to the er did blood work and ekg and all was negative. i finally went to a cardiologist and he did a echo cardiogram and said my heart was strong. the problem still wasnt resolved so i went to a gastro doctor and did a upper endoscopy. i found out i have barretts esopghus. the pain is still there though. any ideas?
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
Considering the fact that you have Barrett's Esophagus, your symptoms could be related to acid reflux.
For this reason, I would recommend taking regularly PPI ( omeprazole, pantoprazole, etc.) or an antiacid.
It is also important modifying your diet ( avoiding large meals and eating more frequently in small portions, avoiding spicy food, etc).
If helicobacter pylori is present ( you should have a blood test to check for it), treatment with antibiotics will be necessary.
Regarding your heart, I would recommend performing an exercise cardiac stress test or dobutamine stress echo in order to completely exclude any cardiac issues.
You should discuss with your Doctor on the above tests.
Hope you will find this answer helpful!
Wishing all the best,
Dr.Ilir Sharka, Cardiologist
I would recommend as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
Considering the fact that you have Barrett's Esophagus, your symptoms could be related to acid reflux.
For this reason, I would recommend taking regularly PPI ( omeprazole, pantoprazole, etc.) or an antiacid.
It is also important modifying your diet ( avoiding large meals and eating more frequently in small portions, avoiding spicy food, etc).
If helicobacter pylori is present ( you should have a blood test to check for it), treatment with antibiotics will be necessary.
Regarding your heart, I would recommend performing an exercise cardiac stress test or dobutamine stress echo in order to completely exclude any cardiac issues.
You should discuss with your Doctor on the above tests.
Hope you will find this answer helpful!
Wishing all the best,
Dr.Ilir Sharka, Cardiologist
Above answer was peer-reviewed by :
Dr. Yogesh D
yes im currently on pantropozole. so i would assume its less likely to be a heart condition? no family history
Brief Answer:
My opinion as follows:
Detailed Answer:
Hello again!
Yes, in my opinion it is less likely that it is related to the heart.
Anyway an exercise cardiac stress test or dobutamine stress echo would help to definitely exclude any cardiac issues and put your mind to peace.
Hope you will find this answer helpful!
Wishing all the best,
Dr.Iliri
My opinion as follows:
Detailed Answer:
Hello again!
Yes, in my opinion it is less likely that it is related to the heart.
Anyway an exercise cardiac stress test or dobutamine stress echo would help to definitely exclude any cardiac issues and put your mind to peace.
Hope you will find this answer helpful!
Wishing all the best,
Dr.Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
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