Terrible non-hearthburn chest pain

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Gewarn
Regular Member


Date Joined Jul 2014
Total Posts : 94
   Posted 7/31/2014 3:25 PM (GMT -6)   
Hi again guys.

Everytime I solve a problem related to my GERD, I seem to get a different one. I've managed the acid problem with ppis in the past. Because of the high ppi dosage combined bad diet I got SIBO or candida (still waiting for the results). I've been able to control it with drastic diet changes combined with natural remedies like Iboregast. To make it easier for my stomach to heal I also quit the ppis 5 weeks ago

When i quit the ppis to heal the gut, I got new troublesome symtoms. I'm having terrible chest pain and combined with occasional shorteness of breath. The chest pains are not the typical acid hearthburn pains. It's a more dull pain and it feels like I've got a big pressure on my chest. I'm now back on the ppis since 4 days and I still have the problems. I have had a EKG and it turned out normal. I'm diagnosed with a 4cm hiatal hernia, and I'm worried that it has gotten bigger. I'm also scared that the hiatal hernia is putting preassure on the vagus nerve. The factors that points to a mechanical problem, is that it seems to help a little when I do hiatal hernia self adjusting techniques I've whatched on Youtube.

The last thing I can think about is that it's stress related, because this whole situation is making me extremely stressed and depressed. The factors that point to stress are that my mother, who also got a hiatal hernia gets the same symptoms when she is stressed but they dissapear for her. The first time I ever got these chest pains was before this whole situation when I was still on the ppis. I got them directly after I was finnished writing my final exames.

I'm sorry if the post is confusing, but at this point I am pretty scared and confused my self.

James_a
Regular Member


Date Joined Jan 2014
Total Posts : 97
   Posted 7/31/2014 5:16 PM (GMT -6)   
Hi

It sounds like you have GERD again, the ppi taken7-14 days to fully kick in and some of them are not as effective, its a individual thing, keep trying till one works well and with little symptoms. I would seriously not worry too much, pressure on the vagus nerve is a possibility but rather unlikely, it has rather distinct symptoms but certainly discuss this concern with your doctor as its still a possibility that must be rules out.
have then doctors considered repairing your hernia?

good luck and try not to stress too much, you will come out of this just need to be positive and have hope.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5004
   Posted 7/31/2014 5:24 PM (GMT -6)   
Welcome to the forum, Gewarn.

I haven't watched the video, but there is no way to get rid of a hiatal hernia without surgery. It's from a tear in the diaphragm. You might get the stomach to move down briefly, but it will just pop right back up again. That's why they call most hiatal hernias "sliding." I would stay away from wacko-quackos on this and see an actual gastroenterologist.

It was a good idea to get the heart checked. Rebound acid is often noted by people who quit the PPIs.

A gastro doc can tell you if you need something more than your PPIs for the stomach. Maybe there's a gallbladder problem. We can't tell you because we're not doctors.

BlueWaterGirl1988
Regular Member


Date Joined Feb 2014
Total Posts : 20
   Posted 7/31/2014 8:45 PM (GMT -6)   
The best thing you can do is get a scope done. If it is a hernia, they can fix it up for you and you'll feel tons better. Even with GERD you can get chest pains and breathing problems, I know I have been dealing with that for months.

Gewarn
Regular Member


Date Joined Jul 2014
Total Posts : 94
   Posted 8/1/2014 3:57 AM (GMT -6)   
Thans so much for your replies guys.

James_a: Okej, because I can feel the ppis arent working as well as they did before, so hopefully they will start to work better. I've been thinking about going for the operation for a long time, but I'm scared I won't be able to continue snowboarding and partying like I did before. I'm going for my second swallow and 24h ph test in a month but my doctor has expressed concerncs about my realtively young age (22 years old)

Alcie: You're probably right, but this situation has gotten to a point where I'm willing to try anything no matter how unlikely it seems. I'm going to my general practitioner this monday to see if he recomends any testing or medecines for the chest pains.

BlueWaterGirl1988: Been scoped twice, 4cm hiatal hernia but i don't know if it's sliding or not. One question: So you mean the acid problem could manifest in chest pain instead of hearthburn, because I feel a big difference between the two. That would be resonable since I've gotten hoarseness since I quit the ppis

James_a
Regular Member


Date Joined Jan 2014
Total Posts : 97
   Posted 8/1/2014 6:36 AM (GMT -6)   
Hi

In no way should you let your doctor convince you otherwise of your symptoms severity, if you feel chest pain might be a possible heart related problem, then please press your doctor to investigate this, but honestly given your young age i would highly doubt its heart problem, heartburn and chest pains are part of acid reflux, it can be so painful that it feels like heart stack for some, for me it was so horrid the pain was not like heart attack but my osophagus burning like mad, i had had a constriction almost for 2-3 days, i found it dificult to swallow sometimes.

When the ppi kicked in, it calmed it all down but i still was getting reflux, wish i never did ppi but that's another story. air would seriously give ppi a chance and you are so young that you;d be fine.

But you must control your diet and for the moment your reflux, but so remember than when you get off pii if you have been on them longer than 14 days, you are going to experience rebound acid where and this painful and last anywhere from 2-4 weeks, you will reflux constantly during this time and unfortunately must tough it out. You can try taper down and it helps with rebound somewhat.

I would go onto GERD diet and if you have fungal infection before it might be best to consult a GI specialist about whether you can go on such diet or if modification us required. If you have gastritis, ppi and sucralfate will help so will gaviscon.

have you been tested for h pylori infection?

I would consider repairing your hernia it might be what is causing your symptom, or you might repair it and it does not help much, but if your doing a fundoplication they usually repair any hernia too. You could ask just for hernia repair rather than full fundoplication, you should discuss this with your GI.

If you don't like fundoplication there are other alternatives, like linx device, stretta procedure, Endostim and I am sure your GI is aware of other new experimental procedures . I personally like stretta , but its success rate is not as wide great as fundoplication but its so less invasive and recovery easier somewhat, its something to discuss with your GI.

Gewarn
Regular Member


Date Joined Jul 2014
Total Posts : 94
   Posted 8/2/2014 3:54 AM (GMT -6)   
Hi again James, and thanks for all the tips and information.

I've been checked for H.pylori a couple of times, and they all came out negative. I read somewhere that you could get a false negative if you where on ppis, so I've done another one now when i tried to quit the ppis. I will also ask my doctors for alternatives to the fundoplication. I'm really intrested in the Endostim, but since I have a 4cm hernia I'm not sure that I qualify for it.

Have you had any hearthburn surgery?

BlueWaterGirl1988
Regular Member


Date Joined Feb 2014
Total Posts : 20
   Posted 8/2/2014 11:14 PM (GMT -6)   
Both my doctor and general surgeon have said that you can develop chest pains and asthma like symptoms with GERD, which is due to breathing in a little bit of the acid. I was surprised to know that acid doesn't always mean heartburn and there has been a lot of threads on this forum with people talking about chest pains and trouble breathing.

Chest pains can be due to the hernia also. My father has had a hernia for 20+ years, he's too scared to have it fixed though. Sometimes his cheat pains are so intense that it can bring him to his knees. His doctor has told him numerous times that it's his hernia, but if he never has it fixed, he could have a small heart attack (not enough to kill someone, but enough to slowly damage the heart without knowing) and think the pains are just from his hernia.
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