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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain?

Hi,
I am a 34 year-old male who recently quit smoking 2 months ago cold turkey. I have a diagnosed hiatal hernia (3 years ago diagnosed) and GERD treated with Prilosec and had an otherwise negative scoping when the small hernia was diagnosed.
Now, I have noticed new mild chest tightness and sometimes some subtle chest pain (midline or on the left breast), and chronic throat-clearing which is the most annoying symptom. Also, when I wake up I have noticed more reflux than usual, so I believe my symptoms are GI related.
My GI doc told me to double up on Prilosec, which I did, but I'm still tasting reflux and having chest tightness 1 week after upping the daily dose.
The next step now is a Cardiac Stress Test. My blood pressure is 130/90, resting pulse is 60, never noticed a palpatation or murmer - is it actually possible I have cardiac disease causing my symptoms?
So far, my doctors have been very noncommunicative about their plan and now having a new specialist is making me nervous. What can a Stress Test tell the cardiologist, and do these symptoms seem likely to be Cardiac?
Fri, 28 Apr 2017
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Pulmonologist 's  Response
Hey there,

At first look, your symptoms doesn't look like cardiac related but its better to rule out cardiac cause first.

According to me you have to make some life style changes along with drugs,

Have drugs half an hour before meal,

take small meals and don't take food for full your stomach.

have plenty of fluids orally.

avoid late night meals and don't go for bed immediately after meal have atleast 2 hours gap.

avoid spicy and junk foods
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What Causes Chest Pain?

Hey there, At first look, your symptoms doesn t look like cardiac related but its better to rule out cardiac cause first. According to me you have to make some life style changes along with drugs, Have drugs half an hour before meal, take small meals and don t take food for full your stomach. have plenty of fluids orally. avoid late night meals and don t go for bed immediately after meal have atleast 2 hours gap. avoid spicy and junk foods