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A 42-year-old female asked:

I'm a fit slim 41yo with burning pain just under angle of left rib cage for past year. feels like something stuck under with fluttering into my chest at times. burning feeling worsens if i drink coffee/hot drinks but not always. eases with exercise?

2 doctor answers2 doctors weighed in
Dr. Donald Colantino
Internal Medicine 63 years experience
According to this description of symptoms I would consider it to be a type of esophageal motility disorder with some degree of esophageal inflammation. You could try avoiding caffeine, alcohol,spicy&oily foods,aspirin and anti-inflammatory meds like ibuprofen or naproxen and take famotidine or omeprazole for a week or two only. Consult a gastroenterologist if not improved.
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Dr. Padmashri Rastogi
Internal Medicine 39 years experience
Inflammation and cramping of left lower inter coastal muscles seems most likely cause. If some diaphragmatic muscles are involved, heart burn caused by hot liquids can make it worse.. Exercise can increase or decrease the problem depending on location of problem and exercise used. Hope it helps.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Apr 20, 2021
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