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Gastroenterology  (Expert Forum)
 | 
Pain in stomach and chest
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.

Pain in stomach and chest

by wmac, Jul 15, 2007 12:00AM
I have had all the cardiac workups so I know this is not cardic.
Over the past few years I get this ripping pain comes very quickly and leaves as fast as it starts just below the sternum in the center upper stomache area. I do have costochodritis so I do get alot of chest pain. I also get a pain on the lower left breast just below breast have been hooked up to heart monitor at the time of pain not cardiac. The other morning at 2:44 am I was awaken by chest pain up above breast all along chest it lasted at least 16min till I dosed off. Ok the question is this a hital hernia symptom or gerd or what. I had a endo scope about six yrs ago they said I had small hital hernia espohegeual spasms and something ring. Can all that cause chest pains as well as stomach pain. Tums seems to help the pain I get below left breast. The chest pain from the other night scared me so the next went and had ekg and it was fine. sometimes the ripping pain is two fingers above belly button as well but just had a hysterectomy two months thought that one was due to that. Could this be gallbladder disease as well? The night I woke up with chest pain I had eaten a blt and tater sticks really greasy food so could that have done it. A year ago my gp prescribed me rantadine never took it im afraid will cause my heart to have palps I also have nonsustained ventricular tacycardia can all this be related? Does this sound common or worrisome.  Or could it simpy be gas? wmac

by Kevin Pho, MD, Jul 16, 2007 12:00AM
Repeating the endoscopy can be considered to further evaluate for an ulcer, or inflammation of the upper GI tract.

If gallbladder disease is of concern, an ultrasound or CT scan can be considered.  

If the tests remain negative, more specialized tests like a 24-hr pH study can be done (which would definitively rule out GERD).  Blood tests for celiac disease also be considered.  

If the GI workup continues to be negative, optimizing treatment for costochondritis can be done.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_
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