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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Feeling Of Pressure In The Chest At About 5 Am As If Over Eaten And Better By Sitting Up In A 60 Year Old With Normal Food Intake.

For the last 2 days while I sleep about 5:00 AM a pressure in the chest wakes me up. Its like if I have eating a lot of food and its not going down. I have to sit up in order to feel better. This has never happened to me before, I have not eating late or more than my usual dinner in fact I don't eat too much food. I am 60 years old and usually healthy and don't take medicines.
Sat, 11 Jan 2014
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Internal Medicine Specialist,  's  Response
Hi there,

Thanks for your query.

The symptoms are suggestive of either Gastro-esophageal-reflux-disease (GERD) due to acidity or hiatus hernia; or, a transient low motility disorder. In these conditions, the ingested food remains in the stomach for longer than usual or, food- along with acid fluids- flow back into the food pipe in lying position (due to GERD or Hiatus Hernia- a condition in which part of the stomach is pushed into the food pipe and thereby, distort the lower sphincter (valve) of the food pipe as incompetent.

A course of anti-acid drug + a Prokinetic drug such as metoclopramide + Probiotic such as, Lactobacilli will give you temporary relief.

You should however, consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order required tests, and- based on the reports- will prescribe suitable and curative treatment.


If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries.

Take care

Dr. Rakesh Karanwal
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Feeling Of Pressure In The Chest At About 5 Am As If Over Eaten And Better By Sitting Up In A 60 Year Old With Normal Food Intake.

Hi there, Thanks for your query. The symptoms are suggestive of either Gastro-esophageal-reflux-disease (GERD) due to acidity or hiatus hernia; or, a transient low motility disorder. In these conditions, the ingested food remains in the stomach for longer than usual or, food- along with acid fluids- flow back into the food pipe in lying position (due to GERD or Hiatus Hernia- a condition in which part of the stomach is pushed into the food pipe and thereby, distort the lower sphincter (valve) of the food pipe as incompetent. A course of anti-acid drug + a Prokinetic drug such as metoclopramide + Probiotic such as, Lactobacilli will give you temporary relief. You should however, consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order required tests, and- based on the reports- will prescribe suitable and curative treatment. If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries. Take care Dr. Rakesh Karanwal