You should see a doctor to check for hital hernia, gall stones by means of a gall bladder ultrasound, and bloodwork called a D-Dimer to check for a pulmonary embolism. Also, it probably would not hurt to have your blood sugar checked to make sure you do not have hypoglycemia (low blood sugar).
Hi
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The symptoms could be exacerbation of the GERD. Treatment is a combination of drugs to reduce the acid and lifestyle changes. You will need to take a combination of medications like a proton pump inhibitor such as omeprazole, lansoprazole or pantoprazole empty stomach in the morning and an antacid gel after meals for complete relief. Possibility of H pylori infection too should be looked into and a combination antibiotic tried.
Life style changes that will help include: Avoid heavy meals and eat frequent small meals. Avoid too much of caffeine, tea, smoking, fried food and drinks both alcoholic and non alcoholic fuzzy ones. Avoid heavy exercises within 4 hours of a heavy meal. Raise the head end of the bed by pillows to 30 degrees. Go to bed at least 2 hours after food. Maybe these tips will help you.
You should consult a gastroenterologist (a specialist who looks after the diseases of our digestive system) or a physician for this if these tips reduce your symptoms.
The other possibility is vasovagal syncope or a vasovagal attack. The complex group of symptoms is mediated by the vagus nerve. This nerve is irritated by prolonged standing, standing up suddenly, stress, pain, hunger, dehydration, intense emotion etc. A tilt table test, holter monitor, echocardiogram etc are done for confirmed diagnosis. Discuss this with your doctor.
Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!
Could be a spasm of the Vagus nerve. Strangely, a blast of cold air can sometimes help that. But I'm not saying it is this. Check with your doctor.