How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Anthony Bray, MD Your Own Question

Anthony Bray, MD
Anthony Bray, MD, Doctor
Category: Health
Satisfied Customers: 7156
Experience:  14 years as clinician in the field of Family Practice
13781349
Type Your Health Question Here...
Anthony Bray, MD is online now
A new question is answered every 9 seconds

upper abdomen pain that goes into my chest after meals....it

Resolved Question:

upper abdomen pain that goes into my chest after meals....it feels like acid reflux but no medicine really helps, very concerned. i cant take dexilant cause it causes me to have severe diahrrea. can anyone help?
Submitted: 1 year ago.
Category: Health
Expert:  Anthony Bray, MD replied 1 year ago.

Anthony Bray, MD : Hello!
Anthony Bray, MD : it sounds that you may have a step beyond reflux as problem--- you may have esophagitis ( irritation of the wall of the esophagus)
Customer:

hi again doctor

Customer:

i have spoke to you before

Anthony Bray, MD : you may benefit to try Zantac ( over the counter is 75 mg twice a day but prescription is 150mg twice a day)
Anthony Bray, MD : Zantac is different class of medicine than Dexilant ...
Customer:

ive taken zantac

Customer:

150

Customer:

it helps, but not like i want it to

Customer:

im concerned

Anthony Bray, MD : It might be combined with a second agent such as Carafate--- good to speak with you again!!....
Anthony Bray, MD : observe reflux precautions.... Wait 1.5 hours after you eat before you lie down ... Evate head of bed with blocks 4 to 6 inches under bedposts....
Customer:

well, if you recall

Customer:

i was the young male concerned about pancreatic cancer

Customer:

and now that i get pain in the upper abdomen after meals, im scared

Anthony Bray, MD : With you taking Zantac and still having problems you should follow up with a gastroenterologist...
Anthony Bray, MD : the poor response to treatment is reason to evaluate the problem further... You should probably have upper endoscopy to check the esophagus!!
Customer:

i had that done in march

Customer:

everything was fine

Customer:

like right now, i just had dinner about 30 mins ago

Customer:

and i dont feel much of anything

Anthony Bray, MD : Ok I see... Yes I remember ...
Customer:

i took a zantac 150 after lunch and it did help

Customer:

it just has been a constent for almost 2 weeks now....like comes and goes

Anthony Bray, MD : evaluation with Ct scan of chest / abdomen might be considered with ongoing symptoms.... They can check amylase and lipase levels to look for inflammation of the pancreas ...
Anthony Bray, MD : ruling out gallstones may be worthwhile as well...
Customer:

i had a abdominal ct scan on september 7th with contrast

Customer:

came back normal

Anthony Bray, MD : if doctor tries GI cocktail ( Mylanta and viscous lidocaine which numbs up tissue that it contacts) then pain relief with this helps to ascertain diagnosis as well....
Anthony Bray, MD : Ok well that is good....
Anthony Bray, MD : reflux would not show on the tests except that it MIGHT be observed to occur with endoscopy ....
Anthony Bray, MD : reflux could have led to further irritation since your endoscopy for example...
Customer:

im having a hard time believing that something wasnt missed in that CT scan

Anthony Bray, MD : Well the CT scan would pick up problems of certain nature BUT not others!!
Anthony Bray, MD : it would not have detail to see tissue irritation of the esophagus or stomach for example ...so esophagitis or ulcers would not show on a Ct scan.... Gallstones or tumors of enough size would show...
Anthony Bray, MD : Your fear with pancreatic cancer should be alleviated if normal CT scan/ amylase/ lipase...
Customer:

well i had blood work done in march too on my pancreas and that came back normal

Anthony Bray, MD : Ct scan good at picking up structural problems but microscopic level and very small such as tissue irritation it can't detect...
Customer:

so your saying that this not cancer realted?

Customer:

something else?

Anthony Bray, MD : That is good. That is very reassuring that you do not have pancreatitis or pancreatic cancer...
Anthony Bray, MD : Right there is no evidence to suggest cancer at this time!!
Anthony Bray, MD : We can never have absolute guarantees in this regard... You or I could POSSIBLY harbor cancer cells but this is always true...... It is VERY UNLIKELY IN YOUR CASE ... I would be at much higher risk due to my age (51) vs you...
Anthony Bray, MD : your age corresponds with very low risk if most cancers...
Customer:

yes i know that

Customer:

there are never gurantees

Anthony Bray, MD : It sounds like reflux and possible esophagitis.... Possible gastritis... Esphogeal spasms could relate to your pain...
Customer:

could reflux like this happened since march

Customer:

since i had that endo down in march, could this have developed since then?

Anthony Bray, MD : So trial of continuing Zantac and may ask about Carafate from doctor ....
Anthony Bray, MD : avoid GI irritants--- no alcohol or coffee... Avoid too much caffeine...
Anthony Bray, MD : avoid hot spicy foods and acidic foods ... Especially for maybe next two months and hope to see healing and improvement...
Anthony Bray, MD : certainly possible to have worsening if condition such as ulcer disease in the months since your endoscopy
Anthony Bray, MD : Watch out for tomatoes, onions, peppers, citrus fruits....
Customer:

ok

Customer:

thank you for all your advice

Anthony Bray, MD : You are very welcome!
Anthony Bray, MD : i hope that you feel better soon !!
Anthony Bray, MD : Take care and best regards XXXXX XXXXX!
Anthony Bray, MD : let me know if you have further questions!
Customer:

i will

Customer:

thank you

Anthony Bray, MD : you can reach me any time at my profile page on this site--- http://www.justanswer.com/medical/expert-anthonybraymd/..... Then type question or comment in the box on that page and it will come to me....
Anthony Bray, MD : Take care!!
Anthony Bray, MD : Anthony Bray MD
Anthony Bray, MD, Doctor
Category: Health
Satisfied Customers: 7156
Experience: 14 years as clinician in the field of Family Practice
Anthony Bray, MD and 5 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 
Chat Now With A Health Professional
Anthony Bray, MD
Anthony Bray, MD
3146 Satisfied Customers
14 years as clinician in the field of Family Practice