Q. What could be the reason for my acidity and chest heaviness?

Answered by
Dr. Happykumar Kagathara
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 03, 2016 and last reviewed on: Oct 09, 2018

Hi doctor,

9 years before, I delivered my first baby. Since after delivery, I have suffered from breathing problem. Only when I release the gas or pass motion, I use to feel relieved. I underwent all the tests and everything was normal. It lasted for 2 years and then subsided. My diet was completely bland without spices and oil. Around, 1.5 years ago, I delivered my third baby. Since then, I have severe acidity, heaviness in chest, uneasiness near the heart and pressure in the neck. The problem present all day and I feel fine once I release the gas or pass motion. I have tried all acidity tablets, but in vain. I am only taking vegetarian food, plain gravy and rice. I cannot eat any other food as it makes my condition worse. ECG, echo, TMT, endoscopy, 24 hours monitoring test and x-ray has been done and everything was normal. But, my problems getting worse day by day. I have even tried herbal treatment, but no use. I am damn upset because of my health.

#

Hello,

Welcome to icliniq.com.

  • Your symptoms are related to a gastric problem. Try to avoid herbal medication as some of them are irritating to stomach and worsen the acidity.
  • Your symptoms and normal investigations suggest the possibility of IBS (irritable bowel disease) or indigestion from decreased acid production from stomach.
  • IBS is a physiological condition in which digestion will be affected due to lack of proper intestinal digestive enzymes from many reasons. This condition cannot be detected in CT scan or endoscopy.
  • Helicobacter pylori infection in the stomach produces gastritis and indigestion due to less production of acid in the stomach. You should do RUT test (rapid urease test) on a punch biopsy tissue of stomach taken during endoscopy.
  • This infection is not serious and it requires proper antibiotic therapy. Along with that, you can take intestinal digestive enzyme supplementation to improve your symptoms.

The Probable causes:

Helicobacter pylori infection.

Investigations to be done:

RUT test.

Differential diagnosis:

IBS.

Probable diagnosis:

Antral gastritis.

Treatment plan:

Treatment for acidity, H.pylori infection and indigestion.

Regarding follow up:

Revert back with the reports to a medical gastroenterologist.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist


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