Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Gastroenterology (Expert Forum)
burning chest pain, PVCs
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
 |
burning chest pain, PVCs
by shark, Mar 03, 2004 12:00AM
every week or so, i have been experiencing periods of burning stomach pains that radiate up into my chest, especially the right side. these are accompanied by PVCs and slight nausea. following these "attacks," the pain moves down to my abdomen, and i have mild diarrhea. i'm fine for several days, then it hits again. i have been to doctors, emergency rooms, have worn holters, had EKGs and echos,and have had numerous blood tests. i had my gall bladder out in december, so it's not that. i have h. pylori and took prevacid off and on for two years. i have not been taking it in the last couple of months and have been fine until recently. i just began taking it again. i have had acid reflux before, but this is different. it does not run up into my throat, although it does seem to be worse when i recline. i have mild tricuspid and mitral regurgitation and possible pulmonary hypertension, according to an internist. the cardiologist, however, says i have only mild mitral regurgitation and no evidence of pulmonary hypertension.i am under a lot of stress and am on a very low dose of paxil (12.5). since i started the paxil in oct, i have not had any full-blown panic attacks, although i have periods of anxiety and heightened PVCs. could this other be stress related? also, i am just beginning to go through menopause. please help!!
Doctor's Answer
by Kevin Pho, MD, Mar 05, 2004 12:00AM
, Mar 05, 2004 12:00AM
There is a possibility that it may be stress related, but I would look for organic causes first.
Regarding the stomach pains - I would consider causes of dyspepsia first. Including ulcers or inflammation of the esophagus or stomach. An upper endoscopy should be considered if it hasn't already been performed.
Regarding the PVC's. I would consider an event monitor to ensure there is no arrythmia. The advantage of this test over a Holter is that it is patient dependent (i.e. you can press a button when you "feel" a PVC and it would record the appropriate rhythm at that point).
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Regarding the stomach pains - I would consider causes of dyspepsia first. Including ulcers or inflammation of the esophagus or stomach. An upper endoscopy should be considered if it hasn't already been performed.
Regarding the PVC's. I would consider an event monitor to ensure there is no arrythmia. The advantage of this test over a Holter is that it is patient dependent (i.e. you can press a button when you "feel" a PVC and it would record the appropriate rhythm at that point).
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Member Comments (1)
by frizzball, Mar 03, 2004 12:00AM
a
Expert Activity
Related Expert Forums
Related Communities
Crohn
Crohn's Disease
Crohns
Digestive Process
Dry Skin
IBS
Irritable Bowel Syndrome
Stomach Ach
Sunburn
Ulcerative Colitis
abdominal pain
bowel
colitis
colon
crohn's
crohns disease
diarrhea
gallbladder
irritable
irritable bowel
large intestine
liver
nausea
pain
rectal bleeding
red skin
redness
stomach ache
stool
ulcerative
Communities
Ask a Doctor Forums
Tools and Applications
Personal Information
Medical Information
Doctors and Partners