I have on and off sharp pain in my chest. Is it an ulcer or my gastritis that is flaring up?

Hello,

Welcome to iCliniq.com.

I have read your query and can understand your concern. The symptoms you mention seem to be gas-related due to stomach fullness.

GERD (Gastroesophageal reflux disease) has different symptoms, the main symptoms being acid reflux (stomach acids coming up to the esophagus frequently) with burning in the chest and throat.

Usually, the on and off pain that you have noticed might occur after taking meals, like within three to four hours of meal intake, and decreases in intensity after burping.

I suggest you take the following medicines for it and see if it helps. If not, you will require some tests to confirm the diagnosis.

1) Tablet Rifaximin 200 mg thrice daily.

2) Tablet Itopride 50 mg thrice daily half an hour before meals.

3) Tablet Vonoprazan 20 mg once daily.

Take all these tablets for two weeks and avoid foods that trigger gas, such as potatoes, chickpeas, raw salads, milk, and beef; avoid fresh fruit juices, and instead have whole fruits.

I hope this helps.

To revert after two weeks.

Hello,

Welcome back to iCliniq.com.

Yes, you are right. It does not seem like an ulcer to me, as it would have resolved entirely with tablet Nexium (Esomeprazole Magnesium Trihydrate) 40 mg if it were an ulcer. I suspect it to be gas that appears as pain. Take the prescribed medications and see if they improve your symptoms; then, the diagnosis can be made retrospectively.

Revert in case of further queries.