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Ask Dr. David Your Own Question
Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 46682
Experience:  Board Certified Physician
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Diagnosed approx 7 years ago with sliding hiatal hernia. Past

Customer Question

Diagnosed approx 7 years ago with sliding hiatal hernia. Past few days when I eat anything including soup I get really bad chest pain, start sweating and hurts when I'm breathing lasts about 15 minutes. I also feel like vomiting with it. Am scared to touch any food now
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.
Dr. David :

This is Dr. David

Dr. David :

do you have a history of excessive anxiety or panic attacks?

Dr. David :

it sounds like you are having severe acid reflux possibly causing burning of your esophagus.

Dr. David :

what strength of omeprazole are you taking?

Dr. David :

not touching any food is not really a good option.

Dr. David :

you should go to the A&E department at the hospital to see a doctor to get your chest pain assessed.

JACUSTOMER-i493j0ne- : Hi
Dr. David :

hi

Dr. David :

did you see my reply above?

JACUSTOMER-i493j0ne- : 20mg they are
JACUSTOMER-i493j0ne- : not really does not feel like any burning there
Dr. David :

you could be having bad acid reflux when you eat.

Dr. David :

you could have an ulcer in your esophagus or scar tissue in your esophagus causing this bad chest pain after you eat.

Dr. David :

it could be a viral infection or gastritis infection of the stomach as well.

JACUSTOMER-i493j0ne- : im just to scared to eat as the pain kicks off right in the centre of my chest I start sweating and feeling sick it lasts about 15 minutes each time
Dr. David :

are you willing to go to the hospital to see a doctor there?

Dr. David :

hello?

JACUSTOMER-i493j0ne- : I don't know as just had a bereavement in the family yesterday
Dr. David :

I am sorry for your loss.

Dr. David :

some of this chest pain could be from anxiety or depression from your bereavement and grieving possibly.

JACUSTOMER-i493j0ne- : I just am scared to leave my dad on his own as he has cancer and I'm his carer
Dr. David :

I see.

Dr. David :

it sounds like you need more help.

Dr. David :

is he on hospice care now?

Dr. David :

or is he actively getting treatment?

Dr. David :

you can try adding stronger stomach acid blockers.

Dr. David :

like going to two of the 20mg omeprazole up to 40mg once a day for 1-2 weeks to see if that heps.

Dr. David :

helps

Dr. David :

40mg omeprazole is prescription strengthen

JACUSTOMER-i493j0ne- : No he is ok he is not in pain or anything he has had it 3 years but it's under control
Dr. David :

also you can use maalox and mylanta as well other times of the day to see if that helps.

Dr. David :

but you have to take care of yourself. you don't want to develop a worse health issue ignoring symptoms yourself to take care of your dad.

JACUSTOMER-i493j0ne- : My doctor put me on 40mg a couple of weeks ago but has put me back onto 1 a day as I had a load of acid coming up about 3 weeks ago
Dr. David :

you have to avoid foods which worsen stomach acid such as alcohol, spicy foods, fried foods, black pepper, acidic juices, tomato sauces, oily foods, fried foods.

Dr. David :

you might benefit from prescription carafate medication to help coat your esophagus and stomach and promote healing.

JACUSTOMER-i493j0ne- : I don't eat anything like that
Dr. David :

that is good.

Dr. David :

it does sound like you have a history of bad acid reflux before.

Dr. David :

and your symptoms now most likely are due to acid reflux.

JACUSTOMER-i493j0ne- : I do feel hungry but just scared of the pain
Dr. David :

I would stick with very bland food,

Dr. David :

mashed banans, rice, cream of rice.

Dr. David :

scrabbled eggs for now.

Dr. David :

and use maalox and mylanta other times of the day to help decrease stomach acid.

JACUSTOMER-i493j0ne- : I had a tin of chicken soup last night and a very small ham butty about 15 minutes after eating it kicked off again
Dr. David :

ham sandwich might be too salty and fatty for you right now.

Dr. David :

try using maalox and mylanta and seeing if that helps.

JACUSTOMER-i493j0ne- : I can't get anything from vp or chemist now till tuesday
Dr. David :

have you bought these before at local drug stores or chemist stores.

Dr. David :

they have them at grocery stores as well.

JACUSTOMER-i493j0ne- : No never had them before
JACUSTOMER-i493j0ne- : What exactly is that please
Dr. David :

they are acid neutralizers which can help decrease stomach acid levels in your stomach.

Dr. David :

they are usually liquid or tablet medications you can buy over the counter.

Dr. David :

also called Rollaids or Tums or Mylanta or Maalox

JACUSTOMER-i493j0ne- : I don't know if I can get anything like that till Tuesday
Dr. David :

check the local grocery stores.

Dr. David :

I bet they will have something like that there.

JACUSTOMER-i493j0ne- : I did have a really bad acid coming up about 3 weeks ago as a all my tongue and mouth was burning with it. I also packed in smoking about 5 weeks ago but using electric one which is helping me
Dr. David :

I'm glad you have quit smoking.

Dr. David :

work on decreasing your stomach acid.

Dr. David :

try those other over the counter acid neutralizers.

Dr. David :

do see your doctor about your bad acid reflux again.

Dr. David :

I hope you feel better.

JACUSTOMER-i493j0ne- : I have done very well
Dr. David :

let me know if you have other questions.

Dr. David :

if done for now, please leave positive feedback below.

Dr. David :

we only get credit for helping clients after positive feedback.

Dr. David :

http://www.justanswer.com/medical/expert-dr-david/

Dr. David :

is my webpage if you need to reach me again.

Dr. David :

thanks for using JustAnswer.com

Dr. David :

do you see the ratings area below?

JACUSTOMER-i493j0ne- : So anything for acid neutralising
Dr. David :

maalox, mylanta, zantac, prilosec, tums, rollaids.

Dr. David :

can all be used.

JACUSTOMER-i493j0ne- : On top of omeprazole and my other meds
Dr. David :

yes.

Dr. David :

you can use maalox, mylanta, zantac, tums or rollaids on top of your omeprazole and other meds.

JACUSTOMER-i493j0ne- : Ok thank you if it does continue should I go to the hospital or try. And hold on till tuesday
JACUSTOMER-i493j0ne- : What about gaviscon
Dr. David :

if your acid reflux symptoms continue even after you try maalox and mylanta and is no better, you should go to the hospital

JACUSTOMER-i493j0ne- : gaviscon
Dr. David :

yes, you can use gaviscon on top of your medications as well.

JACUSTOMER-i493j0ne- : Ok I will do that thank you for your help am I better to maybe try chicken soup on its own see if that is ok
Dr. David :

yes.

Dr. David :

avoid ham and other fatty meats.

Dr. David :

stick with lean chicken soup

Dr. David :

rice

Dr. David :

bananas

JACUSTOMER-i493j0ne- : Ok I will do thank you very much put my mind at ease a bit. Thank you
Dr. David :

crackers for now.

Dr. David :

you are welcome

Dr. David :

don't forget to leave positive feedback below.

Dr. David :

do you see the ratings area below?

Dr. David :

you might have to scroll down to see the ratings area below.

Dr. David :

we only get credit for helping clients after positive feedback.

JACUSTOMER-i493j0ne- : Yes I will do that now thank you again
Dr. David :

thanks.

Dr. David :

thanks for using JustAnswer.com

Dr. David :

hello?

Dr. David :

thanks.

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