dr , hello sir, i am 31 years old male ,i have feeling of chest pain at the apical region, for that i hv done my thallium scan which is normal and my ett showed no ischemic changes and i completed bruce protocol 3  .  why i still feel pain sir .and i hv  gastric problem as well, too much flatulence  .help me sir
Thanks for your question on Chat Doctor. I can understand your situation and problem. Since your extensive cardiac work up is normal, no need to worry about major heart related diseases. In my opinion, you are mostly having HERD (gastroesophageal reflux disease) associated pain. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Excessive flatulence is also due to this. So better to avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Avoid stress and tension. Start proton pump inhibitors and prokinetic Chat Doctor.  Go for walk after meals. Don't worry, you will be alright in 1-2 weeks. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.