Q. I am suffering from chest pain and I heard a sloshing in my chest. Why?

Answered by Dr. Philip Shenouda and medically reviewed by Dr. Nithila A


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Hello doctor,

I am an 18-year-old female, taking no medications, and I am 5'3" in height and 180 lbs weight. Since last night, I am having severe chest pains. I cannot sleep, and when I try to eat, my chest hurts more. It hurts all the time, but the severity comes and goes in spurts. I am not sure if this has anything to do with the chest pain, but just today, I was lying on my right side and moved to my left side, and I heard and felt a sloshing in my chest or upper abdomen area. What could it be?

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Dr. Philip Shenouda
Family Physician, General Practitioner


Welcome to icliniq.com.

Thanks for providing clear and consistent history about your current medical condition. I can reflect on what you mentioned that it is related to Excedrin as it can cause gastric upset by increasing the secretion of HCl (hydrochloric acid) in the stomach. I suggest that you stop taking Excedrin for the coming period (at least a month), take some dietary precautions including avoiding caffeine, spicy food, dark chocolate, mint, fizzy drinks mainly cola containing ones, deeply fired, chili and spicy food.

Avoid NSAIDs (non-steroidal anti-inflammatory drugs) like Voltaren tablets and even injection and aspirin as well. Take the medication mentioned in the treatment part. In case, the condition continues, you need to visit your doctor (general physician or GIT specialist) for further evaluation.

Probable diagnosis:

Gastritis, Peptic ulcer, and GERD(gastroesophageal reflux disease).

Treatment plan:

Zantac (Ranitidine) 150 mg tablet one tablet two times a day for seven to ten days.

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