What Causes Chest Discomfort After Eating A Meal?

Posted on Wed, 10 May 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 10 May 2017 Answered on

Wed, 31 May 2017 Last reviewed on

Question : I thought I just had a sore throat but I throw up everyday, large amounts of saliva build up, and I have chest discomfort after eating.

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
GERD, infectious focus should be looked for, first

Detailed Answer:
Hello and Welcome

I appreciate your concern

Based on your description, it appears to be a case of GERD (Gastroesophageal reflux disease). However, an infectious cause / focus should be looked for. The oral cavity and throat should be examined to look for evidence suggesting acute follicular tonsillitis or pharyngitis. Throat swab for culture sensitivity testing can be obtained and empirical treatment with antibiotics can be initiated which would be tailored according to the culture reports later on.

If no infectious cause is isolated then PPIs like lansoprazole with pro kinetics such as itopride should be advised to look for improvement of the watering, nausea and chest discomfort. If there is chest pain/ discomfort which persists despite PPI use then an EKG should be obtained especially during such an episode to rule out a cardiac cause.

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar