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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chest Pain

I have been having two types of chest pain lately. One in my upper chest area and the second right near my Xiphoid process. I m not sure if the 2 discomfort are connected somehow but it started happening roughly 7 weeks ago. I was tailgating for a football game, an all day event so to speak. I was eating and drinking not so healthy food and beverages. The next day I woke up with horrible chest pain. Since then it has developed into these different forms. I have been taking nexium on and off along with Tylenol and Tagamet for pain and GERD symptoms. I am a 24 year old male who goes to the gym and lifts heavier weight. Could the xiphoid process pain be muscular? Or am I having a really bad case of GERD? Alcohol seems to intensify the discomfort in my chest. I have yet to make a doctors appointment, hoping that it will just go away, however I do plan on making one for this week. Anything you can provide would be great. Thanks, Ronnie
posted on Wed, 29 Oct 2014
Twitter Wed, 22 Apr 2015 Answered on
Twitter Thu, 23 Apr 2015 Last reviewed on
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General & Family Physician,  's  Response
Hi Ronnie,

This seems to be a symptoms of reflux esophagitis or GERD as one may feel pain over his chest or upper abdomen.

For gastroesophageal reflux disease,

You will need drugs with some precautions and this combined effect will helpful to you.

You may require proton pump inhibitors(pantoprazole or lansoprazole) with prokinetic drugs(cisapride,mosapride,levosulpride) which actually increases stomach emptying time along with effect on gasteoesophageal sphincter.

Apart from medication you need to follow certain listed things,

1) Avoid oily,spicy and high fiber diet.
2) Avoid eating with full stomach rather you eat small frequent meals.
3) Avoid taking rest for 2 hours after meal.
4) You can walk slowly up to first 2 hrs of meal but don't walk fast.
5) You made regular eating pattern.
6) Have your dinner before 8 pm so that at the time of sleeping your stomach will be empty.
7) Do yoga regularly.

All this cumulative effect will be beneficial to you while treating for the GERD.

Consult gastroenterologist for further treatment.
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Suggest Treatment For Chest Pain

Hi Ronnie, This seems to be a symptoms of reflux esophagitis or GERD as one may feel pain over his chest or upper abdomen. For gastroesophageal reflux disease, You will need drugs with some precautions and this combined effect will helpful to you. You may require proton pump inhibitors(pantoprazole or lansoprazole) with prokinetic drugs(cisapride,mosapride,levosulpride) which actually increases stomach emptying time along with effect on gasteoesophageal sphincter. Apart from medication you need to follow certain listed things, 1) Avoid oily,spicy and high fiber diet. 2) Avoid eating with full stomach rather you eat small frequent meals. 3) Avoid taking rest for 2 hours after meal. 4) You can walk slowly up to first 2 hrs of meal but don t walk fast. 5) You made regular eating pattern. 6) Have your dinner before 8 pm so that at the time of sleeping your stomach will be empty. 7) Do yoga regularly. All this cumulative effect will be beneficial to you while treating for the GERD. Consult gastroenterologist for further treatment.