Hi Docs, I feel sharp pain in chest mostly left and right side after eating mutton chicken eggs what is the issue is it acidity or cholesterol?

Ans: Costcondritis is a condition which occurs due to lifting up heavy objects, sports injury etc. Kindly rule out that

Ans: Acute acidity can be stressful. It takes a continued and consistent dietary treatment for effective results. Avoid high fat and sugar foods, fries, spices, chocolates, garlic, raw onions, coffee (caffeine) as these are triggers for acidity. Restrain from soft drinks, fruit juices, alcohol which would add to your fat percentage and act as triggers for acidity. Reduce the total consumption of fat in the diet. Lack of sleep does cause gastroesophageal reflux disease (GERD). Avoid non veg food as it contains high fat levels which may cause heart burn especially if consumed in large quantities.

Ans: What you are indicating seems to be a sign of insulin resistance where in response to meal, insulin levels rise and then you start feeling hungry. These are indications of early stage of diabetes development.
The first thing you need to get done is blood sugar levels: fasting, 2 hr after breakfast and HbA1c. You also need to have your lipid, and liver function tests done. Essentially, you can get your blood marker profile done. Discuss that with a physician and he or she would be in better position to advise.

Regarding second question, it may not be related to early dinner but overall gastric emptying. Please increase fruits and vegetables in your diet. You need to have some gastric motility enhancing medicines before breakfast . Esomeprazole and Domperidon combination are very effective.

It might benefit to increase the number of meals and snacks in total to 5 From current (Three meals and two snacks) but reduce the quantity and portion sizes in snacks.

Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice
Safdarjung Enclave, New Delhi