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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tightness In Chest, Heart Palpitations And Lightheadedness?

Just after eating every meal I feel a tightness in my chest, a feeling of my heart beating hard, and a very uncomfortable strange feeling from my upper abdomen to my chest. I experience waves of light-headedness. These start about 10-15 minutes after eating and last for 30-45 minutes or more. It is extremely uncomfortable, 9/10. This has been going on for 2 days and I really can t stand it much longer. Even after they go away they sometimes return if I do any walking within 2 hours. My heartbeat appears to actually be normal during these episodes. I had a recent heart cath and it was normal.
Thu, 3 Dec 2020
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General Surgeon,  's  Response
Hi,

All your symptoms of pain in chest after food, palpitations, chest pain, for 2 days can be due to the following reasons:
- The commonest being heartburn due to a condition called as GERD that is gastroesophageal reflux disease
- Associated conditions of heart and lung should be ruled out

I would advise you the following in such a situation:
- Get started with a PPI like Omeprazole
- Antacid when on empty stomach
- Domperidone to regularize motility
- Upper GI endoscopy
- EKG and cardiac evaluation
- X-ray chest
- Barium studies

All these along with an opinion of a gastroenterologist will help you to have proper diagnosis and thus have a specific treatment.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, General Surgeon
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What Causes Tightness In Chest, Heart Palpitations And Lightheadedness?

Hi, All your symptoms of pain in chest after food, palpitations, chest pain, for 2 days can be due to the following reasons: - The commonest being heartburn due to a condition called as GERD that is gastroesophageal reflux disease - Associated conditions of heart and lung should be ruled out I would advise you the following in such a situation: - Get started with a PPI like Omeprazole - Antacid when on empty stomach - Domperidone to regularize motility - Upper GI endoscopy - EKG and cardiac evaluation - X-ray chest - Barium studies All these along with an opinion of a gastroenterologist will help you to have proper diagnosis and thus have a specific treatment. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon