Since cardiac causes are ruled out, your chest pain when bending or waking up is very likely muscle-related or stomach-related. Even without obvious heartburn, stomach acid can reflux when you lie down or bend, which aligns with your use of Razl (rabeprazole), Sucraloc (sucralfate), and Normaxin for stomach spasms. Alternatively, these movements can strain chest muscles or cartilage. Please continue your prescribed medications and discuss these positional symptoms with your doctor, who may suggest simple lifestyle adjustments or mild stretches to help you find relief.

Normaxin contains antispasmodics and a mild sedative. Using it long-term can sometimes lead to mild dependence, dry mouth, constipation, or drowsiness. Because of the sedative component, it is generally best suited for short-term symptom relief rather than indefinite daily use. For long-term IBS management, highly effective alternatives include dietary adjustments like a low-FODMAP diet, increasing soluble fiber, and managing stress. Gentle daily probiotics or other non-habit-forming antispasmodics can also help. Please discuss a gradual tapering plan and these safer long-term options with your doctor.

Normaxin, which contains chlordiazepoxide, clidinium, and dicyclomine, can help soothe irregular bowel movements and abdominal spasms. It is typically taken 30 to 60 minutes before meals. However, because your mother is experiencing chest heaviness, it is crucial to consult a doctor before starting this medication. While gas can cause discomfort, chest heaviness in older adults must always be evaluated by a healthcare professional to rule out any heart-related issues. Please have her seen by a doctor to ensure she receives the safest and most appropriate care.

Your previous medications, like Pantosec (pantoprazole) and Librax/Normaxin, directly target stomach acid and gut spasms. The new prescription of a deworming medicine, Metrogyl (metronidazole), and Udiliv 300 (ursodeoxycholic acid) suggests your doctor may suspect an underlying parasitic infection or gallbladder issue contributing to your symptoms. However, taking strong antibiotics and bile acids without an in-person evaluation or diagnostic tests (like an ultrasound or stool test) may not be ideal. I gently recommend having an in-person consultation with a gastroenterologist to confirm this new diagnosis before starting these medications, ensuring you get the safest, most effective relief.

Often, the stomach lining remains sensitive and needs more time to heal. Your doctor prescribed Normaxin RT to help reduce stomach spasms and control acid production, which can ease your nausea and discomfort. The esophageal acid monitoring test is a safe, excellent tool that measures acid levels in your esophagus over 24 hours. This helps pinpoint if ongoing acid reflux is causing your chest burning, allowing your doctor to tailor a highly effective recovery plan for you.

Since you are taking Normaxin to help calm gut spasms, the key is focusing on energy-dense, IBS-friendly foods that won't trigger flare-ups. Try incorporating small, frequent meals throughout the day instead of large portions. Focus on low-FODMAP, nutrient-rich options like eggs, cooked carrots, oats, bananas, and healthy fats like olive oil or smooth peanut butter in small amounts. I highly recommend working with a registered dietitian to create a personalized, gentle meal plan that supports your weight goals safely.