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Tightness of stomach n diagphram
My stomach n diagphram seem way too tight n causing a pressure in the entire area right from my mouth, shoulders chest and till lower abdomen
I tried antacids but they work on reducing reflux but the weird tightness persist-
How to relax the gut muscles? I feel like this is becoming the root cause of several health issues i face
Answers (14)
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Kindly consider tele consult via practo as a proper personal family dietary history will be needed Also if you've taken any medications already especially pantop or other antacids without relief
Likely Gerd or hernia or peptic ulcer disease
Next Steps
avoid spicy food caffeine alcohol and eating heavy meals especially at night before laying down
consider taking a prokinetic which helps forward interstinal peristalsis along with antacids
like tab Pan Dsr
tab Pan IT
Health Tips
do get usg whole abdomen
consider ambulatory ph monitoring or esophageal manometry
UGI endoscopy for absolute diagnosis
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Your symptoms suggest functional gastrointestinal spasm with associated reflux component. The “tightness” from chest to abdomen is commonly due to esophageal spasm or gut–diaphragm muscle tension, often triggered by acidity, stress or gut motility disturbance. Persistence despite antacids indicates a motility/spasm issue rather than only acid
Next Steps
-Mebeverine 135 mg twice daily before meals for 2 to 3 weeks
-Pantoprazole 40 mg once daily before breakfast for 2 weeks
-If symptoms persist beyond 2 to 3 weeks then upper GI endoscopy can be considered
Health Tips
-Avoid late meals, caffeine, spicy and oily food
-Practice slow deep breathing to relax diaphragm spasm
-Eat small frequent meals and avoid overeating
contact me anytime on practo for further consultation
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Do consult
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Consult superspecialist
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If the tightness persists, you may want to discuss a Hiatal Hernia with a doctor. this can be a sign that your body is stuck in a stressful state or dealing with a issue like a hiatal hernia or trapped gas. While antacids can help with the chemical reflux, they don't address the physical muscle tension
Next Steps
to reset these muscles Diaphragmatic Breathing moves the diaphragm and tells your gut muscles to let go
Health Tips
if this tightness is associated with severe chest pain, shortness of breath, or pain radiating specifically to your left arm or jaw, go to emergency
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Please consult.
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Take meftal spas.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Saikat Biswas
General Physician
1 yrs exp
Kalyani
Avoid spicy and oily foods.
Avoid swallowing of air.(Like sipping tea).
Avoid tea, avoid smoking and tobacco, avoid soft drinks, Alchohol.
Eat small frequent meals. Eat slowly and chew all foods before swallowing
Do regular YOGA and muscle relaxing exercises at least 1 hour daily along with running and jogging.
Reduce mental stress. Anxiety, tension, fear are typical triggering factors for this type of tightness.
1. TAB. GANATON TOTAL - 1 TAB - HALF AN HOUR BEFORE BREAKFAST x 7 DAYS
2. TAB. DROTIN 40 MG- 1 TAB SOS- DURING ABDOMINAL PAIN/TIGHTNESS.
3. Kayam Churna Powder - 1 tea spoon full - once daily after meal x 10 days
Next Steps
INVESTIGATIONS TO BE DONE- Upper GI Endoscopy, CBC, LFT, RBS, USG WHOLE ABDOMEN, CHEST XRAY PA VIEW.
Health Tips
I need to know detailed history. You need further evaluation. So please consult me on practo.com for follow up
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Dr. Amarnath A
Gastroenterologist
12 yrs exp
Bangalore
You can consult us for a thorough endoscopy evaluation
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
Please consult a physician physically.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Gastritis
Avoid spicy foods
Avoid coffee and tea in empty stomach
Use more of curd and butter milk
Drink plenty of water
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