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May 25, 2012
 

Chest pressure, Tiredness with restlessness at night: GERD?

Dear Ask The Doctor: I am 35 yr old. I met with a group clash accidently five yrs back. after thirty days of this incident Gastric then Piles, giddyness (Vertigo as suggested by Doc).Chest pressure low, Iam Unable to turn my upper body nor bend my body. X-ray, Endoscopy, blood, Urine, Stool tests done and said normal. Daily Symptoms Uneasyness usually while lying down at night. Chest pressure low. Tired. Do you suggest any kind of test to find out the reasons of my symptoms. Thanks in advance

Dear Gururaj: You have previous medical history of Asthma and Gastritis, in your particular case  it should be rule out a associated  GERD (gastro esophageal reflux disease), which may produce the night time symptoms that you described. Gastroesophageal reflux disease (GERD) is a chronic digestive disease that occurs when stomach acid or, occasionally, bile flows back (refluxes) into your food pipe (esophagus). The backwash of acid irritates the lining of your esophagus. In the view that your endoscopy came out normal, maybe you will need a test to monitor the amount of acid in your esophagus: Ambulatory acid (pH) probe tests use an acid-measuring device to identify when, and for how long, stomach acid regurgitates into your esophagus. The acid monitor can be a thin, flexible tube (catheter) that's threaded through your nose into your esophagus. During the test, the tube stays in place and connects to a small computer that you wear around your waist or with a strap over your shoulder. Or the acid monitor can be a clip that's placed in your esophagus during endoscopy. The probe transmits a signal to a small computer that you wear around your waist for about two days, and then the probe falls off to be passed in your stool. Your doctor may ask that you stop taking  medications to prepare for this test. There is another test used to diagnose GERD: A test to measure the movement of the esophagus or Esophageal motility , this test measures movement and pressure in the esophagus. The test involves placing a catheter through your nose and into your esophagus.

Last Updated ( Monday, 16 January 2012 )
 

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