Homeopathy
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8/29/2012
Dr. David, Doctor
Category: Homeopathy
Satisfied Customers: 999
Experience: General practitioner with 12 years of experience specializing in alternative medicine.
Verifieddrzeoli :
Hello. I'm sorry to hear that you are still having these symptoms. I know that I have answered a few questions for you before about this, and I'm assuming that my previous advice was not helpful for you. Now I have something new to tell you. I don't think that you have esophageal ulcers. I think that you have an entirely different condition called esophageal spasms. This is a condition where the muscles of the esophagus tighten up and do not relax. Here is a link that describes the condition: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001334/ One of the best treatments for esophageal spasms is Magnesium. Any kind of chronic spasm in the body is an indication of Magnesium deficiency. The fastest way to resolve this would be to get an IV infusion of Magnesium. However, there are other ways to get Magnesium into the body. It can be taken as an oral drink in the form of Magnesium Citrate mixed with water. Here is an example: http://www.iherb.com/Peter-Gillham-s-Natural-Vitality-Natural-Calm-The-Anti-Stress-Drink-16-oz-453-g/5121 Magnesium helps to relax the tightened muscles of the esophagus and quickly resolves the spasms. Another option is to try homeopathic Magnesium phosphoricum 3X or 6X. Magnesium can be absorbed through the skin by using Magnesium Oil, here is an example: http://www.iherb.com/Health-and-Wisdom-Inc-Magnesium-Oil-12-fl-oz-355-ml/34289 Also, you could make an Epsom Salt Bath (Magnesium Sulphate), which is two cups of Epsom Salt mixed into a tub of water, and soak in it for a while. Dr. Zeoli
Dr. David, Doctor
Category: Homeopathy
Satisfied Customers: 999
Experience: General practitioner with 12 years of experience specializing in alternative medicine.
VerifiedDr. David and 87 other Homeopathy Specialists are ready to help you
You are very welcome. I'm glad to hear that the slippery elm is helping a bit and that you are going to try the magnesium. Sorry to hear that the pain was so bad last week.
I'm also glad to hear that you have found a GI doctor who can perform a more comfortable procedure for you.
There are two kinds of esophageal spasms, acute and chronic. Acute spasms come and go quickly, but the chronic ones can go on for a long time.
I hope that your symptoms resolve quickly. Please keep in touch and let me know how it goes.
I'm also glad to hear that you have found a GI doctor who can perform a more comfortable procedure for you.
There are two kinds of esophageal spasms, acute and chronic. Acute spasms come and go quickly, but the chronic ones can go on for a long time.
I hope that your symptoms resolve quickly. Please keep in touch and let me know how it goes.
Dr. David, Doctor
Category: Homeopathy
Satisfied Customers: 999
Experience: General practitioner with 12 years of experience specializing in alternative medicine.
VerifiedDr. David and 87 other Homeopathy Specialists are ready to help you
You can take a total of 400 to 600mg per day of Magnesium, or perhaps more. The only problem with taking too much Magnesium orally is that it will give you diarrhea. But this is only temporary and it will resolve when the dose is lowered. The amount of Magnesium that causes diarrhea will vary from person to person, but is usually in the 600 to 800mg per day range. It is OK to take more if the diarrhea is not a problem.
Dr. David, Doctor
Category: Homeopathy
Satisfied Customers: 999
Experience: General practitioner with 12 years of experience specializing in alternative medicine.
VerifiedDr. David and 87 other Homeopathy Specialists are ready to help you
Hello! I enjoy talking with you and answering your questions. You are not bothering me at all. It is a pleasure to be of service to you. Please ask as many questions as you like, any time. That's what we are here for at this web site.
Certainly your anxiety can be causing the symptoms that you are experiencing, either directly or indirectly. Anxiety and stress affects people differently. Some people get diarrhea or Irritable Bowel Syndrome from anxiety and stress. Other people are affected in the area around the throat and esophagus. People with anxiety often have trouble with swallowing, and sometimes trouble with talking or breathing as well. Anxiety often leads to tightening of the muscles somewhere, and tightening of the muscles around the esophagus is a distinct possibility.
Anxiety and stress change the body chemistry and cause constrictions in the flow of air, blood, and energy. Another strategy that you might consider is getting acupuncture treatments. Acupuncture can help to relax the muscles and restore the normal flows of blood, nerve impulses, and energy in the body. It can definitely be effective in cases such as yours where symptoms are worse during the day and then get better at night in bed. Have you thought about getting an acupuncture treatment?
I did notice that you pay me after every answer, and I really appreciate that. Thank you so much for you questions!
Dr. Zeoli
Certainly your anxiety can be causing the symptoms that you are experiencing, either directly or indirectly. Anxiety and stress affects people differently. Some people get diarrhea or Irritable Bowel Syndrome from anxiety and stress. Other people are affected in the area around the throat and esophagus. People with anxiety often have trouble with swallowing, and sometimes trouble with talking or breathing as well. Anxiety often leads to tightening of the muscles somewhere, and tightening of the muscles around the esophagus is a distinct possibility.
Anxiety and stress change the body chemistry and cause constrictions in the flow of air, blood, and energy. Another strategy that you might consider is getting acupuncture treatments. Acupuncture can help to relax the muscles and restore the normal flows of blood, nerve impulses, and energy in the body. It can definitely be effective in cases such as yours where symptoms are worse during the day and then get better at night in bed. Have you thought about getting an acupuncture treatment?
I did notice that you pay me after every answer, and I really appreciate that. Thank you so much for you questions!
Dr. Zeoli
Dr. David, Doctor
Category: Homeopathy
Satisfied Customers: 999
Experience: General practitioner with 12 years of experience specializing in alternative medicine.
VerifiedDr. David and 87 other Homeopathy Specialists are ready to help you
I visited the Migun Massage Bed web site and they look like excellent products. Acupressure does indeed have many health benefits.
The needles used in Acupuncture are not like the regular hypodermic needles. They are hair-thin, solid, and typically painless. Most people can't even feel when the needle goes in. Acupuncture is very relaxing and most people fall asleep during the treatment.
Yes, I agree that the stress hormones can increase the tendency for inflammation in the body and that the inflammation can land somewhere and cause problems. There are indeed many different natural anti-inflammatory supplements and it would probably be helpful to try a few.
Vitamin C is an excellent all-purpose anti-inflammatory that can be helpful for decreasing the detrimental effects of stress. It can be taken in doses of 1000 to 2000mg, 2 to 4 times per day. Too much Vitamin C will cause diarrhea, so if this happens then simply cut back the dose and it will resolve.
Enzyme supplements can be helpful for reducing inflammation. Bromelain, Pancreatin, and a supplement called "Wobenzym" all have an anti-inflammatory effect in the body.
Here are some links:
http://www.iherb.com/Life-Extension-Bromelain-Specially-Coated-500-mg-60-Enteric-Coated-Tablets/10100
http://www.iherb.com/Now-Foods-Pancreatin-High-Potency-4x-500-mg-250-Capsules/716
http://www.iherb.com/Wobenzym-Wobenzym-N-Healthy-Inflammation-and-Joint-Support-200-Enteric-Coated-Tablets/10831
Cod Liver Oil is a natural anti-inflammatory. The dosage is 1 or 2 tablespoons per day. Here is an example:
http://www.iherb.com/Carlson-Labs-Norwegian-Cod-Liver-Oil-Unflavored-16-9-fl-oz-500-ml/7949
There are some herbs with a strong anti-inflammatory effect including Turmeric, Ginger, and Holy Basil. There is a product called "Zyflamend" which contains all of these and more. Here is the link:
http://www.iherb.com/New-Chapter-Zyflamend-Whole-Body-60-Softgels/7396
You are correct, the esophagus is a muscular structure like the intestines. When I said the muscles surrounding the esophagus, I actually meant the esophagus muscle. I apologize for any confusion. Yes, the anxiety can be causing the esophagus itself to tighten and give rise to symptoms of burning chest pain and difficulty swallowing.
The needles used in Acupuncture are not like the regular hypodermic needles. They are hair-thin, solid, and typically painless. Most people can't even feel when the needle goes in. Acupuncture is very relaxing and most people fall asleep during the treatment.
Yes, I agree that the stress hormones can increase the tendency for inflammation in the body and that the inflammation can land somewhere and cause problems. There are indeed many different natural anti-inflammatory supplements and it would probably be helpful to try a few.
Vitamin C is an excellent all-purpose anti-inflammatory that can be helpful for decreasing the detrimental effects of stress. It can be taken in doses of 1000 to 2000mg, 2 to 4 times per day. Too much Vitamin C will cause diarrhea, so if this happens then simply cut back the dose and it will resolve.
Enzyme supplements can be helpful for reducing inflammation. Bromelain, Pancreatin, and a supplement called "Wobenzym" all have an anti-inflammatory effect in the body.
Here are some links:
http://www.iherb.com/Life-Extension-Bromelain-Specially-Coated-500-mg-60-Enteric-Coated-Tablets/10100
http://www.iherb.com/Now-Foods-Pancreatin-High-Potency-4x-500-mg-250-Capsules/716
http://www.iherb.com/Wobenzym-Wobenzym-N-Healthy-Inflammation-and-Joint-Support-200-Enteric-Coated-Tablets/10831
Cod Liver Oil is a natural anti-inflammatory. The dosage is 1 or 2 tablespoons per day. Here is an example:
http://www.iherb.com/Carlson-Labs-Norwegian-Cod-Liver-Oil-Unflavored-16-9-fl-oz-500-ml/7949
There are some herbs with a strong anti-inflammatory effect including Turmeric, Ginger, and Holy Basil. There is a product called "Zyflamend" which contains all of these and more. Here is the link:
http://www.iherb.com/New-Chapter-Zyflamend-Whole-Body-60-Softgels/7396
You are correct, the esophagus is a muscular structure like the intestines. When I said the muscles surrounding the esophagus, I actually meant the esophagus muscle. I apologize for any confusion. Yes, the anxiety can be causing the esophagus itself to tighten and give rise to symptoms of burning chest pain and difficulty swallowing.
Dr. David, Doctor
Category: Homeopathy
Satisfied Customers: 999
Experience: General practitioner with 12 years of experience specializing in alternative medicine.
VerifiedDr. David and 87 other Homeopathy Specialists are ready to help you
I'm glad to hear that everything looked OK on the upper GI. Motility issues can be related to spasms. It means that the muscular contractions of the esophagus are not coordinated as they should be. So instead of moving the food or drink smoothly down to the stomach, there is some abnormal tightening that causing a disruption. I believe that this could be caused by stress and anxiety or a deficiency of magnesium. Another possibility is Food Allergies. Have you ever had a test for Food Allergies?
Dr. David, Doctor
Category: Homeopathy
Satisfied Customers: 999
Experience: General practitioner with 12 years of experience specializing in alternative medicine.
VerifiedDr. David and 87 other Homeopathy Specialists are ready to help you
Hello,
I'm glad to hear that everything looked great on your examination.
It seems like there is no big physical problem that is causing your symptoms.
You said before that the symptoms disappear at night when you are going to sleep, is that still true? If that's the case, then it is quite likely that your symptoms are the result of anxiety or some other emotional stresses.
If the problem was gastritis or esophageal spasms, then some of the previous therapies that you have tried should have cleared it up completely.
Stomach irritation could perhaps be considered a very mild form of gastritis.
Sometimes there is just no explanation for a symptom such as this. But there still may be a treatment available. There is a homeopathic medicine that I may have mentioned before called Arsenicum album 30C. Have you tried this one yet? This remedy is excellent for treating burning pains in the chest. It is also helpful for relieving symptoms of anxiety. Here is an example:
http://www.amazon.com/Boiron-Arsenicum-Album-Pellets-ct/dp/B00181G8LU/ref=sr_1_2?ie=UTF8&qid=1347233775&sr=8-2&keywords=arsenicum+album+30c
I think that if we find the proper homeopathic remedy for you, these symptoms will resolve.
Dr. Zeoli
I'm glad to hear that everything looked great on your examination.
It seems like there is no big physical problem that is causing your symptoms.
You said before that the symptoms disappear at night when you are going to sleep, is that still true? If that's the case, then it is quite likely that your symptoms are the result of anxiety or some other emotional stresses.
If the problem was gastritis or esophageal spasms, then some of the previous therapies that you have tried should have cleared it up completely.
Stomach irritation could perhaps be considered a very mild form of gastritis.
Sometimes there is just no explanation for a symptom such as this. But there still may be a treatment available. There is a homeopathic medicine that I may have mentioned before called Arsenicum album 30C. Have you tried this one yet? This remedy is excellent for treating burning pains in the chest. It is also helpful for relieving symptoms of anxiety. Here is an example:
http://www.amazon.com/Boiron-Arsenicum-Album-Pellets-ct/dp/B00181G8LU/ref=sr_1_2?ie=UTF8&qid=1347233775&sr=8-2&keywords=arsenicum+album+30c
I think that if we find the proper homeopathic remedy for you, these symptoms will resolve.
Dr. Zeoli
Dr. David, Doctor
Category: Homeopathy
Satisfied Customers: 999
Experience: General practitioner with 12 years of experience specializing in alternative medicine.
VerifiedDr. David and 87 other Homeopathy Specialists are ready to help you
I don't think that you need to repeat the Echo, Stress Test, and Holter Monitor. If everything was fine 10 months ago, then it should still be fine now.
Also I don't believe that it is all in your head. Each part of the body can be affected directly from emotions, stress, and from anxiety. The human body has many subtle aspects to it that can not be adequately described by Western science.
It sounds like you have tried many things to address your symptoms, and yet they still persist. I'm sorry that this has been going on so long for you, but I still think there are many possible therapies that you haven't tried yet which may be effective.
If you are willing to try a few more homeopathic remedies, there may be one that can help you. For example, the remedy Croton tiglium 30c can be useful for relieving the symptom of "burning in the esophagus". Here is a link:
http://www.amazon.com/BOIRON-USA-Croton-Tiglium-30c/dp/B0006ONE3U/ref=sr_1_1?ie=UTF8&qid=1347251355&sr=8-1&keywords=croton+tiglium+30c
I may have mentioned acupuncture before. Have you considered getting an acupuncture treatment? Acupuncture can work on the emotional levels of the body and can clear out any "blockages" that may be affecting the flows of energy in the body.
There are other types of therapies that treat the emotions. The "Emotional Freedom Technique" (EFT) is one popular example. It is similar to acupressure in that it makes use of the acupuncture meridians and points. Here is a link that describes how it works:
http://eft.mercola.com/
Also I don't believe that it is all in your head. Each part of the body can be affected directly from emotions, stress, and from anxiety. The human body has many subtle aspects to it that can not be adequately described by Western science.
It sounds like you have tried many things to address your symptoms, and yet they still persist. I'm sorry that this has been going on so long for you, but I still think there are many possible therapies that you haven't tried yet which may be effective.
If you are willing to try a few more homeopathic remedies, there may be one that can help you. For example, the remedy Croton tiglium 30c can be useful for relieving the symptom of "burning in the esophagus". Here is a link:
http://www.amazon.com/BOIRON-USA-Croton-Tiglium-30c/dp/B0006ONE3U/ref=sr_1_1?ie=UTF8&qid=1347251355&sr=8-1&keywords=croton+tiglium+30c
I may have mentioned acupuncture before. Have you considered getting an acupuncture treatment? Acupuncture can work on the emotional levels of the body and can clear out any "blockages" that may be affecting the flows of energy in the body.
There are other types of therapies that treat the emotions. The "Emotional Freedom Technique" (EFT) is one popular example. It is similar to acupressure in that it makes use of the acupuncture meridians and points. Here is a link that describes how it works:
http://eft.mercola.com/
Dr. David, Doctor
Category: Homeopathy
Satisfied Customers: 999
Experience: General practitioner with 12 years of experience specializing in alternative medicine.
VerifiedDr. David and 87 other Homeopathy Specialists are ready to help you
Sorry to hear that you are still dealing with the chest pain. It is a pleasure to chat with you though, and your questions are always welcome.
Angina is a symptom that appears suddenly during exercise and then goes away with rest. From what you have been telling me, your symptoms do not sound like angina. People with angina have difficulty with physical activities such as going up steps or walking into a strong wind. Typically, the angina patient will be overweight and generally out-of-shape. And this doesn't sound like you.
Heart blockages and CAD are problems that take decades to develop. These are not conditions that will appear a few months after getting a thorough examination from a cardiologist that revealed no significant findings. Even though you did not have symptoms when you had your previous cardiac evaluations, I still believe the testing was accurate. Yes, something would have shown up on one of the evaluations if there was a problem with your heart. The physical examination, auscultation, and stress test can give indirect evidence of the presence of CAD and blocked arteries.
I think that you would have difficulty in convincing someone to give you a heart catheter. Truthfully, I don't believe that you even need it. Though I have never examined you personally and I do not have the benefit of giving a full medical interview or reading your chart. But from what you have described, it seems highly unlikely that a 100% blocked artery was missed.
I would recommend visiting a naturopathic doctor who could take the time to do a thorough interview to address all of your concerns. Some naturopathic doctors can even give acupuncture treatments and IV therapies, which are both bonuses.
I don't believe that going back to the cardiologist will yield any additional information compared to what you know already.
Angina is a symptom that appears suddenly during exercise and then goes away with rest. From what you have been telling me, your symptoms do not sound like angina. People with angina have difficulty with physical activities such as going up steps or walking into a strong wind. Typically, the angina patient will be overweight and generally out-of-shape. And this doesn't sound like you.
Heart blockages and CAD are problems that take decades to develop. These are not conditions that will appear a few months after getting a thorough examination from a cardiologist that revealed no significant findings. Even though you did not have symptoms when you had your previous cardiac evaluations, I still believe the testing was accurate. Yes, something would have shown up on one of the evaluations if there was a problem with your heart. The physical examination, auscultation, and stress test can give indirect evidence of the presence of CAD and blocked arteries.
I think that you would have difficulty in convincing someone to give you a heart catheter. Truthfully, I don't believe that you even need it. Though I have never examined you personally and I do not have the benefit of giving a full medical interview or reading your chart. But from what you have described, it seems highly unlikely that a 100% blocked artery was missed.
I would recommend visiting a naturopathic doctor who could take the time to do a thorough interview to address all of your concerns. Some naturopathic doctors can even give acupuncture treatments and IV therapies, which are both bonuses.
I don't believe that going back to the cardiologist will yield any additional information compared to what you know already.
Dr. David, Doctor
Category: Homeopathy
Satisfied Customers: 999
Experience: General practitioner with 12 years of experience specializing in alternative medicine.
VerifiedDr. David and 87 other Homeopathy Specialists are ready to help you
You are welcome. Thank you for your kind words! Lately it does seem that anxiety about health issues has become an epidemic. But then again, it seems that more people are sick with chronic diseases than ever before. Ironically, it is the people who don't care about their health at all who need to be most worried. From my experience, I think that people like yourself who are conscious about their health issues are in a much better position to prevent all of the chronic degenerative diseases.
Drinking, smoking, and eating a lousy diet can certainly put a big stress on the body. But most people recover from these kinds of unhealthy habits rather quickly, especially if they change their diet and lifestyle while they are still in their 30s. The bad habit which seems to cause the most long-term consequences is the use of street drugs. And even these people who took a lot of drugs recover to quite a degree once they change their ways.
It is possible that you have accumulated some debris in your arteries because of your past actions. But it seems highly unlikely to me that you would have caused CAD or blockage issues with such a short history of mildly elevated cholesterol.
It is true that the Echo stress test does not pick up Coronary Artery Disease directly. However, it can be used to rule out CAD in most instances. I think that if you had any serious heart issues then there would be some objective evidence to verify that.
I'm glad to hear that you are going to keep working hard on the positive lifestyle changing and that you are making progress in therapy.
One way to break the cycle of anxiety and worry is to do something every day that is fun for you. Focusing on the happy, joyful feelings can help to reduce the power of the fearful anxieties. Why not select a hobby or activity that brings you feelings of delight and happiness?
Drinking, smoking, and eating a lousy diet can certainly put a big stress on the body. But most people recover from these kinds of unhealthy habits rather quickly, especially if they change their diet and lifestyle while they are still in their 30s. The bad habit which seems to cause the most long-term consequences is the use of street drugs. And even these people who took a lot of drugs recover to quite a degree once they change their ways.
It is possible that you have accumulated some debris in your arteries because of your past actions. But it seems highly unlikely to me that you would have caused CAD or blockage issues with such a short history of mildly elevated cholesterol.
It is true that the Echo stress test does not pick up Coronary Artery Disease directly. However, it can be used to rule out CAD in most instances. I think that if you had any serious heart issues then there would be some objective evidence to verify that.
I'm glad to hear that you are going to keep working hard on the positive lifestyle changing and that you are making progress in therapy.
One way to break the cycle of anxiety and worry is to do something every day that is fun for you. Focusing on the happy, joyful feelings can help to reduce the power of the fearful anxieties. Why not select a hobby or activity that brings you feelings of delight and happiness?
Dr. David, Doctor
Category: Homeopathy
Satisfied Customers: 999
Experience: General practitioner with 12 years of experience specializing in alternative medicine.
VerifiedDr. David and 87 other Homeopathy Specialists are ready to help you
Hello,
Sorry to hear that you are still having the chest pain. I'm glad that the cardiologist said you don't have any heart problems.
If the cardiologist says that you have a Duke score of 10, then that means there is no evidence of heart disease or heart problems. Including no evidence for angina or unstable angina.
Yes, unstable angina can be a worsening of regular angina with episodes lasting a bit longer...minutes longer, not hours longer. This does not sound like the symptoms that you are experiencing. It does not sound like you have any kind of angina.
Irritation in the stomach does not typically cause such extreme chest pain. Nor does gastritis.
I would be happy to talk with you more about this. Right now I am getting on a plane. If you have more questions, it may take a day for me to respond. I will try to check at the next airport though.
Talk to you again in a while.
Dr. David
Sorry to hear that you are still having the chest pain. I'm glad that the cardiologist said you don't have any heart problems.
If the cardiologist says that you have a Duke score of 10, then that means there is no evidence of heart disease or heart problems. Including no evidence for angina or unstable angina.
Yes, unstable angina can be a worsening of regular angina with episodes lasting a bit longer...minutes longer, not hours longer. This does not sound like the symptoms that you are experiencing. It does not sound like you have any kind of angina.
Irritation in the stomach does not typically cause such extreme chest pain. Nor does gastritis.
I would be happy to talk with you more about this. Right now I am getting on a plane. If you have more questions, it may take a day for me to respond. I will try to check at the next airport though.
Talk to you again in a while.
Dr. David
Dr. David, Doctor
Category: Homeopathy
Satisfied Customers: 999
Experience: General practitioner with 12 years of experience specializing in alternative medicine.
VerifiedDr. David and 87 other Homeopathy Specialists are ready to help you
Hello. Yes, your reports are very normal. Esophageal dysmotility is similar to esophageal spasms in that they both describe conditions where there are uncoordinated muscle contractions of the esophagus.
You make a good case for a diagnosis of Gastritis, and the first episode that you experienced after Thanksgiving could have indeed been considered typical Gastritis. However, your later episodes do not sound like typical Gastritis.
It sounds like the pain you are experiencing is out of proportion to any of the physical findings that were observed on examination of your digestive tract. I'm not sure if you will have any luck continuing to explore your pain from a purely conventional medical perspective. It sounds like they do not have a lot to offer you.
There are a few possible "physical" explanations for your pain that I would like to mention, which may not have been considered. The first possible explanation is an infection of some sort, such as a parasitic infection. Infections such as H.Pylori are ruled out with the biopsies, but other types of infections are usually ignored. Did you ever have a test for parasites? It may be worthwhile to explore this possibility.
If you have been taking the PPI drugs continuously for the past two months, it is possible that they have been contributing to your symptoms. These kinds of drugs can cause different types of sensations in the stomach and esophagus as side-effects. By turning off the acid production, they also turn off the body's way of killing parasites and other micro-organisms that enter the stomach. I'm glad to hear that you have finally stopped taking them.
Another possible physical explanation for your symptoms is "low stomach acid". Before the doctor gave you the PPI drug, were your stomach acid levels tested to ensure that they were high? I think that the answer is "No". You definitely have been having low stomach acid since starting the PPI drugs, because that is what they do. It is also possible that your stomach acid levels were low before you started these drugs. There is a book called "Why Stomach Acid is good for You" which describes the important functions of stomach acid in the body and explains how heart burn symptoms are usually the result of too low stomach acid instead of stomach acid that is too high.
There can be emotional causes of chest pain that are not related directly to the anxiety. Suppressed feeling from past traumas or from childhood issues can become "stuck" in the tissues and cause physical pain. Even the "trauma" of the first episode that you experienced at Thanksgiving could be contributing to your current episodes.
You make a good case for a diagnosis of Gastritis, and the first episode that you experienced after Thanksgiving could have indeed been considered typical Gastritis. However, your later episodes do not sound like typical Gastritis.
It sounds like the pain you are experiencing is out of proportion to any of the physical findings that were observed on examination of your digestive tract. I'm not sure if you will have any luck continuing to explore your pain from a purely conventional medical perspective. It sounds like they do not have a lot to offer you.
There are a few possible "physical" explanations for your pain that I would like to mention, which may not have been considered. The first possible explanation is an infection of some sort, such as a parasitic infection. Infections such as H.Pylori are ruled out with the biopsies, but other types of infections are usually ignored. Did you ever have a test for parasites? It may be worthwhile to explore this possibility.
If you have been taking the PPI drugs continuously for the past two months, it is possible that they have been contributing to your symptoms. These kinds of drugs can cause different types of sensations in the stomach and esophagus as side-effects. By turning off the acid production, they also turn off the body's way of killing parasites and other micro-organisms that enter the stomach. I'm glad to hear that you have finally stopped taking them.
Another possible physical explanation for your symptoms is "low stomach acid". Before the doctor gave you the PPI drug, were your stomach acid levels tested to ensure that they were high? I think that the answer is "No". You definitely have been having low stomach acid since starting the PPI drugs, because that is what they do. It is also possible that your stomach acid levels were low before you started these drugs. There is a book called "Why Stomach Acid is good for You" which describes the important functions of stomach acid in the body and explains how heart burn symptoms are usually the result of too low stomach acid instead of stomach acid that is too high.
There can be emotional causes of chest pain that are not related directly to the anxiety. Suppressed feeling from past traumas or from childhood issues can become "stuck" in the tissues and cause physical pain. Even the "trauma" of the first episode that you experienced at Thanksgiving could be contributing to your current episodes.
Dr. David, Doctor
Category: Homeopathy
Satisfied Customers: 999
Experience: General practitioner with 12 years of experience specializing in alternative medicine.
VerifiedDr. David and 87 other Homeopathy Specialists are ready to help you
You are welcome. Thank you for the bonus! I appreciate your generosity.
Besides your previous heart studies and consultation with the cardiologist, there are a few reasons why I am not convinced that you have a heart problem. I witnessed my father having a heart attack when he was 39 years old. He looked very sick and was not able to get out of bed for almost a week before an ambulance came by in the middle of the night to take him to the emergency room. Since that time, I have seen patients with heart problems who are on the verge of a heart attack. They do not look healthy at all. Their color is off and they are sweating. They are obviously overweight and perhaps struggling with breathing.
My thinking is that if your heart was causing your chest pain, then it wouldn't have been going on this long. The reason why heart problems are serious is that they lead to a rapid death. If you have been going to work as usual during the day and sleeping as usual during the night for the past few months, then it is hard to imagine that you are on the verge of a sudden demise.
People with heart problems are sick. It is not just the pain, but also trouble with taking a deep breath and difficulty with getting up and walking. If the heart is starved for oxygen because of a blockage, then it is probably not going to be performing well enough for a person to participate in their normal routine.
It is possible that if your pain is worse that perhaps an examination for dysmotility would also be more revealing. If you need to follow-up with someone, maybe it would be more fruitful to follow up with the GI doctor rather than the cardiologist.
Besides your previous heart studies and consultation with the cardiologist, there are a few reasons why I am not convinced that you have a heart problem. I witnessed my father having a heart attack when he was 39 years old. He looked very sick and was not able to get out of bed for almost a week before an ambulance came by in the middle of the night to take him to the emergency room. Since that time, I have seen patients with heart problems who are on the verge of a heart attack. They do not look healthy at all. Their color is off and they are sweating. They are obviously overweight and perhaps struggling with breathing.
My thinking is that if your heart was causing your chest pain, then it wouldn't have been going on this long. The reason why heart problems are serious is that they lead to a rapid death. If you have been going to work as usual during the day and sleeping as usual during the night for the past few months, then it is hard to imagine that you are on the verge of a sudden demise.
People with heart problems are sick. It is not just the pain, but also trouble with taking a deep breath and difficulty with getting up and walking. If the heart is starved for oxygen because of a blockage, then it is probably not going to be performing well enough for a person to participate in their normal routine.
It is possible that if your pain is worse that perhaps an examination for dysmotility would also be more revealing. If you need to follow-up with someone, maybe it would be more fruitful to follow up with the GI doctor rather than the cardiologist.
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In my experience with reading reports and diagnostic evaluations, they almost never say that everything is 100% perfect. The report will always give the doctor reading it some room to make a common diagnosis such as "gastritis" or "mild dysmotility" in order to explain to the patient why they are having symptoms even though everything looks fine.
The report needs to be correlated with clinic findings and symptoms. For example, a common presentation of gastritis is a temporary stomach ache that happens after over-eating or drinking too much alcohol. Gastritis is almost always connected with eating or some obvious stress that is causing heartburn. If the diagnosis was gastritis, then some of the things that you have already tried should have made it feel better.
I'm sure that it is possible for stress to cause dysmotility. If the problem gets worse the more that you think about it, then that suggests an element of stress or anxiety. There is definitely a mind-body connection and it sounds like this may be a big part of your symptoms. Yes, you can certainly be creating this pattern for yourself just with your thinking and feelings. The mind and feelings control the nervous system and endocrine system. And the nervous system and endocrine system control everything else. I don't think that you are crazy, by the way.
The report needs to be correlated with clinic findings and symptoms. For example, a common presentation of gastritis is a temporary stomach ache that happens after over-eating or drinking too much alcohol. Gastritis is almost always connected with eating or some obvious stress that is causing heartburn. If the diagnosis was gastritis, then some of the things that you have already tried should have made it feel better.
I'm sure that it is possible for stress to cause dysmotility. If the problem gets worse the more that you think about it, then that suggests an element of stress or anxiety. There is definitely a mind-body connection and it sounds like this may be a big part of your symptoms. Yes, you can certainly be creating this pattern for yourself just with your thinking and feelings. The mind and feelings control the nervous system and endocrine system. And the nervous system and endocrine system control everything else. I don't think that you are crazy, by the way.
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Hello. I am glad to hear that you are feeling better! Thank you for your kind words. It's always a pleasure to chat with you.
Sorry that you are having issues with depression and anxiety. There are a few different strategies that can be helpful for treating these symptoms including homeopathy. Homeopathic Phosphorus 30C is a great remedy for helping to reduce symptoms of anxiety and depression. The dosage is 5 pellets dissolved under the tongue, once or twice per day for up to five days, taken 45 minutes away from meals.
Sometimes it can be helpful to take an Amino Acid supplement. Amino Acids are the precursors to neurotransmitters in the brain, and taking supplemental Amino Acids can be beneficial for relieving symptoms of anxiety and depression. Here is an example:
http://www.jomarlabs.com/formulas/pure-form-21-blend-2.html
There is a supplement called "Empower Plus" which has been used for treating depression and anxiety. It is basically a high-potency multivitamin with added nutrients. Here is a link:
http://www.truehope.com/
Sorry that you are having issues with depression and anxiety. There are a few different strategies that can be helpful for treating these symptoms including homeopathy. Homeopathic Phosphorus 30C is a great remedy for helping to reduce symptoms of anxiety and depression. The dosage is 5 pellets dissolved under the tongue, once or twice per day for up to five days, taken 45 minutes away from meals.
Sometimes it can be helpful to take an Amino Acid supplement. Amino Acids are the precursors to neurotransmitters in the brain, and taking supplemental Amino Acids can be beneficial for relieving symptoms of anxiety and depression. Here is an example:
http://www.jomarlabs.com/formulas/pure-form-21-blend-2.html
There is a supplement called "Empower Plus" which has been used for treating depression and anxiety. It is basically a high-potency multivitamin with added nutrients. Here is a link:
http://www.truehope.com/
Dr. David, Doctor
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Hello,
Yes, I would be happy to answer your questions.
Peppermint oil is indeed relaxing to the esophageal sphincter and can probably help with relaxing the whole esophagus.
There are many different preparations of peppermint oil, and I do not know which particular product you are using. If you give me more specific information on the exact product, then I can give you a better idea about the proper dosage.
Peppermint oil is well known for soothing the entire digestive tract, but it probably does not have any significant effect on the heart. If you are getting a benefit from using the peppermint oil, then it is certainly due to its effects on the esophagus and digestive tract. Peppermint oil is not a treatment for any kind of heart problem, so it is extremely unlikely that it is helping the blood flow to your heart in any way.
Dr. Zeoli
Yes, I would be happy to answer your questions.
Peppermint oil is indeed relaxing to the esophageal sphincter and can probably help with relaxing the whole esophagus.
There are many different preparations of peppermint oil, and I do not know which particular product you are using. If you give me more specific information on the exact product, then I can give you a better idea about the proper dosage.
Peppermint oil is well known for soothing the entire digestive tract, but it probably does not have any significant effect on the heart. If you are getting a benefit from using the peppermint oil, then it is certainly due to its effects on the esophagus and digestive tract. Peppermint oil is not a treatment for any kind of heart problem, so it is extremely unlikely that it is helping the blood flow to your heart in any way.
Dr. Zeoli
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Thank you for sending the link. That looks like a very potent peppermint oil product that you are using and you need to be careful not to take too much of it.
One dropperful should be about 28 drops (please count them one time to confirm this) and a dose of one or two dropperfuls, up to 2 or 3 times per day should be fine. If you start to notice that you are burping up peppermint all day, then that's a sign to cut back the dosage a little.
Peppermint has a soothing effect on gastritis as well as its effects on relieving spasms in the esophagus. Most people feel a benefit from using peppermint oil to treat gastritis, but some individuals can feel stomach irritation from taking too much peppermint oil. If you notice any irritation, then that's another possible sign to decrease the dosage.
Yes, if there was anything going on with your heart the EKG would have picked something up even though you may not have been having any symptoms at that moment. If your current EKG is the same as your previous EKG, then that suggests there were no problems with your heart in the past and there are no problems currently either.
Wow! I'm glad to hear that you are going to try the acupuncture. Please let me know how it goes.
One dropperful should be about 28 drops (please count them one time to confirm this) and a dose of one or two dropperfuls, up to 2 or 3 times per day should be fine. If you start to notice that you are burping up peppermint all day, then that's a sign to cut back the dosage a little.
Peppermint has a soothing effect on gastritis as well as its effects on relieving spasms in the esophagus. Most people feel a benefit from using peppermint oil to treat gastritis, but some individuals can feel stomach irritation from taking too much peppermint oil. If you notice any irritation, then that's another possible sign to decrease the dosage.
Yes, if there was anything going on with your heart the EKG would have picked something up even though you may not have been having any symptoms at that moment. If your current EKG is the same as your previous EKG, then that suggests there were no problems with your heart in the past and there are no problems currently either.
Wow! I'm glad to hear that you are going to try the acupuncture. Please let me know how it goes.
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Thank you for the bonus! I'm glad to hear that you enjoyed the acupuncture treatment. If it helped you somewhat, then it would be a good idea to continue with more treatments.
The Oximeter is an excellent tool in regards ***** ***** the health of the lungs. A normal reading is between 94 and 98 percent. If the level falls consistently below 90%, then that's an indication that the lungs are not working properly.
The blood oxygen level will not necessarily decrease from shortness of breath unless it is being caused by a lung disease. Heart disease by itself will not cause a drop in blood oxygen levels as the blood oxygen level does not give an indication of heart performance.
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Hello,
Sorry to hear that you are having this problem. I would be glad to answer your questions though.
1) The most common cause of bright red blood in the stool is an internal hemorrhoid. When the blood is red, that means it is coming from the large intestine. This is not an emergency and it is probably not anything serious. A small amount of blood in the stool will not cause anemia.
2) If you go to your doctor and tell them that you have some blood in the stool, they will not give you a PPI to treat this. They will most likely examine your rectal area for a hemorrhoid. That's what I would do for a patient with blood in the stool. Bright red blood in the stool is never related to gastritis or stomach problems. Blood that comes from the stomach appears as a completely black stool.
3) Yes, sometimes the degree of pain and discomfort is out of proportion to the physical observations on an EGD. "Mild Antral Gastritis" on an EGD could indeed cause severe pain for some individuals.
4) Sometimes gastritis and sensations in the esophagus can be related, as the two are physically connected. Esophageal spasms and gastritis could indeed cause symptoms such as minor difficulty swallowing, burping, squeezing sensation, and the sensation of food getting caught in the throat.
5) Gurgling sounds on drinking can be normal, though they may be related to esophageal spasms. This is not a symptom of gastritis.
6) Shortness of breath can be related to lung problems, stress, and anxiety. It is not often directly associated with gastritis, but I suppose that if the pain is bad enough that it could cause some shortness of breath.
7) Perhaps smoking cigarettes could cause stomach irritation and shortness of breathing. It depends on how long you have been smoking and how much you smoke per day. The body usually heals up quickly after making dietary and life style changes. Though sometimes the damage that is caused by such habits can go on for years.
8) Pain in the glands of the jaw is not a usual symptom of heartburn. If it goes away with taking tums, then that's a sign it is probably being caused by the stomach. If you notice a correlation with taking the PPIs, then it is probably related in some way.
9) If I am remembering correctly, you said that you tried juice fasting and eating minimally in the past and that eating this way was not particularly helpful. You can certainly try changing your diet in different ways to see if it helps to make you feel better. There is no need to drastically limit your food intake however if it is not giving you any benefit.
Dr. David
Sorry to hear that you are having this problem. I would be glad to answer your questions though.
1) The most common cause of bright red blood in the stool is an internal hemorrhoid. When the blood is red, that means it is coming from the large intestine. This is not an emergency and it is probably not anything serious. A small amount of blood in the stool will not cause anemia.
2) If you go to your doctor and tell them that you have some blood in the stool, they will not give you a PPI to treat this. They will most likely examine your rectal area for a hemorrhoid. That's what I would do for a patient with blood in the stool. Bright red blood in the stool is never related to gastritis or stomach problems. Blood that comes from the stomach appears as a completely black stool.
3) Yes, sometimes the degree of pain and discomfort is out of proportion to the physical observations on an EGD. "Mild Antral Gastritis" on an EGD could indeed cause severe pain for some individuals.
4) Sometimes gastritis and sensations in the esophagus can be related, as the two are physically connected. Esophageal spasms and gastritis could indeed cause symptoms such as minor difficulty swallowing, burping, squeezing sensation, and the sensation of food getting caught in the throat.
5) Gurgling sounds on drinking can be normal, though they may be related to esophageal spasms. This is not a symptom of gastritis.
6) Shortness of breath can be related to lung problems, stress, and anxiety. It is not often directly associated with gastritis, but I suppose that if the pain is bad enough that it could cause some shortness of breath.
7) Perhaps smoking cigarettes could cause stomach irritation and shortness of breathing. It depends on how long you have been smoking and how much you smoke per day. The body usually heals up quickly after making dietary and life style changes. Though sometimes the damage that is caused by such habits can go on for years.
8) Pain in the glands of the jaw is not a usual symptom of heartburn. If it goes away with taking tums, then that's a sign it is probably being caused by the stomach. If you notice a correlation with taking the PPIs, then it is probably related in some way.
9) If I am remembering correctly, you said that you tried juice fasting and eating minimally in the past and that eating this way was not particularly helpful. You can certainly try changing your diet in different ways to see if it helps to make you feel better. There is no need to drastically limit your food intake however if it is not giving you any benefit.
Dr. David
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You are welcome. Thank you for the $50 bonus. I appreciate your generosity. It's always a pleasure to chat with you and I wish that I could be more helpful in finding a cure for your pain.
From everything that you have been telling me, I don't think these symptoms are from your heart. I think you are right that if it was your heart, then you would have already been dead by now.
All of your symptoms sound related to the digestive system including the esophagus and stomach. They don't seem to behave like heart symptoms at all.
The accuracy of the EKG does not depend on your current symptoms or lack of symptoms. It will be just as accurate if your pain is present as it would be if your pain is absent.
Yes, esophageal spasms can causing deep burning chest pain that feels like severe heartburn and lasts for hours. I don't think that it is just a coincidence.
What would it take to convince you that there is no problem with your heart? Are you still thinking about going back to the cardiologist? Sometimes there are no physical explanations for pain.
Out of all the things you have tried so far, which things have helped the most? What other options have you been considering?
From everything that you have been telling me, I don't think these symptoms are from your heart. I think you are right that if it was your heart, then you would have already been dead by now.
All of your symptoms sound related to the digestive system including the esophagus and stomach. They don't seem to behave like heart symptoms at all.
The accuracy of the EKG does not depend on your current symptoms or lack of symptoms. It will be just as accurate if your pain is present as it would be if your pain is absent.
Yes, esophageal spasms can causing deep burning chest pain that feels like severe heartburn and lasts for hours. I don't think that it is just a coincidence.
What would it take to convince you that there is no problem with your heart? Are you still thinking about going back to the cardiologist? Sometimes there are no physical explanations for pain.
Out of all the things you have tried so far, which things have helped the most? What other options have you been considering?
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There are some natural treatments for anxiety that will probably work better for you than the drugs.
From everything that you have been telling me, the problem is anxiety and not your heart.
First, I would like to recommend one more homeopathic remedy that may be helpful for you. This one is an excellent treatment for the symptoms of burning pain in the chest, constricting pain in the chest, gasping for air, shortness of breath, and especially anxiety that is worse in the morning. It is called homeopathic Lachesis Mutus 30C. The dosage is 5 pellets dissolved under the tongue, once or twice per day for up to 5 days, taken 45 minutes away from food.
Here is an example:
http://www.amazon.com/Boiron-Lachesis-Mutus-Pellets-ct/dp/B00028O05G/ref=sr_1_2?ie=UTF8&qid=1351824722&sr=8-2&keywords=lachesis+mutus+30c
Anxiety can be caused by a deficiency of neurotransmitters in the brain. This deficiency of neurotransmitters can be caused by a deficiency of Amino Acids.
There is a simple blood test that can measure the levels of Amino Acids in the body. Using the blood test, a customized prescription can be made. In some cases if the levels are low enough, an intravenous (IV) infusion of Amino Acids can be given which is quite effective.
In addition to the Amino Acid prescription, a daily injection of Vitamin B12 can be very helpful for reducing anxiety.
You would need to find a doctor familiar with the Amino Acid test and the Vitamin B12 injections in order to get these therapies. I would be happy to give you a referral if you like.
From everything that you have been telling me, the problem is anxiety and not your heart.
First, I would like to recommend one more homeopathic remedy that may be helpful for you. This one is an excellent treatment for the symptoms of burning pain in the chest, constricting pain in the chest, gasping for air, shortness of breath, and especially anxiety that is worse in the morning. It is called homeopathic Lachesis Mutus 30C. The dosage is 5 pellets dissolved under the tongue, once or twice per day for up to 5 days, taken 45 minutes away from food.
Here is an example:
http://www.amazon.com/Boiron-Lachesis-Mutus-Pellets-ct/dp/B00028O05G/ref=sr_1_2?ie=UTF8&qid=1351824722&sr=8-2&keywords=lachesis+mutus+30c
Anxiety can be caused by a deficiency of neurotransmitters in the brain. This deficiency of neurotransmitters can be caused by a deficiency of Amino Acids.
There is a simple blood test that can measure the levels of Amino Acids in the body. Using the blood test, a customized prescription can be made. In some cases if the levels are low enough, an intravenous (IV) infusion of Amino Acids can be given which is quite effective.
In addition to the Amino Acid prescription, a daily injection of Vitamin B12 can be very helpful for reducing anxiety.
You would need to find a doctor familiar with the Amino Acid test and the Vitamin B12 injections in order to get these therapies. I would be happy to give you a referral if you like.
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Hello. There are many compounds in the stool that come from a variety of sources. For example, undigested food and orally ingested materials make up part of the stool. Materials that are ejected from the gallbladder and secreted from the pancreas contribute to the stool contents as well. Bacteria, bacterial by-products, and sometimes other types of organisms typically make up the largest part of a stool specimen. Additionally, there can be mucous and blood in the stool which may result from a variety of processes.
So there are many possible explanations for the dry/hard gel-like red specs scattered throughout your stool. It doesn't sound like a pathological finding though. If there is bright red blood on the outside surface of the stool, bright red blood in the toilet bowl, or bright red blood on the toilet paper after wiping, then those are the typical signs of a hemorrhoid, either internal or external. An entirely black stool can indicate bleeding in the stomach or the upper digestive tract. Undigested food particles in the stool could indicate the need for taking a digestive enzyme supplement with meals. Also low stomach acid levels could result in undigested food particles in the stool. My best guess is that the dry/hard gel-like red specs are either undigested food particles or waste materials expelled from the gallbladder.
Yes, an abdominal/pelvic CT scan from 6 months ago will rule out many kinds of cancer. You have no symptoms of cancer by the way.
It does not sound like you are losing any blood in the stool. If the dried specs that you are talking about are indeed blood, then there is not enough blood loss to make you anemic. Have you had a blood test recently? Anemia would show up on a common blood test.
I see no reason to be concerned about flat stool versus round stool at this point.
So there are many possible explanations for the dry/hard gel-like red specs scattered throughout your stool. It doesn't sound like a pathological finding though. If there is bright red blood on the outside surface of the stool, bright red blood in the toilet bowl, or bright red blood on the toilet paper after wiping, then those are the typical signs of a hemorrhoid, either internal or external. An entirely black stool can indicate bleeding in the stomach or the upper digestive tract. Undigested food particles in the stool could indicate the need for taking a digestive enzyme supplement with meals. Also low stomach acid levels could result in undigested food particles in the stool. My best guess is that the dry/hard gel-like red specs are either undigested food particles or waste materials expelled from the gallbladder.
Yes, an abdominal/pelvic CT scan from 6 months ago will rule out many kinds of cancer. You have no symptoms of cancer by the way.
It does not sound like you are losing any blood in the stool. If the dried specs that you are talking about are indeed blood, then there is not enough blood loss to make you anemic. Have you had a blood test recently? Anemia would show up on a common blood test.
I see no reason to be concerned about flat stool versus round stool at this point.
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Hello,
I am well, thanks. I would be happy to answer your questions.
1) Sometimes your symptoms sound as if they may be related to gastritis and sometimes they don't. Belching, bloating, indigestion, and burping up acid sound like gastritis symptoms. You mentioned before that your chest was on fire after eating Mexican food, and that sounds like a symptom of gastritis.
2) The best way to determine if you have too much or too little stomach acid is with a specialized test. Though I see that you would prefer not to do anymore testing. There is an alternative to the stomach acid test which usually provides some useful information. The supplement called "Betaine/Pepsin" is the treatment for low stomach acid levels. It should only be taken with a meal. Starting with the lowest dose of one capsule with a meal and then gradually increasing over a period of several days to a higher dosage of several capsules with each meal can help you determine your stomach acid levels. If low stomach acid is the problem, then you should notice an improvement in your symptoms after taking the Betaine/Pepsin for about 1 week. Constipation is also a symptom of low stomach acid by the way and this should be reduced by taking the Betaine/Pepsin if low stomach acid is the cause.
Here is an example of Betaine/Pepsin:
http://www.iherb.com/Thorne-Research-Betaine-HCL-Pepsin-225-Veggie-Caps/18487
3) Yes, it is possible that all your symptoms are related to GERD. Low stomach acid levels are often the cause of GERD, so hopefully the Betaine/Pepsin will be helpful for you. Yes, it is possible to have GERD and still have a normal Upper GI examination. Yes, your symptom of burning chest pain resembles GERD. Gastritis and GERD can often times occur together. Sometimes the burning pain does not coincide with the refluxing. It is still possible that you are having GERD even though the symptoms do not come together. It is surprising however that nothing has helped the pain to feel better. If it was indeed GERD, then I expect that something would have helped by now. Though I do not know if you have previously tried the Betaine/Pepsin supplement, and this is one of the top treatments for GERD.
4) I suppose it is possible that the gallbladder is involved. Usually problems with the gallbladder will have symptoms of nausea or vomiting however, and you did not report these. Gallbladder pain usually appears under the ribs or in the back. An abdominal CT scan and blood tests may or may not reveal a gallbladder problem.
Dr. David
I am well, thanks. I would be happy to answer your questions.
1) Sometimes your symptoms sound as if they may be related to gastritis and sometimes they don't. Belching, bloating, indigestion, and burping up acid sound like gastritis symptoms. You mentioned before that your chest was on fire after eating Mexican food, and that sounds like a symptom of gastritis.
2) The best way to determine if you have too much or too little stomach acid is with a specialized test. Though I see that you would prefer not to do anymore testing. There is an alternative to the stomach acid test which usually provides some useful information. The supplement called "Betaine/Pepsin" is the treatment for low stomach acid levels. It should only be taken with a meal. Starting with the lowest dose of one capsule with a meal and then gradually increasing over a period of several days to a higher dosage of several capsules with each meal can help you determine your stomach acid levels. If low stomach acid is the problem, then you should notice an improvement in your symptoms after taking the Betaine/Pepsin for about 1 week. Constipation is also a symptom of low stomach acid by the way and this should be reduced by taking the Betaine/Pepsin if low stomach acid is the cause.
Here is an example of Betaine/Pepsin:
http://www.iherb.com/Thorne-Research-Betaine-HCL-Pepsin-225-Veggie-Caps/18487
3) Yes, it is possible that all your symptoms are related to GERD. Low stomach acid levels are often the cause of GERD, so hopefully the Betaine/Pepsin will be helpful for you. Yes, it is possible to have GERD and still have a normal Upper GI examination. Yes, your symptom of burning chest pain resembles GERD. Gastritis and GERD can often times occur together. Sometimes the burning pain does not coincide with the refluxing. It is still possible that you are having GERD even though the symptoms do not come together. It is surprising however that nothing has helped the pain to feel better. If it was indeed GERD, then I expect that something would have helped by now. Though I do not know if you have previously tried the Betaine/Pepsin supplement, and this is one of the top treatments for GERD.
4) I suppose it is possible that the gallbladder is involved. Usually problems with the gallbladder will have symptoms of nausea or vomiting however, and you did not report these. Gallbladder pain usually appears under the ribs or in the back. An abdominal CT scan and blood tests may or may not reveal a gallbladder problem.
Dr. David
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From everything that you have been telling me, there seems to be two parts to your symptoms. There is the physical part and there is the emotional part.
The physical part of your symptoms sound like they are coming from the GI tract. Reflux, GERD, gastritis, esophagitis, and so on will give the symptom of burning pain in the chest that you have described.
I'm not sure what you have been reading on the internet, but it doesn't sound like you have variant angina to me. I know that you are afraid that there is something wrong with your heart, but so far there is no objective evidence to support that idea.
Your symptoms sound like classical symptoms of GERD. Here is a link to the Mayo Clinic which is a reliable source of information. The first symptom on the list is burning pain in the chest:
http://www.mayoclinic.com/health/gerd/DS00967/DSECTION=symptoms
There is definitely a strong emotional component to your symptoms. Fear and anxiety can cause all sorts of symptoms in the body. Furthermore, unresolved emotional stress can manifest as physical symptoms.
There is no need to worry about any of this. Worry does not accomplish anything beneficial. There is nothing wrong with your heart as far as I can see. It seems that it is the fear and anxiety which are contributing the most to making your pain feel agonizing.
The physical part of your symptoms sound like they are coming from the GI tract. Reflux, GERD, gastritis, esophagitis, and so on will give the symptom of burning pain in the chest that you have described.
I'm not sure what you have been reading on the internet, but it doesn't sound like you have variant angina to me. I know that you are afraid that there is something wrong with your heart, but so far there is no objective evidence to support that idea.
Your symptoms sound like classical symptoms of GERD. Here is a link to the Mayo Clinic which is a reliable source of information. The first symptom on the list is burning pain in the chest:
http://www.mayoclinic.com/health/gerd/DS00967/DSECTION=symptoms
There is definitely a strong emotional component to your symptoms. Fear and anxiety can cause all sorts of symptoms in the body. Furthermore, unresolved emotional stress can manifest as physical symptoms.
There is no need to worry about any of this. Worry does not accomplish anything beneficial. There is nothing wrong with your heart as far as I can see. It seems that it is the fear and anxiety which are contributing the most to making your pain feel agonizing.
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Hello,
I would be happy to answer your questions. It's always a pleasure to be of service.
1) No. Your symptom pattern is quite different than the pattern for varinat angina. You are experiecing pain every day for hours on end. Variant angina is not like that, the symptoms appear for just a few minutes per day. You describe your symptom as a "burning" pain, which is different than the "constricting" pain of variant angina.
2) No. It is extremely unlikely that you are having any kind of angina, variant or otherwise. If you were losing consciousness with the pain, then I would be more concerned about variant angina.
3) Variant angina is caused by a muscle spasm of the coronary artery. I suppose that the spasm is caused by a deficiency of magnesium, like other spasms in the body. The coronary artery spasms can happen any time in people with variant angina. But since you are taking a magnesium supplement, I don't think that you need to be concerned about either a magnesium deficiency or variant angina.
4) No. Variant angina does not present itself in the way of gradual increasing and gradual decreasing like you described. It is more sudden like the on and off of a light switch. It comes suddenly and leaves suddenly.
5) Anxiety generally causes an increased heart rate and blood pressure. Low blood pressure and low heart rate could be a symptom of hypothyroidism or adrenal fatigue. Heart problems generally cause an increase in blood pressure, an increase in heart rate, or an irregular heart beat.
6) No. Cardiac problems will only cause shortness of breath during the attack.
7) Of course, the coronary angiogram is the best way to diagnose variant angina. The EKG will only show changes during the actual attack.
8) Radiating pain feels like a wave moving from one location to another location. If you have ever accidentally bumped the nerve near the elbow and then felt the tingling pain go from the elbow to the hand, then that is radiating pain. In regards ***** ***** the radiating pain is very deep and goes from the chest up to the neck and jaw, and down the left arm. No. Burning pain of the skin is not radiating pain. Your symptoms do not sound cardiac.
9) Yes. Esophageal spasms can cause a deep burning pain behind the sternum. This is where the esophagus is located, and when it spasms it can cause severe burning pains. I have not previously had a patient where the spasms last for hours, but it is indeed possible. Spasms can make people feel lightheaded sometimes, but people do not generally pass out from them. Vagus nerve issues are something different, and that can certainly make someone pass out.
There is no reason to think that you have variant angina. It is only your anxiety that is telling you this. Do you still have some of that homeopathic Lachesis mutus 30C? If you do, then it would be a good idea to take another dose. Or if you could practice your relaxation and self-hypnosis exercises, that would be a good idea too. Why not turn off the computer for a while and go out and do something that's fun?
I would be happy to answer your questions. It's always a pleasure to be of service.
1) No. Your symptom pattern is quite different than the pattern for varinat angina. You are experiecing pain every day for hours on end. Variant angina is not like that, the symptoms appear for just a few minutes per day. You describe your symptom as a "burning" pain, which is different than the "constricting" pain of variant angina.
2) No. It is extremely unlikely that you are having any kind of angina, variant or otherwise. If you were losing consciousness with the pain, then I would be more concerned about variant angina.
3) Variant angina is caused by a muscle spasm of the coronary artery. I suppose that the spasm is caused by a deficiency of magnesium, like other spasms in the body. The coronary artery spasms can happen any time in people with variant angina. But since you are taking a magnesium supplement, I don't think that you need to be concerned about either a magnesium deficiency or variant angina.
4) No. Variant angina does not present itself in the way of gradual increasing and gradual decreasing like you described. It is more sudden like the on and off of a light switch. It comes suddenly and leaves suddenly.
5) Anxiety generally causes an increased heart rate and blood pressure. Low blood pressure and low heart rate could be a symptom of hypothyroidism or adrenal fatigue. Heart problems generally cause an increase in blood pressure, an increase in heart rate, or an irregular heart beat.
6) No. Cardiac problems will only cause shortness of breath during the attack.
7) Of course, the coronary angiogram is the best way to diagnose variant angina. The EKG will only show changes during the actual attack.
8) Radiating pain feels like a wave moving from one location to another location. If you have ever accidentally bumped the nerve near the elbow and then felt the tingling pain go from the elbow to the hand, then that is radiating pain. In regards ***** ***** the radiating pain is very deep and goes from the chest up to the neck and jaw, and down the left arm. No. Burning pain of the skin is not radiating pain. Your symptoms do not sound cardiac.
9) Yes. Esophageal spasms can cause a deep burning pain behind the sternum. This is where the esophagus is located, and when it spasms it can cause severe burning pains. I have not previously had a patient where the spasms last for hours, but it is indeed possible. Spasms can make people feel lightheaded sometimes, but people do not generally pass out from them. Vagus nerve issues are something different, and that can certainly make someone pass out.
There is no reason to think that you have variant angina. It is only your anxiety that is telling you this. Do you still have some of that homeopathic Lachesis mutus 30C? If you do, then it would be a good idea to take another dose. Or if you could practice your relaxation and self-hypnosis exercises, that would be a good idea too. Why not turn off the computer for a while and go out and do something that's fun?
Dr. David, Doctor
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Hello,
I'm doing well, thanks. I am so glad to hear that you are feeling ammmmmazing! Thank you for your kind words. You are welcome. I feel honored to have been part of your healing process.
1) The Holter Monitor is meant to record the heart rhythm over time. This can be helpful for diagnosing heart conditions that cause an irregular rhythm such as ischemia and atrial fibrulation. However, there are other conditons that affect the heart besides these. I think that the cardiologist was saying that in the unlikely event that your symptoms were caused by your heart, the Holter Moniter may not detect every possible cause.
2) OK, because it's the holiday season I'm going to tell you another story about one of my relatives. I once had an Uncle who had this idea that he needed heart surgery. His doctors told him that his heart was fine and that he didn't need surgery. But he pestered them year after year for a heart operation that he didn't really need. After years of nagging the doctors for an operation, they finally caved in and gave him heart surgery. It must have been the happiest day of my Uncles life. For the remainder of his years, he showed people the scar on his chest like it was a badge of honor. He was truly proud of that surgery and it was possibly the high point of his whole life. All I can say is that "the heart wants what the heart wants". The most important thing that a person can do in the world is to make themself happy. If it will make you a happier person to have a CT Artery Scan, then go for it. Then no matter what happens, you can live the rest of your life as a happy man.
3) Being slightly dehydrated can certainly make the ferritin level appear elevated, even though it is normal. It is only a little bit high and it is nothing to worry about. Maybe you could have it checked again in a few months.
4) Sometimes the Bilirubin becomes elevated for no particular reason. It sounds like you are implying that your years of drinking have damaged your liver, and that the elevated ferritin and bilirubin are evidence of that. I do not think that is the case, but I suppose that it is possible.
5) You are the first person to tell me that taking probiotics makes them feel nauseous. Maybe you will have better results from eatiing fermented foods that contain live cultures rather than taking them in pill form. For example, Sauerkraut, Kim Chee, Yogurt, and Pickles are fermented foods that contain live cultures.
6) Yes, it sounds like it could be anxiety related. It could also be related to the muscles in the chest being tight. Have you been doing your your stretching exercises? Taking a yoga class can often be helpful for relieving symptoms of tightness in the chest.
7) Some people have a very sensitive stomach that rumbles frequently. Perhaps it is a sign that your burning chest pain was due to gastritis.
Dr. David
I'm doing well, thanks. I am so glad to hear that you are feeling ammmmmazing! Thank you for your kind words. You are welcome. I feel honored to have been part of your healing process.
1) The Holter Monitor is meant to record the heart rhythm over time. This can be helpful for diagnosing heart conditions that cause an irregular rhythm such as ischemia and atrial fibrulation. However, there are other conditons that affect the heart besides these. I think that the cardiologist was saying that in the unlikely event that your symptoms were caused by your heart, the Holter Moniter may not detect every possible cause.
2) OK, because it's the holiday season I'm going to tell you another story about one of my relatives. I once had an Uncle who had this idea that he needed heart surgery. His doctors told him that his heart was fine and that he didn't need surgery. But he pestered them year after year for a heart operation that he didn't really need. After years of nagging the doctors for an operation, they finally caved in and gave him heart surgery. It must have been the happiest day of my Uncles life. For the remainder of his years, he showed people the scar on his chest like it was a badge of honor. He was truly proud of that surgery and it was possibly the high point of his whole life. All I can say is that "the heart wants what the heart wants". The most important thing that a person can do in the world is to make themself happy. If it will make you a happier person to have a CT Artery Scan, then go for it. Then no matter what happens, you can live the rest of your life as a happy man.
3) Being slightly dehydrated can certainly make the ferritin level appear elevated, even though it is normal. It is only a little bit high and it is nothing to worry about. Maybe you could have it checked again in a few months.
4) Sometimes the Bilirubin becomes elevated for no particular reason. It sounds like you are implying that your years of drinking have damaged your liver, and that the elevated ferritin and bilirubin are evidence of that. I do not think that is the case, but I suppose that it is possible.
5) You are the first person to tell me that taking probiotics makes them feel nauseous. Maybe you will have better results from eatiing fermented foods that contain live cultures rather than taking them in pill form. For example, Sauerkraut, Kim Chee, Yogurt, and Pickles are fermented foods that contain live cultures.
6) Yes, it sounds like it could be anxiety related. It could also be related to the muscles in the chest being tight. Have you been doing your your stretching exercises? Taking a yoga class can often be helpful for relieving symptoms of tightness in the chest.
7) Some people have a very sensitive stomach that rumbles frequently. Perhaps it is a sign that your burning chest pain was due to gastritis.
Dr. David
Dr. David, Doctor
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Experience: General practitioner with 12 years of experience specializing in alternative medicine.
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That's OK if it just feels a little swollen and tender. The area of the throat around the thyroid gland is usually a bit tender anyway. It may even be a bit inflamed.
Even if she knicked the thyroid galnd or the adams apple, I don't think it is a big deal. Conventional doctors take thyroid biopsies all the time and even remove people's thyroid gland completely.
If the area is not black and blue and there is no actual blood coming out of you, then you are not bleeding.
In any case, it will heal up on its own. It is physically impossible for the situation to get worse to the point where you can't swallow or talk.
Even if she knicked the thyroid galnd or the adams apple, I don't think it is a big deal. Conventional doctors take thyroid biopsies all the time and even remove people's thyroid gland completely.
If the area is not black and blue and there is no actual blood coming out of you, then you are not bleeding.
In any case, it will heal up on its own. It is physically impossible for the situation to get worse to the point where you can't swallow or talk.
Dr. David, Doctor
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Hello,
I'm sorry to hear that you are going through this.
In all honesty, it is the anxiety and panic that you are feeling right now. The acupuncture needle did not hurt you. It is only the fear that is telling you that something is wrong.
If you are breathing now, then there is no chance that you will have any problem with breathing later. You will be fine, I promise.
Even if the needle hit the windpipe or the cartilage of the trachea, that is no problem. It will heal up by itself in a few days.
It is OK if there is a bruise. That doesn't mean that you are bleeding to death. You will be fine.
It is not possible for the needle to break. Really, there is no problem.
Please try laughing a little instead of screaming. Be sure to take a few slow and deep breaths.
If you still have some of the Lachesis mutus 30C, now is a good time to take another dose.
Dr. David
Dr. David, Doctor
Category: Homeopathy
Satisfied Customers: 999
Experience: General practitioner with 12 years of experience specializing in alternative medicine.
VerifiedDr. David and 87 other Homeopathy Specialists are ready to help you
the throat pressure certainly could be related to stress or even esophageal dysmotility.
The burping issue could also be due to stress. Another possibility is that there is some irritation in the stomach due to the diet. It could be related to indigestion or gastritis as well.
If you still have the Lachesis mutus 30C, then taking a dose of that may be helpful for the throat pressure. It may even work better to get a higher potency of this same remedy, especially if the lower potency has been helpful for you in the past. The next highest potency is Lachesis mutus 200C. You would only need to take one dose of this and then wait for at least a few weeks.
The burping issue could also be due to stress. Another possibility is that there is some irritation in the stomach due to the diet. It could be related to indigestion or gastritis as well.
If you still have the Lachesis mutus 30C, then taking a dose of that may be helpful for the throat pressure. It may even work better to get a higher potency of this same remedy, especially if the lower potency has been helpful for you in the past. The next highest potency is Lachesis mutus 200C. You would only need to take one dose of this and then wait for at least a few weeks.
Dr. David, Doctor
Category: Homeopathy
Satisfied Customers: 999
Experience: General practitioner with 12 years of experience specializing in alternative medicine.
VerifiedDr. David and 87 other Homeopathy Specialists are ready to help you
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