chest pain with reflux

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New Member

Date Joined Jun 2010
Total Posts : 12
   Posted 8/14/2010 5:01 PM (GMT -6)   
3 months ago I was dia. with esophagitis and reflux. after 3 differnt types of PPI, still no relieve if not worse. I basically get very bad chest dicomfort all the time. I do have a follow visit next week with GI.
Anyone have bad chest pain and discomfort with reflux? what helps? or what did you do to help cure it?
thanks I am about tired off all this pain.

Elite Member

Date Joined Jul 2009
Total Posts : 14475
   Posted 8/14/2010 7:10 PM (GMT -6)   
Ouch! Maybe your doctor can find the right one for you. Keep trying.
If nothing helps, it could be because your LES is wide open and needs surgery to repair it.

Many of us here could not find a solution in medicine and had the surgery. I'm one of them. The medicine just stopped working for me.

Problems too numerous to name. :)

Forum Moderator

Date Joined Dec 2008
Total Posts : 4961
   Posted 8/14/2010 8:19 PM (GMT -6)   
Might try something light mylanta to coat your esophagus. You also cuold discuss with your GI doc about using carafate. It also coats the esophagus and helps stop the burning.

Take care,
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09

Regular Member

Date Joined Apr 2010
Total Posts : 234
   Posted 8/15/2010 6:51 PM (GMT -6)   
I had bad chest pain that no PPI's seemed to touch and it turned out to be my gallbladder causing the problems. Ask for a gallbladder check.

Veteran Member

Date Joined Oct 2009
Total Posts : 4970
   Posted 8/15/2010 8:03 PM (GMT -6)   
Do you also get symptoms like rapid heartbeat? Reflux can trigger heart symptoms. They're connected by the vagus nerve. It works the other way around too.

A large hiatal hernia can also give mid-sternum pain.

Regular Member

Date Joined Jul 2009
Total Posts : 199
   Posted 8/16/2010 10:09 AM (GMT -6)   
Alice is right about it affecting the heart. Not only are they connected, but a hiatel hernia can put pressure on the heart causing an arrhythmia or palpitations. I know this first hand.

I did get the type of pain you describe though. Turns out it was esophageal spasms caused by the erosive esophagitis. Not all medication works the same though so you may have to go through different ones to find one that works for you. Prilosec worked for me the best. None other worked. Also Mylanta does help to coat the esophagus and help protect it. I used to drink it a lot before surgery, and still do from time to time.

New Member

Date Joined Jun 2010
Total Posts : 12
   Posted 8/17/2010 9:48 AM (GMT -6)   
i have tried just about all medications and nothing works.
I do get rapid  heart beats at times. HAd cardio work up and everything fine.
I had a follow up visit with my regular dr. due to I wake up very nausas at night. Per my regualr dr. i have really bad reflux and it looks like  I may have to have surgery to fix it.
I have follow up with GI this week. We will see what he says.

Veteran Member

Date Joined Oct 2009
Total Posts : 4970
   Posted 8/18/2010 10:57 AM (GMT -6)   
Heart docs and most GI docs mostly don't know much about food sensitivities.
Reflux, which I mean the heaving of the stomach that pushes food or liquid into the esophagus, or simple leaking of acid into the esophagus while you are lying down, both happen if there is the valve at the bottom of the esophagus not working properly.  But the heaving/refluxing is different in that it is often caused by a food "trigger." 
This "trigger" is often a sensitivity or intolerance or, as my allergist calls it, an allergy, to certain foods.  If the valve is working you can get just tachycardia - rapid heartbeat.  The trigger can work both ways - stomach sending signal to the heart and heart sending signal to the stomach.  My personal experience is when I eat a trigger food - not just a tiny bite as in peanut allergy, but a whole sandwich or a can of soda size portion - I first get refluxing, then, usually if I've eaten a bit more, I get tachycardia that lasts a few minutes to several hours.  I can usually get the tach under control with a valsalva maneuver (look it up) or a good cough.  Sometimes I have to resort to a Beta blocker.
The best way to find out if you have a food trigger is to keep a food log/journal.  Write down every single thing you eat or drink with the date, time and any symptoms within a couple of hours.  When you have a list of meals you have to deliberately eat a portion of each item separately to find the culprit.  I've posted lots on this subject - do a search.
Since you are having symptoms at night you need to do the usual GERD treatments - take a PPI at least a half hour before eating in the AM.  Most don't have a "duration of action" more than half a day, so take a time-release one or take a second one in the evening.  Don't eat anything 3 hours before going to bed.  Prop your upper body up as much as you can tolerate. 
Surgery will not cure food sensitivity/allergy.  Surgery is a last resort and is not fun and is life changing.  I lived just fine for 25 years with non-acid reflux, had no esophageal symptoms.  Stopped my reflux by avoiding my trigger foods when I finally found out what they are.  I had surgery only after an accident that shoved my stomach into my chest.
So even if you decide to have surgery because of something like a giant hernia or a swallowing problem, check yourself for food triggers first.  It takes a couple of months, but it's free and non-invasive.
My trigger foods all contain sulfite.
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