Burning in the chest and bad breath — what is it?

Burning in the chest and bad breath — what is it?

Natalia asks:

Good day, I am 29 years old, I was tormented by oppressive pain and burning sensation in the chest, can pinpoint the location exactly in the center 5 cm above the nipple. Did a year and a half ago chest CT — norm, 1 year ago EGD hernia of the esophagus and Helicobacter pylori, ECG — normal, MRI of the spine — a slight scoliosis, was examined by ENT’s all right. Also I was tormented by the feeling of «fighting throat» and there was bad breath (the dentist examined the teeth and gums in order). Cough no. Gastroenterologist appointed «Nexium» effect was not. What could it be? What else can I do, what doctors to go, what tests to take?

The answer of the doctor:

Hello, Natalia.

You have described the symptoms of diseases of the esophagus and stomach. Burning, pressive pain, bad breath, and a feeling of rawness in the throat (fighting throat) — symptoms of the digestive system.

Especially since you yourself noted that if the examination of other pathologies not detected.

An unpleasant smell can occur due to stagnation in the stomach when the food is moved slowly and part of it is «sour.» What can you recommend now?

  1. Get an ultrasound of the abdomen (study internal organs that will determine whether there is inflammation).
  2. Hand over the biochemical analysis of blood to understand enough of the pancreas produces enzymes for processing of food, are there any problems with the liver and gallbladder.
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As for treatment, the drug doctor was assigned correctly, but, in my opinion, it is not enough.

  1. Upon detection of Helicobacter pylori (the bacteria that leads to the development of ulcers of the stomach and duodenum) need to take a course of antibiotic therapy.
  2. Further stagnation is prescribed prokinetics which improve the functioning of the stomach muscles, stimulating movement.
  3. You can also include symptomatic therapy — antacids and alginates to reduce the level of acidity, burning will be less bother (but small course).

Proton pump inhibitors — «Nexium» and its counterparts, are not less than a month. In addition, after the examination of the internal organs (liver, pancreas, gall bladder), with detection of inflammation in any of them, need to connect the appropriate preparations.

If after the full course of treatment, the symptoms will bother — decide the issue on the operation for hernia (this is another source of heartburn and pain).