What Causes Heaviness And Pain In The Chest?

Posted on Wed, 27 Jul 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 27 Jul 2016 Answered on

Sat, 13 Aug 2016 Last reviewed on

Question : Since last week, I am feeling heaviness and pain on my chest. It happens on both side, but mostly on left side. Some times, I feel sensation around that. During that time, I feel very anxiety. Last week, it was severer. Couple of times, I met cardiologist and get ECG done. There was nothing to worry in ECG, they suspected some GAS or muscle pain. But its really hurting me. Please advise.

Answered by Dr. Drkaushal85 (6 hours later)

Brief Answer:
Do you smoke?

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
I have gone through the reports you have attached.
Please let me know
1. Do you smoke?
2. Do you have stressful life?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (39 minutes later)

1) I don't smoke. I used to do a long ago, but it's been close to 6 years that I quit smoking.
2) It's not much stressed, some times in office due to multiple task I feel stress. I do jogging and play badminton regularly.

Thanks,
XXXX

Answered by Dr. Drkaushal85 (52 minutes later)

Brief Answer:
Have you checked your lipids?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
In your prescription, doctor advised rosuvastatin. It is lipid lowering drug. So have you checked your lipids? Are they elevated?
Are you obese?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (45 minutes later)

Yes, my height is 170 cm and weight is 82 kg. Three month ago it was 92 kg. Since last 3 month, I am doing dieting, I left alcohol ( earlier I used to take twice in a week) and doing physical activities. Though weight is significantly down in last three month but it is still overweight.

Answered by Dr. Drkaushal85 (2 minutes later)

Brief Answer:
What about lipid profile?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
So you are obese.
What about lipid profile?
Did you undergo this test?
Are you taking any antacid medicine?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (3 minutes later)

It is at moderate risk level.

Answered by Dr. Drkaushal85 (5 minutes later)

Brief Answer:
We have to look for other risk factors for heart diseases.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
So you are having two risk factors for heart diseases.
1. Obesity
2. Elevated lipids.
At your age, heart diseases are not common. But if more risk factors are there then you should definitely go for further cardiac tests like 2d echo and stress test.
Other common risk factors are diabetes, hypertension and family history of heart diseases.
So please let me know
1. Have you checked for sugar levels?
2. Do you have hypertension?
3. Do you have any family member (close) with heart diseases?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (18 minutes later)

1. Have you checked for sugar levels? - There is no sugar issue, it was tested a month ago.
2. Do you have hypertension? - No
3. Do you have any family member (close) with heart diseases? - No

Answered by Dr. Drkaushal85 (20 minutes later)

Brief Answer:
No need to worry for heart diseases.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
So you are not having other risk factors. So no need to worry for heart diseases for your symptoms.
Loose weight and your cholesterol problem will also solve.
Chest tightness and chest pain are also seen with gastritis, stress and anxiety. Musculoskeletal pain can also cause similar symptoms.
So please let me know
1. Do you have burning epigastric pain?
2. Do you have burping on belching?
3. Do you feel more symptoms while movements of chest or lifting something?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (6 hours later)

1. Do you have burning epigastric pain? - I feel it some times along with bloating.
2. Do you have burping on belching? - Not much, once or twice XXXXXXX a day.
3. Do you feel more symptoms while movements of chest or lifting something? - No, mild paid used to be there for few hours then gets normal. Some times in between, becomes heavy.

Answered by Dr. Drkaushal85 (13 minutes later)

Brief Answer:
Your symptoms are mostly due to gastritis and GERD.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
By your history and description, possibility of GERD (gastroesophageal reflux disease) and gastritis related symptoms is more.
GERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of chest tightness, pressure, heaviness, chest pain, burping, belching etc.
It is common in obese people.
So no need to worry for heart diseases.
You have not answered about antacid. Are you taking any antacid medicine?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (8 minutes later)

Are you taking any antacid medicine? - No, I am not taking any antacid.

Answered by Dr. Drkaushal85 (1 minute later)

Brief Answer:
You should start pantoprazole and levosulperide combination.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
In my opinion, you should start combination of pantoprazole and levosulperide twice daily on empty stomach.
Avoid stress and tension, be relax and calm. Avoid hot and spicy food. Avoid junk food.
Avoid large meals, instead take frequent small meals.
Keep 2 - 3 pillows under head in bed. Go for walking after meals.
All these are needed for better outcomes.
Please let me know
1. Do you have bad eating habits?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Drkaushal85 (17 minutes later)

Thanks doctor for detailed analysis and thorough follow up. It really a great help.
Do you have bad eating habits? - Earlier I used to but since last 3 month as I am on dieting so I do take small meals at regular interval. No non-veg/junk or spicy food.

pantoprazole and levosulperide medicine will work fine with current medication as prescribed by my thyoroid doctor ? Will there be any side effect of this ?

Answered by Dr. Drkaushal85 (4 minutes later)

Brief Answer:
No, these drugs are safe.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
No these drugs are safe and not having side effects.
They are also not having any interactions with thyronorm.
So you car take with thyronorm.
May I give you trade names of this combination?
You are taking 200micrograms of thyronorm.
This is considered as high dose.
May I ask you few more questions about thyroid?
It's OK if you don't want to discuss further.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar