Hi, are you online right now?
If all of your heart related investigations are alright, the most likely cause could be GERD and I agree with your doctor in this.
SSRI antidepressant like Lexapro also cause gastrointestinal side effects and this could be also add to GERD problem
and the breathing is probably my anxiety then
In such cases, we usually add a low dose of Mirtazapine which is also an antidepressant but with different mechanism of action and it can counteract the gastrointestinal side effect of Lexapro.
yes, the breathing problem is frequently reported by patients suffering from anxiety
Ok I'll ask my doctorabout that medicine
yes, it will also augment the antianxiety and antidepressant effect of Lexapro which will again help in controlling your anxiety symptoms
initially a low dose of 7.5 mg or 15 mg at night is sufficient in most cases.
it is very sedative so should be taken at night
Ok and its script only I assume
you can also ask your doctor to prescribe PPI medicines such as Pantoprazole or Omeprazole which can effectively control your GERD symptoms
In my view, simply adding a low dose of Mirtazapine should be helpful
which medicine you are currently taking for GERD?
chest pain and breathing problem can also be because of anxiety other than GERD
again in that case, adding another antidpressant like Mirtazapine can be useful
any side effects from it
other then tiredness
Mirtazapine is sedative and can cause weight gain, these are two most common side effects
but since you will be taking it at night, so will not cause tiredness in morning
and also discuss with your doctor about trying Pantoprazole for few days.
if chest pain is because of GERD it should respond to Pantoprazole or any other PPI medicine
do you have any other question to ask?
ok great that's allvery helpand reassuring
you are most welcome
No Ithink I'm ok
So may I discontinue that chat?
yes that's fine thanks for the information
discontinue the chat :)
If you are satisfied with my answer please rate one of the positive ratings (3,4,5) as this is the only way how we are compensated for our time and expertise.