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  5. I have been dealing with an oesophageal problem for the past 30 years and still feel chest pain, especially when I press the centre of my chest. After eating, I get acidity, a strange, uneasy feeling, a fast heartbeat, and sometimes feel like I may faint, along with nervousness and shivering. My endoscopy showed severe gastritis and esophagitis, and even after trying treatments, I am not getting relief. What can I do now to manage this better?

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I have been dealing with an oesophageal problem for the past 30 years and still feel chest pain, especially when I press the centre of my chest. After eating, I get acidity, a strange, uneasy feeling, a fast heartbeat, and sometimes feel like I may faint, along with nervousness and shivering. My endoscopy showed severe gastritis and esophagitis, and even after trying treatments, I am not getting relief. What can I do now to manage this better?

Asked by Male, 55 ยท 22 days ago

Oesophagitis and gastritis for many years can keep causing acidity, chest discomfort, and that uneasy feeling after meals. The fact that your pain increases when you press the centre of the chest suggests there may also be muscle or chest wall sensitivity along with acid irritation. Fast heartbeat, nervousness, or a faint feeling after eating can sometimes occur because acid reflux can trigger a stress response in the body. However, since this has been going on for a long time, it needs a fresh, detailed review. When symptoms do not improve despite treatment, it is important to reassess rather than continue the same medicines. Your doctor may review your reports again, suggest further tests such as pH monitoring or motility studies, and adjust treatment only if needed after proper evaluation. Sometimes a different approach is required rather than just increasing medicines. Daily habits can make a big difference. Eat small, frequent meals, avoid spicy and oily food, and do not lie down for at least 2-3 hours after eating. Elevate your head while sleeping, reduce stress, and avoid caffeine or smoking. If chest pain becomes severe, spreads, or is associated with breathlessness, seek urgent medical care.
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  1. Symptoms Overview
    Long-term esophageal problems may present with:

    • Chest Pain: Often burning or discomfort.
    • Acidity: Heartburn or acid reflux sensations.
    • Autonomic Symptoms: Fast heartbeat, nervousness, shivering.
  2. Relevant Tests and Labs

    • Endoscopy: Confirms and assesses severity of esophagitis and gastritis.
    • pH Monitoring: Checks for acid reflux.
    • Helicobacter pylori Testing: For assessing infection related to gastritis.
  3. Management Strategies

    • Medication Review: Re-evaluate current treatment; consider PPIs.
    • Dietary Changes: Avoid triggers like caffeine, alcohol, and spicy foods.
    • Lifestyle Adjustments: Elevate head during sleep, eat smaller meals.
  4. When to Seek Specialist Care

    • If symptoms persist despite treatment, consider gastroenterology referral.
    • Look for red flags: weight loss, vomiting, difficulty swallowing require urgent evaluation.

Answered 18 days ago

Related Questions

I am having erosive gastritis and still feel burning and discomfort in my stomach. Which medicines can help me heal this condition and reduce my symptoms?
Erosive Gastritis can cause burning stomach pain, acidity, nausea, bloating, heaviness, loss of appetite, sour belching, or discomfort after meals because the stomach lining becomes irritated and inflamed. Common causes include long-term acidity, painkiller use, alcohol, smoking, stress, H. pylori infection, irregular meals, or spicy food intake. Acid-reducing medicines, stomach-protective medicines, and medicines that improve healing of the stomach lining are commonly used to help reduce burning, irritation, and acid reflux. Doctors may sometimes test for H. pylori infection or advise endoscopy follow-up if symptoms continue despite treatment. Eating smaller, more frequent meals, avoiding spicy and oily foods, reducing tea, coffee, alcohol, and smoking, and not lying down immediately after eating may help reduce stomach irritation and support healing. Proper hydration, stress control, regular sleep, and avoiding unnecessary painkillers may also improve recovery gradually. Healing may take several weeks, depending on the severity of gastritis and the underlying cause. Consult a doctor if vomiting blood, black stools, severe weakness, persistent vomiting, difficulty swallowing, weight loss, or worsening stomach pain occur, because these symptoms may indicate more serious stomach irritation or bleeding.
Last Updated on 21 days ago