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Q. What can be the reason for my mom's repeated pain under breastbone?

Answered by
Dr. Sadaf Mustafa
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 12, 2016 and last reviewed on: Sep 17, 2020

Hello doctor,

My mom is 63 years of age. She is getting pain under her right breastbone followed by acid reflux and burning in her stomach with a sour taste in her mouth. They did an ultrasound, which showed three gallstones. She had her gallbladder removed three months ago. Now, she is getting the same symptoms again and taking Omeprazole twice a day. But, it does not seem to be helping. Everything she eats turns to acid. She went to the ER last week and did a CBC, chest x-ray and ultrasound, which came back normal. Now, she has an appointment with gastroenterologist. She has a history of GERD and asthma. Please let me know your opinion doctor.

Dr. Sadaf Mustafa

General Medicine Internal Medicine


Welcome to

  • The initial presentation of your mom was consistent with dyspepsia and I am not surprised that her symptoms are back. The issue that needs further investigation is the fact that she is not responding to the conventional therapy with Omeprazole.

I have a few questions; if you would not mind answering them.

  • Can you please share the dosage of Omeprazole and how is she taking it, either with food or before food?
  • Did she ever get tested for Helicobacter pylori infection?
  • Does she use Ibuprofen, Aleve (Naproxen) or other pain medication? If yes, then how often?

Revert back with the answers to the above questions to an internal medicine physician online -->

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Thank you doctor,

I would also like to note that the pain under her breast bone radiates towards her right shoulder blade and her sugar was slightly elevated to 6.5. She is on Omeprazole 20 mg in the morning and 20 mg at night. Sometimes, she will take her medication with food. She takes Advil occasionally. She is also not sure if she got tested for H.pylori. What could this be?

Dr. Sadaf Mustafa

General Medicine Internal Medicine


Welcome back to

My few suggestions are here.

  • Try to avoid Advil (Ibuprofen) and similar medications known as NSAIDs (nonsteroidal anti-inflammatory drugs) completely. She can use Tylenol for pain, but not more than 1 g twice daily.
  • Please let her know to take Omeprazole 40 mg 45 minutes before meals. Avoid using sweet and spicy food.
  • Please let me her medication for sugar. Also, do you have her liver and kidney function test reports?

Revert back with the reports to an internal medicine physician online -->

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Related Questions:
What shall I do to get relief from cough and heartburn?
Can I take Omeprazole for mild gastritis-like symptoms?
Does Omeprazole 20 mg have side effects?

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