HI THANKS FOR YOUR QUERY.
FIRST OF ALL LET ME TELL YOU THAT YOU NEED TO BE SCREENED/TREATED FOR TWO MEDICAL DISORDERS .IE,STOMACH RELATED 2.HEART RELATED.
FIRSTLY...THE HEART BURN: ALSO KNOWN AS PYROSES. THE HISTORY IS QUITE TYPICAL IN YOUR CASE WITH DISCOMFORT IN YOUR CHEST,RIGHT SIDED
CHEST PAIN,PAIN REFERRING TO YOUR RIGHT SHOULDER BLADES.THESE FEATURES ARE HIGHLY SUGGESTIVE OF "GASTRO ESOPHAGEAL REFLUX DISEASE"/GERD.THIS COULD ALSO ARISE DUE TO
GALL STONES.
BEFORE PROCEEDING TO TREATMENT TO THESE, YOU NEED TO UNDERGO "UPPER GI ENDOSCOPY(UGIE) TO ASSES THE EXTENT OF INJURY CAUSED BY REFLUX OF STOMACH ACID NEAR THE STOMACH AND ESOPHAGUS JUNCTION...
IF A EROSIVE LEISON/ULCER IS FOUND NEARER TO STOMCH ,THEN A SMALL TISSUE IF IT CAN BE SCRAPPED AND SUBJECTED TO BIOPSY FOR "H.PYLORI STUDIES"...A BACTERIUM ASSOCIATED WITH GERD
THE NEXT INVESTIGATION IS "TOTAL ABDOMINAL ULTRASOUND " TO EVALUATE FOR THE PRESENCE OF ANY SUSPECTED GALL STONES IN THE
GALL BLADDER,AS EVEN THEY CAN PRODUCE RT
SHOULDER PAIN.
THE TREATMENT FOR YOUR HEARTBURN IS USING ACID SUPPRESSION THERAPIES LIKE
PROTON PUMP INHIBITORS EX TAB NEXPROFAST 40mg ONCE A DAY EVERY MORNING AT 7 A.M. BEFORE BREAKFAST FOR 15 DAYS .
REGARDING THE FAMILY HISTORY OF THE HEART DISEASES , I WOULD LIKE TO TELL YOU THAT THIS HISTORY IS QUITE SIGNIFICANT T IN YOUR CASE WHICH WARRANTS FURTHER INVESTIGATION.YOU SHOULD SUBJECT YOURSELF TO CARDIAC SCREENING THROUGH ........1.ECG.2-DIMENSIONAL ECHO.3.TREAD MILL TEST.4.HIGHLY SENSITIVE
C-REACTIVE PROTEIN (HS-CRP),5.CORONARY
ANGIOGRAPHY IF THE ABOVE TESTS ARE TURNED OUT TO BE POSITIVE.
MAINTAIN BP BELOW 130/80mmhg.GO FOR REGULAR WORK OUTS,FOLLOW HEALTHY DIET.CONSULT AN EXPERT CARDIOLOGIST .
THANK YOU.