I have been having a burning pressure directly in the center of my chest area and when this occurs, it feels like my heart gets a funny feeling and a warm rush goes all the way up to my head. When this occurs, I occasionally become lightheaded and feel weak all over. These symptoms have been occurring for about a month and a half. I am taking Protonix. I have also noticed that I belch alot and it does somewhat feel better when I do this. I have been to the emergency room and followed up with a cardiologist. The EKG and echocardiogram looked good. I also had an exploratory catherization which he said looked good with no blockages and does not feel my problem is cardiac. Although that is wonderful, I still have the same symptoms/problem.
GERD has to be ruled out.
An upper GI endoscopy along with 24 hours pH monitoring would be helpful for confirming GERD.
PPIs along with lifestyle modifications would be helpful.
Life style modifications -
1. Head elevation while sleeping
2. Small frequent meals
3. Going to bed 2- 3 hours after food
4. Avoiding bed time snacks
5. Avoiding smoking and alcohol
6. Avoiding tight fitting clothes
7. Avoiding cola, citrus drinks, carbonated drinks, tea, coffee, spicy food
8. Weight reduction
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