Ok. Lets rule out things that could kill you.
Heart attack: not likely cos of age and no risk factors except for being male. You dont do cocaine or street drugs right? That would be one of reasons why a 22 y/o might have a heart attack.
Pulmonary embolism: not likely since no respiratory symptoms
Aortic aneurysm/dissection: not likely since you have no risk factors. Check your blood pressure tho if you can
Other possibilities tho non deadly: cholelithiasis/cystitis, pranceatitis, gastritis, hiatal hernia, ulcer and reflux. Panic/anxiety d/o, muscle strain.
Given what i gathered so far from you: its likely reflux, perhaps some hiatal hernia that is making it worse. Also could be compounded by muscle/skeletal strain.
My Reccomendations:
Get a physical exam focus on heart, lungs and musculo-skeletal system.
Get Baseline resting EKG, cbc, complete chemistry profile. Chest xray, neck/back/spine Xray. For extra, add abdominal xray
You are taking omeprazole which is potent PPI for reflux. Continue it, Can possibly ask your doc to increase dose to 40 mg qd and take before meals and see if it helps more.
Try iburofen along with meprasil.
In addition:
Eat small meals, less spicy/peppery, no caffeine, no acidy foods like tomatoes, oranges. Eat at least 2 hours before lying down on bed. If you can, lie on an inclined bed up to 30 degrees.
Should also sleep on a nice firm but gentle mattress ; this could all be poor sleeping mechanics.
Work on ergonomically suitable chair rather than bed when working or studying. It probably causes bad posture and back pain.
Good luck. Let me know how it turns out. Nobody, please can you contact me via 08163257517. I need some help |