apollo
  • male
  • 35 Years
  • 20/02/2025

I've been having chest pain every day and even though my ECG was normal and I've done HRCT, chest ultrasound, and endoscopy, everything came back normal. But the pain and even a pain in my left hand just wont go away, and its not in a fixed spot. Sometimes I get shortness of breath too. A bunch of doctors have told me it might be GERD. Could you help me figure out what's going on and how to get better?

Doctor 1

Answered by 1 Apollo Doctors

It sounds like you may be experiencing symptoms of GERD (Gastroesophageal Reflux Disease). To help manage your symptoms, you can try taking a proton pump inhibitor like Esomeprazole (brand name: Nexium) 40mg once daily before breakfast for at least 4-8 weeks. Additionally, you can take antacids like Ranitidine (brand name: Zantac) 150mg twice daily before meals and at bedtime for quick relief of symptoms. It's also important to avoid trigger foods like spicy, fatty, or acidic foods, and to eat smaller, more frequent meals. If your symptoms persist, you may need further evaluation by a gastroenterologist.

Dr. Chandra Suggests...

Consult a Gastroenterology/gi Medicine Specialist

Answered 04/07/2025

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  1. Consider GERD Management: a. Try dietary modifications: Avoid spicy, fatty foods, caffeine, and alcohol. b. Elevate the head of your bed and avoid lying down immediately after meals. c. Consider over-the-counter antacids or proton pump inhibitors.

  2. Monitor Symptoms: a. Keep a symptom diary to track triggers and patterns. b. Note any changes in pain intensity or new symptoms.

  3. Consultation: a. Follow up with a gastroenterologist for further evaluation. b. Discuss the possibility of a referral to a cardiologist for a second opinion on cardiac causes.

  4. Lifestyle Adjustments: a. Incorporate stress-reducing activities like yoga or meditation. b. Ensure regular physical activity, tailored to your comfort level.

Recommended next steps

Consult a Surgical Gastroenterologist or Consult a Cardiologist

Answered 10/09/2025

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.