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How Should Morning Nausea And An Upset Stomach Be Managed While Having IBS, Anxiety And Costochondritis Chest Pain In Fibromyalgia?

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Posted on Wed, 3 Feb 2021
Question: Hi there this question is for Dr Sharka I am 46 yr old in ok health I think I do suffer from fybro costo and ibs anxiety I have been experiencing this morning after breakfast neasua and slightly upset stomach ... upper stomach my blood pressure last checked 2 weeks ago 120/80 I had an echo done approx two months ago witch was normal I am told blood work colestersal a month ago normal I have passed stool this morning and had the same breakfast I have every morning I know women usually present with different issues for cardiac should I be concerned about cardiac as I cannot see my Dr till tomorrow
doctor
Answered by Dr. Ilir Sharka (15 minutes later)
Brief Answer:
My opinion as follows:

Detailed Answer:

Hi,

Your symptoms seem to be related to indigestion or gastroesophageal reflux.

In my opinion, your symptoms are not related to any cardiac issues.

The fact that your symptoms started after eating breakfast, is another argument in favor of gastroesophageal reflux or indigestion.

Coming to this point, I would recommend taking an antiacid or PPI (omeprazole, pantoprazole, etc.) and avoid large meals and spicy food during the day.

There is no need to panic or perform any cardiac tests.

Hope you will find this answer helpful!

If you have any other questions, please don't hesitate to ask me again!

Wishing all the best,

Dr.Iliri
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Ilir Sharka (24 minutes later)
Hello I have attached my echo from March so u remain this is gastersl and not cardiac is lemon water good and u do not recommend any cardiac work up and I can wait to tomorrow
doctor
Answered by Dr. Ilir Sharka (21 minutes later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Dear XXXXXXX

I reviewed your cardiac ultrasound and would explain that it shows a normal heart structure and function.

Regarding water lemon, I don't think it is a good idea, as it is acid and may exacerbate acid reflux.

I would just recommend an antiacid or water with soda dissolved in it.

A glass of milk can help reduce the acidity too.

Hope to have been helpful!

Let me know about everything!

Best wishes,

Dr.Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9536 Questions

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How Should Morning Nausea And An Upset Stomach Be Managed While Having IBS, Anxiety And Costochondritis Chest Pain In Fibromyalgia?

Brief Answer: My opinion as follows: Detailed Answer: Hi, Your symptoms seem to be related to indigestion or gastroesophageal reflux. In my opinion, your symptoms are not related to any cardiac issues. The fact that your symptoms started after eating breakfast, is another argument in favor of gastroesophageal reflux or indigestion. Coming to this point, I would recommend taking an antiacid or PPI (omeprazole, pantoprazole, etc.) and avoid large meals and spicy food during the day. There is no need to panic or perform any cardiac tests. Hope you will find this answer helpful! If you have any other questions, please don't hesitate to ask me again! Wishing all the best, Dr.Iliri