She has been to a gastric doctor before but it has been a long time. But she has gained a lot of weight since then.
PUSHING DOWN DURING A BOWEL MOVEMENT IS CALLED A VALSALVA MANEUVER. THIS CAN CAUSE CHEST PAIN, HEADACHE, AND LIGHTHEADEDNESS. IT IS UNPLEASANT, BUT NOT NECESSARILY DANGEROUS. IF YOU ARE HAVING CONSTIPATION WHICH IT MAKING YOU PUSH DOWN EVEN HARDER, YOU NEED TO COMMIT TO TREATING THE CONSTIPATION SO THAT THIS IS NOT AN ISSUE. OTHERWISE, RELAX.
Hello
It could be acid reflux. You can follow up with your gastroenterologist.