Persistent Chest Pain and Bloating After H. Pylori Treatment - #47013

BASED UPON WHAT YOU HAVE DESCRIBED THIS IS QUITE COMMON ,AFTER H PYLORI ERADICATION ,ESPECIALLY IN OLDER AND IT DOES NOT MEAN,THAT THE TREATMENT HAS FAILED OR THAT SOMETHING DANGEROUS IS HAPPENING.

WHEN YOU HAD H PYLORI WITH A DUODENAL OR PEPTIC ULCER ,THE ANTIBIOTIC COURSE WAS NECESSARY , BUT SUCH STRONG MEDICINES OFTEN DISTURB THE NATURAL DIGESTIVE BALANCE OF THE STOMACH AND INTESTINES, AFTER THE BACTERIA IS KILLED THE STOMACH LINING TAKES TIME TO HEAL AND DURING THIS HEALING PHASE THE DIGESTIVE POWER BECOMES IRREGULAR.

WHAT YOU ARE FEELING NOW LIKE MILD CENTRAL CHEST PAIN,BURNING ,HEAVINESS AND OCCASIONAL BLOATING IS MOSTLY DUE TO GASTRIC IRRITATION ,ACID, IMBALANCE AND GAS FORMATION RATHER THAN ACTIVE ULCER PAIN. THE MIDDLE CHEST AREA IS A COMMON SITE WHERE STOMACH RELATED DISCOMFORT IS FELT,ESPECIALLY WHEN GAS COLLECTS OR WHEN ACID MOVES UPWARD.

THE FACT THAT YOUR PAIN IS MILD OCCASIONAL ,AND NOT RELATED TO EXERTION AND THAT YOU HAVE NO BP ,DIABETES OR HEART HISTORY ,IS REASSURING STILL IF CHEST PAIN EVER BECOMES SEVERE ,CONTINUOUS OR ASSOCIATED WITH BREATHLESSNESS SWEATING OR RADIATION TO ARM THEN A CARDIAC CHECK IS REQUIRED.

FROM A HOLISTIC AND AYURVEDIC VIEW ,THIS IS A POST ANTIBIOTIC DIGESTIVE WEAKNESS, WITH RESIDUAL STOMACH INFLAMMATION AND GAS. THE AIM NOW IS CALMING THE STOMACH LINING ,STABILISING DIGESTION AND PREVENTING GAS

KAMADUGHA RAS ONE TABLET TWICE DAILY AFTER FOOD WITH WATER.

AVIPATTIKAR CHURNA HALF TEASPOON AT NIGHT WITH WARM WATER.

HINGWASHTAK CHURNA A PINCH TO QUARTER TEASPOON BEFORE LUNCH WITH WARM WATER IF GAS IS PROMINENT.

YASHTIMADHU POWDER HALF TEASPOON TWICE DAILY AFTER FOOD WITH WARM WATER.

EAT SMALL MEALS AT REGULAR TIMES. AVOID TEA ,COFFEE ,FRIED FOOD,BAKERY ITEMS ,VERY SPICY AND SOUR FOODS. AVOID LATE DINNER ,AND LYING DOWN SOON AFTER EATING. PREFER SOFT COOKED FOODS LIKE RICE ,MOONG DAL ,KHICHDI VEGETABLE SOUPS ,STEAMED VEGETABLES. WARM WATER SIP THROUGH THE DAY HELPS

SLOW WALK AFTER MEALS AVOID DAYTIME SLEEP KEEP STRESS LOW AS STRESS DIRECTLY INCREASES STOMACH SENSITIVITY ELEVATE THE HEAD SLIGHTLY WHILE SLEEPING IF BURNING IS MORE AT NIGHT

IF SYMPTOMS PERSIST OR WORSEN A FOLLOW UP ,ENDOSCOPY OR STOOL TEST FOR H PYLORI ERADICATION CONFIRMATION MAY BE CONSIDERED ALONG WITH BASIC BLOOD TESTS.

Hello I get why you’re worried, especially at your age. It’s smart that you’re paying close attention to your symptoms. That chest discomfort after dealing with H. pylori can be a real pain, but usually, it’s just your digestion acting up and we can fix it. Just take a deep breath and give this a read.

At 68, it’s totally normal to feel anxious when you’re still bloated, heavy in the chest, and burning, even after all those antibiotics.

But here’s some good news: your pain is mild, comes and goes, and seems linked to that bloating and burning.

That means it’s probably not your heart, especially since you don’t have high blood pressure, diabetes, or other major health issues.

AYURVEDIC UNDERSTANDING

Looking at your history: –You had H. pylori and a duodenal ulcer (which is now healed and not bleeding). –After the antibiotics, you started getting more gas, bloating, and chest heaviness.

–Agni Dushti: Your digestive fire got a bit messed up after those strong antibiotics.

–Pitta–Vata aggravation:This means there’s too much heat and air in your stomach and gut.

–Residual Amlapitta + Urdhwaga Vata: This basically translates to leftover acid problems and gas moving upwards, which causes: * Burning in your chest * A heavy feeling in the middle of your chest * Bloating and gas

The thing is, antibiotics often wipe out the good gut bugs too, leading to gas, reflux, and chest discomfort, even after the ulcer itself is gone.

TREATMENT GOAL

Our main goals are to: –Heal up any lingering ulcer spots and soothe your gut lining. –Cool down that Pitta heat. –Get your Vata (gas movement) back to normal. –Gently get your digestion working right again (super important at your age!).

AYURVEDIC PLAN OF TREATMENT

INTERNAL MEDICATION

1.Avipattikar Churna Take half a teaspoon once a day, before lunch, with warm water. (This helps with burning, reflux, and chest discomfort.)

2. Kamdudha Ras (Plain) Take 1 tablet twice a day, after meals, with honey or water. (Great for burning and balancing Pitta from the ulcer.)

3. Yashtimadhu (Mulethi) Powder take half a teaspoon twice a day, after meals, with warm water. (Helps heal the ulcer lining and eases chest pain and acidity.)

4.Hingvashtak Churna Just a pinch (a quarter teaspoon) before meals with ghee or warm water. (Takes care of bloating and gas.)

DIET PLAN

✅INCLUDE

* Soft, warm, freshly cooked food. * Stuff like rice, moong dal, lauki (bottle gourd), and pumpkin. * Thin buttermilk (but only in the afternoon). * Eat small meals often.

❌AVOID

* Tea, coffee. * Spicy, sour, or fried foods. * Bakery items. * Late-night meals. * Raw salads at night.

LIFESTYLE

* Walk for 10–15 minutes after you eat. * Do Vajrasana (a sitting pose) after meals. * Don’t lie down right after eating. * Keep your head a little bit higher when you sleep.

If your chest pain ever gets really bad, spreads to other areas, or you start sweating, then get an ECG just to be safe. But based on what you’re describing, there’s no urgent heart worry.

No need to stress!

Your ulcer was mild and not bleeding. What you’re feeling is just your digestion getting out of whack after all those antibiotics. With the right Ayurvedic care, most people start feeling better: * In 2–3 weeks: Less bloating and heaviness. * In 6–8 weeks: Complete relief.

Really, don’t worry. This is something we can totally treat and turn around.

Warm Regards Dr. Snehal Vidhate

1.Avipattikar churna 1 tsp twice daily with warm water before meals 2.Kamdudha rasa 2 tab twice daily with water or honey after meals 3.Yashtimadhu tablets 2 tab twice daily with water after meals

Diet: - Favor soft, warm, easily digestible foods (khichdi, dal, rice, boiled vegetables). - Avoid spicy, sour, fried, and very hot foods. - Small frequent meals instead of large portions.

Lifestyle: - Avoid lying down immediately after meals. - Gentle walking after food helps digestion. - Stress management (pranayama, meditation) is important, as stress worsens ulcers.

Medicines 1 Avipattikar Churna – 3 gm + warm water 30 min BEFORE dinner 2 Sutshekhar Ras (plain) – 1 tablet morning + 1 tablet night after food 3 Kamadhudha Ras (plain) – 250 mg morning + night with water 4 Dadimadi Ghrita – 10 gm morning empty stomach with warm water 5 Panchamrit Parpati – 125 mg morning + night after food

Daily Must-Do Vajrasana 10 min after every meal (reduces bloating & chest pressure) Chew ½ tsp saunf + mishri slowly after meals Dinner before 7 PM and have only light moong khichdi + ghee first 30 days

Diet Give only: moong khichdi + ghee, thin buttermilk + roasted jeera, pomegranate, coconut water Avoid completely: spicy/sour, tea/coffee after 4 PM, heavy dinner, raw salads

Regards Dr Gursimran Jeet Singh MD Panchakarma

Thank you for sharing your medical details

Based on your endoscopy findings and present symptoms your condition appears stable and under control

Diagnosed with H pylori related duodenal ulcer which is mild and non bleeding and completed the standard antibiotic treatment After such treatment it is common to experience bloating ,gas heaviness ,and mild chest discomfort.

These symptoms occur due to temporary weakness of digestion caused by strong medicines The ulcer itself is in a healing stage and there is no sign of active damage The chest discomfort you are experiencing indicates a digestive origin rather than a heart related cause

At this stage the priority is to support digestion and soothe the stomach Avoid oily spicy sour cold and heavy foods Do not lie down immediately after meals walking after foo

With proper care these symptoms will improve gradually over a few weeks

If chest pain becomes severe continuous or is associated with breathlessness sweating or spreading pain then immediate medical evaluation is required

HELLO,

You had H. pylori infection, which caused a mild duodenal/peptic ulcer You completed 14 days of antibiotics, which successfully controlled the bacteria

However, after treatment new symptoms started -mild pain in the middle of chest -burning sensation -heaviness -bloating/gas (sometimes present , sometimes not)

WHY THIS HAPPENS (important to understand) Antibiotics -kill harmful bacteria (H.pylori) -but also disturb good digestive bacteria -reduce the strength of digestion -make stomach lining sensitive

So now -the ulcer may be healing -but digestion is weak -gas forms easily -acid becomes irregular -chest discomfort occurs due to gas + acid reflux + not heart disease

AYURVEDIC VIEW

MAIN DOSHAS INVOLVED -Pitta->burning, acidity, chest discomfort -Vata-> gas, bloating, shifting pain -Kapha (mild)-> heaviness after food

MAIN PROBLEMS IDENTIFIED -Amla pitta= excess acidic nature of digestive juices -Agni mandya= weak digestive fire after medicines -Grahani dushti= digestion and absorption disturbance -Vata prakopa= gas moving upward causing chest heaviness This is not active ulcer pain, but post ulcer digestive imbalance

TREATMENT GOALS -heal stomach and duodenum lining -reduce acid without suppressing digestion -improve digestive fire gently -remove gas and bloaitng -prevent ulcer recurrence -resotre natural gut balance

INTERNAL MEDICATIONS

1) YASHTIMADHU CHURNA= 1/2 tsp once daily with warm milk empty stomach for 6 weeks =natural ulcer healer, protects stomach lining, reduces burning and chest discomfort, acts like a soothing coating

2) KAMDUDHA RAS (mukta yukta)= 1 tab twice daily after meals for 6 weeks =best for acidity and burning, calms excess pitta, controls chest burning and heat sensation

3) AVIPATTIKAR CHURNA= 1/2 tsp at bedtime with warm water for 6 weeks =neutralizes excess acid naturally, removes gas, prevents acid reflux at night, mild bowel regulation

4)HINWASTAKA CHURNA= 1/4 tsp twice daily mixed with first bite of food lunch and dinner for 4 weeks = strong anti gas medicine, improves digestion, reduces heaviness and bloating

5) SHATAVARI CHURNA= 1/2 tsp at night with warm milk for 6 weeks = repairs stomach lining, nourishes digestive system ,prevents recurrence of ulcer, safe and cooling

EXTERNAL THERAPIES

ABDOMINAL OIL MASSAGE -use warm sesame oil -massage clockwise around navel -10 min before bath =controls vata, reduces gas movement upward, improves digestio

DIET -soft rice, rice gruel -moong dal soup -lauki, pumpkin, ash gourd -ripe banana -pomegeranate -warm milk boiled

AVOID -tea, coffee -spicy, fried food -tomato, lemon, vinegar -bakery items -raw onion, cabbage -packaged food

Eat small quantity, chew well avoid overeating

YOGA -pawanmuktasana= gas relief -Vajrasana= sit after meals -bhujangasana= digestion support

PRANAYAM -Anulom vilom=10 min -Sheetali/sheetkari= cooling -avoid kapalbhati for now

HOME REMEDIES -coconut water- 3 times/week -warm water sipping through day -5 soaked raisins in morning -roasted cumin powder with buttermilk after lunch

EXPECTED RECOVERY TIMELINE GAS AND BLOAITNG- 2-3 weeks BURNING AND CHEST HEAVINESS- 3-4 weeks COMPLETE DIGESTIVE BALANCE- 6-8 weeks

Your condition is reversible and manageable. This is a functional digestive imbalance, not a serious disease. With discipline diet, gentle medicines, and lifestyle correction, full comfort can return naturally

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA