Chest Pain and Lots of Indigestion

To whom it may concern:
I am a 37 year old female. I have had 3 children and exercise regularly. I don't eat as healthy as I should. I began having lots of pressure, indigestion, burping and pain in my chest about 6 mos. ago. Went to ER, asked me to see my dr. Saw a Dr. recommended expensive tests. Don't have insurance. I believe it's a hiatal hernia. Pain is awful in morning and lightens up as day progresses.
Evening are comfortable. Please give me some advice.
Thanks Sew70

[Ratnakar Kini, MD]

Hi Sew70,
Since you have indigestion, burping and pain in my chest about 6 mos you need to undergo upper GI endoscopy and pH monitoring.
If you want to avoid these tests, you may straight away try taking PPI and make some life style changes-
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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The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.

- Ratnakar Kini M.D.