Different Kinds of GERD Chest Pain Described by Doctor

The chest pain from GERD comes in a variety of flavors, and knowing the characteristics of the type of chest pain that acid reflux causes can help set your mind a bit more at ease if you’re always worrying that something is wrong with your heart. (more…)
Can Mucus in Toilet Bowl without Poops Be Caused by IBS?

Ever heard something plop in the toilet bowl but see only a glob of mucus but no poops?
If you have IBS you may have previously seen a lot of mucus coming out with your stools. (more…)
Can IBS Cause a Headache?

There’s a reason why it only SEEMS that irritable bowel syndrome can actually cause a headache or a migraine.
Certainly, there’s an association between IBS and headaches. (more…)
Does GERD Increase Hunger or Suppress Appetite?

You may believe that your GERD has made you hungrier than ever, while someone else swears that their acid reflux disease has decreased their appetite.
Can both patients be right? (more…)
Can GERD or Acid Reflux Cause Neck & Shoulder Pain?

Neck and shoulder pain even when together can have quite a few causes, some life threatening.
Can GERD Cause Faint Feeling or Sensation of Passing Out ?
GERD can cause a lot of symptoms and if left untreated can raise the risk of esophageal cancer, and feeling faint or a feeling like you’re about to pass out is a symptom that many acid reflux sufferers wonder can also be caused by this condition.
GERD stands for gastroesophageal reflux disease and can cause numerous symptoms, and some of them are very uncomfortable such as chest pain and frequent coughing.
Some people who suffer from GERD may also, by chance, be experiencing an occasional or periodic feeling of faintness or feeling like they’re on the verge of passing out.
So they wonder if GERD can actually cause them to feel faint or make them actually pass out.
“Almost never,” says Dr. Brian Lacy, MD, of Dartmouth Hitchcock Med Center, who specializes in functional disorders of the gastrointestinal tract and is author of the book “Healing Heartburn.”
Here is what Dr. Lacy explains:
“Feeling faint can occur for a variety of reasons (low blood sugar, low blood pressure, not enough salt in the diet, medications, anxiety, heart problems, diabetes, kidney problems, other nerve problems).”
Most notably when heart problems cause feeling faint, the issue may be an arrhythmia or congestive heart failure.
Dr. Lacy continues, “Fainting (syncope) can also occur for a host of reasons. There are rare (almost reportable, because it is so uncommon) [cases] of GERD causing fainting.
“This typically happens if acid reflux occurs and then the esophagus has a severe spasm.
“This can occasionally cause a drop in pulse and blood pressure since the spasm is so severe, and causes pain, that it causes someone to faint.
“But this is so extremely rare (again, almost unheard of) that no one typically thinks of faintness or fainting, from acid reflux.”
What can you take away from this information?
That it’s extremely more likely that any fainting or feelings like you’re about to pass out is being caused by something other than GERD.
It’s not safe to assume, “I get lightheaded and sometimes feel faint due to my acid reflux.”
Furthermore, if you frequently feel faint – this frequent occurrence even more so points to a cause unrelated to gastroesophageal reflux disease.
So what should you do?
Assume that your feelings of getting close to passing out have nothing to do with your GERD.
Next, try to rule out the most serious possible cause. This would mean an exam by a cardiologist to check your heart and blood pressure.

Shutterstock/Satyrenko
While you’re at it you should get a blood test to check for diabetes.
Then take it from there, working through the list until a cause is found.
Anxiety as a diagnosis should come only when all other possible causes are ruled out.
If your cardiologist declares your cardiovascular system in top condition, discuss the faint feelings with your primary care physician, as this symptom – again, is very unlikely (but not impossible) to be caused by GERD.
Dr. Lacy combines his love of science, medicine and people to uncover the causes of symptoms like stomach pain, gas, bloating, diarrhea, constipation and regurgitation.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.
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Top image: ©Lorra Garrick
You See Entire Finger Move from Twitching: this Mean ALS ?

You can see your whole finger tremoring each time it twitches and are wondering if the jumping is more likely to mean ALS than if you didn’t see any movement.
Have you ever felt a finger twitching, then looked at it and discovered that the entire finger jumps or tremors with each twitching episode?
When this happens it’s often, perhaps usually, the index finger.
But this complaint — that of seeing the entire finger move (tremor, jump) — is also often of the thumb.
It can actually happen with any finger: pinky, ring, middle.
What typically happens is that you first FEEL the twitching or sudden little tremors that last briefly.
This makes you look at the finger.
Then it twitches or “tremors” again – and you see the whole thing moving. This makes you think of ALS because you can see the action.
The visible movement is described as either that of twitching, tremoring, jumping or jerking.
The visibility of it makes many people worry that it’s more likely ALS, when compared to twitching that cannot be seen.
When the visible jerking happens, the rest of the hand and other fingers remain still. It’s just that one finger doing its dance.
You continue watching for it to happen again, and sure enough, it does, and you can’t help but worry sick it’s ALS.
I have written many articles on the ALS fear, featuring a number of neurologists and other medical doctors answering my questions.
Anthony P. Geraci, MD, is one of those neurologists. He is associate professor of neurology at Donald & Barbara Zucker School of Medicine in New York.
I interviewed him for my article, “Visible Muscle Twitches: Why You Can See Them, What It Means.”
For that article Dr. Geraci explains, “A trap you don’t want to fall into is excessive worry simply because you can see a muscle twitch.”
Sure, you’ve heard the phrase, “Seeing is believing.” But there’s no such thing as “Seeing means higher likelihood of ALS.”
The phenomenon of an entire finger moving during twitching is not a sign of increased likelihood of ALS.
Dr. Geraci in the article also says, “Seeing a muscle twitch rather than feeling one has no meaning at all and is no cause for concern.”
But if you also feel it along with see it, that too, is no cause for alarm.
I’ve seen my entire index finger twitch. It’s like a tremoring – tiny little fast tremors.

Anthony Geraci, MD
Yet I continue being able to deadlift heavy amounts of weight, and believe me, anyone who’s ever deadlifted heavy barbells knows how crucial the use of an index – or any finger – is for this exercise.
Here is the entire article featuring Dr. Geraci.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.
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Top image: Shutterstock/Bankoo
Why Do Some Doctors Ignore a Diagnosis of Prediabetes?

If your medical records say you have prediabetes, but your doctor has not spoken to you about this, then speak up to your doctor.
I have witnessed the phenomenon of doctors not minding the existence of a prediabetic fasting blood sugar level twice already.
But what is prediabetes?
“The normal fasting blood sugar should be ranging from 70-99 mg/dL, and prediabetes is in a range of 100-125mg/dL,” says Sashini Seeni, MD, a family medicine practitioner with DoctorOnCall, an online doctor and pharmacy.
If someone’s fasting blood sugar is, for example, 107, this might mean prediabetes, says Dr. Seeni.
But one isolated reading does not automatically brand you as prediabetic.
I once had a fasting glucose of 106. The report said “impaired glucose metabolism.”
But my doctor was not concerned. After I researched prediabetes I discovered the very most likely cause of the 106 fasting glucose: eight weeks of disrupted sleep combined with severe anxiety (I was taking care of my parents’ dying dog).
In fact, a study shows that ONE night of disrupted sleep can cause fasting glucose to jump into the prediabetes range.
- But what if the patient reports good sleep and there is more than one such reading in a row?
- And what if there IS a diagnosis in the records as “prediabetic”?
My mother had quintuple bypass surgery. Several months prior, she had her gall bladder removed. Between these two events, a number of blood tests were taken.
Going into the bypass surgery, my mother already had been diagnosed as “prediabetic” by one of the doctors involved in the gall bladder issue.
I found this out when I came upon her medical records when reviewing the pile of paperwork that came after the bypass surgery.
Prediabetes?
This was never pointed out to my mother because when I asked her about it, she didn’t have a clue.
Is it possible that the doctor had discussed the prediabetes with her, and she flat-out forgot all about it?
Yes, that’s possible in my mother’s case. But she was remembering other things that had been discussed, however.
A number in the low prediabetic range “is not a high enough concern for a treatment of diabetes,” says Dr. Seeni.
“Even if you want a medicine for prediabetes, it is not as effective as exercising and diet.
“Your doctor could prescribe medicine if you are at high risk of developing diabetes and have other medical problems.
“But in a state of fasting blood sugar is in the low 100s, you can prevent and treat prediabetes with diet, exercising and losing weight.”
Know What’s in Your Medical Records
My mother never knew she had been diagnosed with prediabetes until she was reading the paperwork describing the bypass surgery!
As for my “impaired glucose metabolism” on the paperwork, I had discovered this five weeks after seeing my primary care physican for sudden-onset diarrhea.
I then recalled that when I was in the doctor’s office, the doctor had said, “Oh, you’ll get your lab results by e-mail.
You’ll note that your blood sugar is a little high; it’s been flagged, but just because something’s a little out of range doesn’t mean it’s anything to worry about.”
I e-mailed my doctor asking why my fasting glucose of 106 was, in a sense, being swept under the rug.
She responded that a diagnosis of prediabetes cannot be made unless a second fasting glucose test, taken six months later, is also high. And that was that.
I also didn’t have any known risk factors for type 2 diabetes such as excess body fat.
The situation was let go, and not surprisingly, to this day, I have never had another “prediabetic” fasting blood glucose, and all of my A1c tests have been normal.
Summary of How to Prevent Prediabetes
There is a connection between prediabetes, disrupted sleep and emotional stress.
Learn to practice stress and anxiety management (though that’s often very difficult, depending on the circumstances), and do your best to get restorative sleep.
Lose excess weight, do cardio exercise, strength training workouts and limit processed foods with a plant based diet.
DoctorOnCall is the largest digital healthcare platform for citizens of Malaysia, allowing patients to consult doctors for advice, book appointments and place orders with local pharmacies.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.
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Top image: Shutterstock/Stokkete
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