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Gastroenterology  (Expert Forum)
 | 
Pain lower chest, burning sensation
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 lower chest, burning sensation

by wwillow, Jun 30, 2003 12:00AM
For about three weeks I have had a burning sensation in my chest under the breast bone and a burning pain to touch and move just left of the bottom of my rib cage where it meets the stomach. I thought it was heartburn. I have had mild nausea and mild diarrhea. I have not had a shortness of breath or a hard time breathing. I have tried taking Prevacid but have had some side effects.  Tums do not seem to have any effect. Any thoughts?  Could it be a hiatial hernia or something else?

by Kevin Pho, MD, Jul 02, 2003 12:00AM
Hello - thanks for asking your question.

It is possible that you are describing dyspepsia (upper GI discomfort).  Causes include ulcers, inflammation of the stomach or esophagus, or GERD.  To evaluate this I would first suggest an upper GI series or upper endoscopy.  I would also be tested for H Pylori, which is associated with inflammation and ulcers.

If negative, nerve disorders (which can be manifested as burining pain to light touch) can be considered.  If the GI workup is non-revealing, a referral to a neurologist can be considered.

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.

Thanks,
Kevin, M.D.
Member Comments (1)

by surgeon, Jun 30, 2003 12:00AM
skin burning to the touch is certainly not typical of stomach or esophagel acid problems; it might be a nerve problem. Shingles is a possibility; sometimes the pain is there for a while before the rash develops.

by senthil_11, Sep 15, 2008 06:20AM
A related discussion, burning sensation was started.
Continue discussion
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