I'm feeling kind of stuck because my gastroenterologist said I need a colonoscopy for my stomach pain, but I'm trying this new eating schedule where I eat every 33 hours, and fasting is really hard for me. How do I navigate this? Any advice would be really helpful.

Dr Shubham Chauhan

General Practitioner

• MBBS
• 4+ Yrs

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Chest Pain Characteristics_

1. Intermittent pain: Pinpoint pain lasting 3-4 seconds, occurring sporadically throughout the day.
2. Variable location: Pain located in the center, left, and right sides of the chest.
3. Burning sensation: Accompanying burning sensation, which may indicate acid reflux or gastroesophageal reflux disease (GERD).

Possible Causes

1. Gastroesophageal reflux disease (GERD): Stomach acid flowing back up into the esophagus can cause chest pain and burning sensations.
2. Musculoskeletal issues: Strained chest muscles or costochondritis (inflammation of the cartilage that connects the ribs to the breastbone) can cause intermittent chest pain.
3. Cardiovascular conditions: Although less likely, given the brief duration and variable location of the pain, cardiovascular conditions like angina or pericarditis should be ruled out.
4. Anxiety or stress: Stress and anxiety can manifest as physical symptoms, including chest pain and burning sensations.

Recommendations

1. Consult a healthcare professional: Schedule an appointment to discuss your symptoms and determine the underlying cause.
2. Diagnostic tests: Your doctor may order diagnostic tests, such as an electrocardiogram (ECG), chest X-ray, or endoscopy, to rule out underlying conditions.
3. Lifestyle modifications: Avoid trigger foods, maintain a healthy weight, and manage stress through relaxation techniques like deep breathing, meditation, or yoga.
4. Monitor symptoms: Keep a symptom journal to track the frequency, duration, and characteristics of your chest pain and burning sensations.

Answered 04/07/2025