Health

Ask Health Experts and Get Answers to Your Health Question ASAP

Ask an Expert,
Get an Answer ASAP!

Health
This answer was rated:

I have pain in my abdominal area that radiates upward. Arms,

front of neck, upper chest...
I have pain in my abdominal area that radiates upward. Arms, front of neck, upper chest, stomach and middle of my chest. I have been diagnosed with IBS and Acid Reflux. I've had a colonoscopy and Endoscopic exams. Blood work, Urine Test, EKG's, Stress Test, Cardioultra Sound and the Cardio test with injection. (forgot the name). No results were found for heart trouble. What else can it be. I've been told it might be a nerve that's out of whack. Is this possible and if so, what can I do?
Show More
Show Less
Ask Your Own Health Question
Answered in 23 minutes by:
12/1/2010
Anthony Bray, MD
Category: Health
Satisfied Customers: 10,341
Experience: 14 years as clinician in the field of Family Practice
Verified
Anthony Bray MD :

Hello!

Customer:

hello

Anthony Bray MD :

The pain in the arms/neck/chest may be referred pain from the esophagus but this is too high for this being IBS in my opinion. IBS might also be a factor with your abdominal pain.

Anthony Bray MD :

You could have irritation of the esphogeal wall and this could produce pain. It also may have spasms which can produce pain.

Anthony Bray MD :

If esophagitis related pain then you may benefit to be treated for a good while with an acid lowering med. You may already be on one such as Nexium, Prevacid, Protonix, Aciphex as some common examples.

Anthony Bray MD :

Sometimes adding carafate which is a pink liquid may help to protect irritated areas and this may help.

Anthony Bray MD :

For quick releif and as a diagnostic aid I have often used a "GI cocktail" with a mix of Mylanta and viscous lidocaine. This will numb up sensitive areas and a quick response to this helps to nail down the source of the trouble.

Customer:

Is there anything I can do about this pain? It radiates so strong I can't move at times. Yes I'm taking Protonix. It seems to work at times, and at other times nothing. Where can I get the carafate? Okay, I can find the mylanta, where can I find the lidocaine?

Anthony Bray MD :

The lidocaine and the carafate would need to be prescibed by your doctor.

Anthony Bray MD :

If this is from the esophagus then remember to take it faithfully and also avoid aggravating foods/drinks such as hot spicy dishes, tomatoes, peppers, onions, citrus fruits. alcohol, anti-inflammatory drugs such as aspirin, advil and Aleve (Tylenol is OK) These restrictions should be pretty strict for the first four to six weeks and may be loosened as you have had time to heal.(this presuming that this is the source)

Anthony Bray MD :

Your negative cardiac tests would imply that this is probably non-cardiac pain. (A possible exception might be Prinzmetal's angina >>this is heart related due to spasm of coronary arteries but no fixed blockage so it is possible to have this and still have normal tests. The esophogeal explanation is more likely than this )

Customer:

Okay should I request this test? Is there a test for this?

Customer:

I've had the Endoscopic test and the Dr. found nothing wrong.

Anthony Bray MD :

The diagnosis is based more on the history of the pain and factors which lead to improvement. Prinzmetal's angina may be prevented with a vasodilating med such as Norvasc for example. If you responded to a GI cocktail then this would be strong evidence for the esophagus as the culprit. If you responded to nitroglycerin and/or Norvasc then this may support the possibility of Prinzmetal's. The endoscopy probably would have shown if you had frank esophagitis but some people will seem to be unusually senstive...possibly due to past injury.. so I think the GI cocktail test would still be useful to help with the diagnosis despite the fact that endoscopy was normal.

Anthony Bray MD :

Other possible sourses of chest pain can be musculoskeletal or pulmonary...

Customer:

So I should check with my Cardiologist about the Prinzmetal's thing? First try the cocktail right?

Anthony Bray MD :

Yes I think you should ask your cardiologist about Prinzmetal's and your doctor about the possibility of trying a GI cocktail. These two steps may help to identify your trouble. It is worth discussing at the very least.

Customer:

Okay, thank you very much for your help. Have a great evening.

Anthony Bray MD :

Thank you. I hope you have a great evening too!

Anthony Bray, MD
Category: Health
Satisfied Customers: 10,341
Experience: 14 years as clinician in the field of Family Practice
Verified
Anthony Bray, MD and 87 other Health Specialists are ready to help you
Ask your own question now
Ask Anthony Bray, MD Your Own Question
Anthony Bray, MD
Anthony Bray, MD
Anthony Bray, MD, Doctor
Category: Health
Satisfied Customers: 10,341
10,341 Satisfied Customers
Experience: 14 years as clinician in the field of Family Practice

Anthony Bray, MD is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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 MollPretoria, 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!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, 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.

ElanorTracy, 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.

JulieLockesburg, 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 StefanieTucson, 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 VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor (MD)

5,660 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Nurse Milli, RN

Nurse Milli, RN

Nurse (RN)

4,051 satisfied customers

20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.

Dr. Ketch

Dr. Ketch

Doctor

102 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Doctor (MD)

5,095 satisfied customers

Practice Director

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor (MD)

19,749 satisfied customers

MBBS, MS (General Surgery), Fellowship in Sports Medicine

Dr. Chip

Dr. Chip

Doctor (MD)

14,036 satisfied customers

Over 20 yrs of Family Practice

Dr. Mark

Dr. Mark

Doctor (MD)

6,234 satisfied customers

U.S. Physician/Surgeon in Neurosurgery

< Previous | Next >

Related Health Questions
I have a platelet count of 438. All of my other blood work
I have a platelet count of 438. All of my other blood work came back completely in the normal tange … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,077 satisfied customers
My husband feels like he has something stuck in his stomach
My husband feels like he has something stuck in his stomach and every few minutes he gets a pain. What can I do?… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
Dr I have this painless bump below the opening of my penis,
Dr I have this painless bump below the opening of my penis, and it's grey there. Is this normal?… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
I swallowed a small Zoloft pill without water prior to going
Hello I swallowed a small Zoloft pill without water prior to going to bed and feel like it is stuck in my throat. I've tried drinking water, made myself vomit by coughing and ate food. Nothing has hel… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,285 satisfied customers
I m wondering how it takes tame fkunti completly clear you
Hi. I m wondering how long it takes tame fkunti completly clear you system. Having someone me and cramping and other symptoms that i think are due to the med not the flu … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,077 satisfied customers
My daughter keeps getting pinworm infections, she also has a
My daughter keeps getting pinworm infections, she also has a gecko. My husbans thinks that she is getting it from the gecko. I have been reading online and found mixed answers about whether or not hum… read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
798 satisfied customers
Been having Flu like symptom for close to a year now, until
Good day. Been having Flu like symptom for close to a year now, until recently I started feeling nauseated, fulness, loss of appetite and constant burping.. really don't know what am up against.. kind… read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
798 satisfied customers
My 4 year old has been puking liquids and loose since this
My 4 year old has been puking liquids and loose poops since this morning. … read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
798 satisfied customers
I am wondering if a blood pressure of 156/97 will 81 pulse
I am wondering if a blood pressure of 156/97 will 81 pulse is need for alarm? This was at resting and had onset of headache and heaviness. 40 year old female not on blood pressure meds. Thank you. … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
I have had chills, muscle aches, no appetite for the last 5
I have had chills, muscle aches, no appetite for the last 5 days. Usually better in the morning, but worse in the afternoon and evening ( extremely fatigued as well). No runny nose, slight cough, ear … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,077 satisfied customers
I have a lump in my throat after violent vomiting. It's not
It's not visible, and since last night after the episode of vomiting … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
I was bitten by a cat yesterday. I am taking Augmentin and a
I was bitten by a cat yesterday. I am taking Augmentin and a Medrol Dose pack, which I started yesterday. I was also given Percocet for pain. I take Klonopin 2mg every night. I took Percocet at 6 PM a… read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,077 satisfied customers
Arun A while back I pulled my hamstring (muscle behind the
Hello doctor Arun A while back I pulled my hamstring (muscle behind the knee, bellow knee) so I started wearing brace all summer long in a day time only of course, I do not wear it any longer as of 4 … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
Every night I wake up dizzy, bathed in sweat and then throw
Every night I wake up dizzy, bathed in sweat and then throw up. My dr thinks I have gastroparasis. Could what I experience at night be part of gastroparasis? … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
Well i forgot to mention that im of on my holidays to New
Hi doc..well i forgot to mention that im of on my holidays to New York on Monday doc.and im looking forward to it big time... yesterday was a good day.. today untill lunch Time ok.but then i started f… read more
Dr. Chip
Dr. Chip
Doctor (MD)
M.D.
14,036 satisfied customers
I was preparing macaroni salad and had all the ingredients
Hi. I was preparing macaroni salad and had all the ingredients on my table. I left for literally 20 seconds max to check my phone. When I got back to the kitchen, my cat was nibbling on a portion of t… read more
Dr. Kara
Dr. Kara
Doctoral Degree
5,383 satisfied customers
1) Is it healthy to eat grilled chicken when it's grilled
Hello,1) Is it healthy to eat grilled chicken when it's grilled with charcoal? Some people say it's not healthy.2) In general, what's the healthiest option to prepare chicken?… read more
Dr. Scott
Dr. Scott
Doctor
1,028 satisfied customers
I had unprotected oral sex with a man I do not know well. He
Hello. I had unprotected oral sex with a man I do not know well. He assured me that he was negative for STD' s and that he gets tested regularly. He came in my mouth a little bit but I pulled away and… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,749 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x