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I've had pain below my breastbone for 3 weeks and it doesn't go away. It doesn't rain, I don't have any nausea or vomiting. This pain does not worsen after eating. I also have constipation (for also 3 weeks). My doctor suspects that I have acid reflux and prescribed nolpase as a test to see how I would feel. Unfortunately, I have been taking it for 2 weeks and I do not feel the effect. Deadline for gastroscopy only in October. The doctor does not exclude my nervous background, because I have already had a series of tests for dyspnea, which I have had for 2 years. The only abnormal result was the thyroid gland, where the tsh at the limit of 5.0 was 5.8. And for about a month now I have had a lump in my esophagus, what do my symptoms indicate?
Any doubts about your he alth should be clarified with your doctor. Based on the symptoms described, it can be taken into account that gastroesophageal reflux may be the cause. It will be possible to confirm or revoke this diagnosis after gastroscopy. In addition to the treatment prescribed by the attending physician, the so-called non-pharmacological methods of management. These methods include taking care of the correct body weight (overweight or obesity contribute to the exacerbation of symptoms), sleeping with the upper half of the body slightly higher (preferably adding an additional pillow), maintaining a sitting or standing position after eating a meal for 2 - 3 hours (do not lie down not smoking, avoiding or completely avoiding foods or foods that aggravate symptoms - these include coffee, tea, alcohol (including beer!), fatty foods. You should also avoid acidic foods that cause heartburn (pickled cucumbers, sauerkraut, sour soups, citrus fruits). Carbonated drinks are not recommended in reflex disease. It is also worth eating meals in small portions several times a day. Bulky meals should be avoided. Eat slowly and avoid talking while eating - this activity is conducive to swallowing air with food, and this can aggravate the discomfort. In conclusion, it is worth focusing on what and how to eat.
Remember that our expert's answer is informative and will not replace a visit to the doctor.
Krystyna KnyplInternist, hypertensiologist, editor-in-chief of "Gazetafor Doctors ".
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