[65F] Experiencing dry mouth, sharp chest pains, and bloating

What might be happening

Based on the information you've provided, here are a few possibilities:

• Oral Thrush: This is a yeast infection in the mouth, which can cause a dry mouth. It's more common in people with weakened immune systems or certain health conditions, or people who take certain medications.

  • Treatment typically involves antifungal medications.

• Gastroesophageal Reflux Disease (GERD): This is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause chest pain.

  • Treatment typically involves lifestyle changes and over-the-counter medications.

• Anxiety: Chronic anxiety can cause physical symptoms like dry mouth, chest pain, and bloating.

  • Treatment typically involves psychotherapy (cognitive behavioral therapy) and medication.

• Side effects of medication: Dry mouth can be a side effect of many medications, including some of the ones you're taking (like Trazodone and Gabapentin).

What you can do

1. For oral thrush, antifungal medications are typically prescribed. These can be in the form of tablets, lozenges, or a liquid that you swish in your mouth and then swallow.
2. For GERD, lifestyle changes can often help reduce heartburn. These include avoiding foods and drinks that trigger heartburn, eating smaller meals, not lying down for at least two hours after you eat, maintaining a healthy weight, and avoiding smoking and alcohol.
3. For anxiety, cognitive behavioral therapy (CBT) can be very effective. This form of therapy helps you understand and change thought patterns that lead to harmful behaviors or feelings of anxiety. Medications like selective serotonin reuptake inhibitors (SSRIs) and benzodiazepines can also be used.
4. If you think your dry mouth might be a side effect of your medication, talk to your doctor. They might be able to adjust the dose or switch you to a different medication.

What you should look out for

If you experience any of the following symptoms, seek medical attention immediately:

• Chest pain that spreads to your jaw, left arm, or back
• Chest pain that gets worse with exertion
• Shortness of breath or trouble breathing
• Nausea, indigestion, heartburn, or abdominal pain
• Sudden dizziness or brief loss of consciousness

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.