[33M] With chest pain, globus sensation, and frequent stools

Patient Description

A 33-year-old male reports mild chest pain in two areas: a dull pain on the left side under the armpit and a burning pain near the esophagus. The pain occurs daily, lasting for hours, and is triggered by activities like driving and working. He experiences a globus sensation when eating or vaping, high blood pressure linked to anxiety, and frequent stools after eating, with variable consistency and color. No shortness of breath, heartburn, or recent nausea/vomiting. Diagnosed with ADHD, Tourette's syndrome, and anxiety at age 6. Currently on Metoprolol (25 mg AM, 12.5 mg PM), Famotidine, and Omeprazole. History of pneumonia at age 13. Recently quit vaping, occasionally consumes White Claws.

Arora's Assessment

What might be happening

Your symptoms could be related to several issues:

Gastroesophageal Reflux Disease (GERD): The burning sensation in your chest and globus sensation could be due to acid reflux. Omeprazole and Famotidine are often used to manage this condition by reducing stomach acid.
Anxiety: Your history of anxiety might contribute to your high blood pressure and frequent bowel movements. Stress and anxiety can affect digestion and heart rate.
Diet and Alcohol Consumption: Drinking alcohol, even in the form of White Claws, can irritate the stomach lining and exacerbate reflux symptoms. It might also affect your bowel habits.
Irritable Bowel Syndrome (IBS): The frequent and varied bowel movements could be related to IBS, which is often influenced by stress and diet.

What you can do

For Chest Pain and Reflux:

Continue taking your prescribed medications (Omeprazole and Famotidine) as directed.
Avoid foods and drinks that trigger reflux, such as spicy foods, caffeine, and alcohol.
Eat smaller, more frequent meals and avoid lying down immediately after eating.

For Anxiety and High Blood Pressure:

Practice relaxation techniques such as deep breathing, meditation, or yoga.
Monitor your blood pressure regularly and discuss any concerns with your doctor.
Consider speaking with a mental health professional to manage anxiety.

For Bowel Movements:

Keep a food diary to identify any foods that may trigger symptoms.
Stay hydrated and include fiber-rich foods in your diet to regulate bowel movements.

General Tips:

Limit alcohol consumption to see if symptoms improve.
Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.