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What Causes Pressure And Tightness In The Chest?

Posted on Mon, 25 Sep 2017

Question: My 37 year old daughter is experiencing severe symptoms for the past 4 days. She has a tightness in her chest which is preventing her from swallowing. It is in the area of her hiatal hernia. She also has canker sores and a serious yeast infection. We have been to the E.R. twice and was given prednizone and an antibiotic. We have made an appointment with an ENT specialist, but that is Wednesday. She is in pain and cannot eat anything. I honestly do not know what to do now because she needs relief.

Answered by Dr. Naveen Kumar Nanjasetty (2 hours later)

Brief Answer:
Heart burn secondary to hiatus hernia...

Detailed Answer:
Hi

Thanks for posting the query

Your daughter seems to be having heart burn secondary to the hiatus hernia and acid regurgitation into oesophagus and the throat. This is the prime reason for the chest and throat discomfort.

Yeast infection does occur due to stress, reduced immunity, certain medications, etc. Prednisone is not an appropriate choice at this juncture. She would require systemic proton pump inhibitors to reduce the heartburn quickly and the effects of hiatus hernia. Potent oral antacids will reduce the pain in the neck as well as chest discomfort.

I hope this has answered your query; I'll be available for the follow up queries.

Regards
Dr. Naveen Kumar N.
ENT and Head & Surgeon

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Naveen Kumar Nanjasetty (58 minutes later)

Can you explain the sores in her mouth and throat preventing her from swallowing anything beyond ensure? Also, what should we do to ease this pain; she is in terrible discomfort.

Thank you so much for your assistance.

Answered by Dr. Naveen Kumar Nanjasetty (9 hours later)

Brief Answer:
Canker sore/residual oral thrush...

Detailed Answer:
Hi

Thanks for writing back

Sores in the mouth could either be canker sore or residual oral thrush (yeast infection). If you can send me a picture of the oral cavity, I can help you in a better way.

If it is canker sores, then gargles with oral steroid solution can reduce the inflammation. If the sores are secondary to the oral thrush, then, suspensions like Posaconazole has to be used.

Meanwhile, the medicines for hiatus hernia mentioned in my earlier response has to be continued.

Hope this clarifies your doubts. Kindly send me few photos of the oral cavity, if possible.

Thanking you

Regards
Dr. Naveen Kumar N.
ENT and Head & Neck Surgeon

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

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