Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Severe Tightness In The Chest?
Question: My wife is 53 years old. She is a very active with her bicycle riding about 75 miles per week. She is 5' 3" weighing 119 lbs. with a healthy diet. 6 months ago she felt chest pains and had an ambulance ride to the ER resulting in no found issues. Today she is feeling the same tightness but does not know what to do. Any suggestions?
When will I see your reply?
My email is YYYY@YYYY
When will I see your reply?
My email is YYYY@YYYY
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
Thank you for asking on HCM!
Regarding your concern, I would explain that her symptoms could be related to gastro-esophageal reflux or esophageal spasms.
Anxiety could also mimic this clinical scenario.
As her tests resulted normal the fist time in the ER, they will probably result normal even this time.
I would recommend trying an antiacid or omeprazole.
Does her situation change during respiration or body movements? This would indicate possible musculo-skeletal issue. In such case, I would also advice taking ibubrofen 400 mg besides the antiacid.
It is necessary having some rest in the next hours.
If her situation does not improve with the above measures, I would recommend going to the ER for some tests ( a resting ECG, cardiac enzymes, complete blood count, PCR, sedimentation rate).
Hope to have been helpful!
Kind regards,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello!
Thank you for asking on HCM!
Regarding your concern, I would explain that her symptoms could be related to gastro-esophageal reflux or esophageal spasms.
Anxiety could also mimic this clinical scenario.
As her tests resulted normal the fist time in the ER, they will probably result normal even this time.
I would recommend trying an antiacid or omeprazole.
Does her situation change during respiration or body movements? This would indicate possible musculo-skeletal issue. In such case, I would also advice taking ibubrofen 400 mg besides the antiacid.
It is necessary having some rest in the next hours.
If her situation does not improve with the above measures, I would recommend going to the ER for some tests ( a resting ECG, cardiac enzymes, complete blood count, PCR, sedimentation rate).
Hope to have been helpful!
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
