Can H. pylori infection cause tightness below the ribs?

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I have reviewed your case history and endoscopy report (attachment removed to protect the patient's identity) along with the biopsy report. So, your endoscopy report is grossly normal, with no major ulcers or any obstruction in the food pipe; a small hiatal hernia is common at this age, not explaining your current symptoms such as there is H. pylori infection on your biopsy. It is not necessary that it always causes similar symptoms. Otherwise, it is again a very common infection in this part of the world. A biopsy is one of the best tests to confirm H. pylori. If chest tightness increases with walking, one should check cardiac status as well. Heart-related problems must be ruled out by taking certain tests like ECGs (electrocardiogram), etc.

I hope this helps. Thank you.

Hello,

Welcome back to icliniq.com.

H. pylori does not cause symptoms that you are experiencing these days, especially in the presence of almost normal endoscopy. Your ECG is normal, which is reassuring. I hope you have done your ultrasound abdomen as well; if it is normal too, then this pain might be related to muscular origin or sometimes exacerbated by anxiety or stress. H. pylori is on biopsy; one can take medicine, but one cannot ignore H. pylori on biopsy. Simultaneously, try to avoid stressors and anxiety.

I hope this helps.

Hello,

Welcome back to icliniq.com.

With normal endoscopy, I feel H. pylori treatment can be delayed because your symptoms are not typical for that. It can be treated later if your symptoms are persistent. However, your anxiety or stress should be treated. It will significantly improve your symptoms.

I hope this helps. Thank you.