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What Causes Hot Flashes And Tightness In The Chest Area?

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Posted on Wed, 26 Apr 2017
Question: My son is a 20 year old male. His blood pressure is 116/55. He feels weak and is having "hot flashes" about every 5-10 minutes. His skin becomes sweaty and clammy. He's thrown up twice. He says his chest feels tight. He is otherwise healthy.
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Answered by Dr. Sunil (24 minutes later)
Brief Answer:
Reflux with gastritis.

Detailed Answer:
Hi,
Thanks for choosing HealthcareMagic for your query,

Most likely his symptoms are because of reflux disorder. In which the acid contents of stomach regurgitates back into esophagus causing Heart-burn and chest pain or tightness.

So suggestions are:

Firstly I would suggest you give him Nexium(Esomeprazole). Initially take it 40mg twice daily, However if not relieved doses can be increased to 80 mg twice a day.

If still not relieved Domperidone can be given along with Nexium- It is very effective in treating reflux not controlled by PPI's especially when combined with Rabeprazole/Esomeprazole.

Along with medications strict adherence to the diet suggested below is required-

-Give him a low fat easily digestible food.
-Give him a lot of raw salads esp. vegetables.
-No alcohol or smoking.
-No aerated beverages or soda.
-Avoid meat or processed food.-Avoid cheese, Dairy, Milk etc.
-Avoid spicy or fast food(No pizza or Burger).-If possible try vegans diet in dinner and normal diet in lunch.-Drink at least 8 cups of water everyday.-avoid all fruits which are citrus.-Eat 1 cups of fruit like banana apples or pears daily.
Don't give orange juice it will increase symptoms.

Thanks
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Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Sunil

Gastroenterologist

Practicing since :1982

Answered : 351 Questions

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What Causes Hot Flashes And Tightness In The Chest Area?

Brief Answer: Reflux with gastritis. Detailed Answer: Hi, Thanks for choosing HealthcareMagic for your query, Most likely his symptoms are because of reflux disorder. In which the acid contents of stomach regurgitates back into esophagus causing Heart-burn and chest pain or tightness. So suggestions are: Firstly I would suggest you give him Nexium(Esomeprazole). Initially take it 40mg twice daily, However if not relieved doses can be increased to 80 mg twice a day. If still not relieved Domperidone can be given along with Nexium- It is very effective in treating reflux not controlled by PPI's especially when combined with Rabeprazole/Esomeprazole. Along with medications strict adherence to the diet suggested below is required- -Give him a low fat easily digestible food. -Give him a lot of raw salads esp. vegetables. -No alcohol or smoking. -No aerated beverages or soda. -Avoid meat or processed food.-Avoid cheese, Dairy, Milk etc. -Avoid spicy or fast food(No pizza or Burger).-If possible try vegans diet in dinner and normal diet in lunch.-Drink at least 8 cups of water everyday.-avoid all fruits which are citrus.-Eat 1 cups of fruit like banana apples or pears daily. Don't give orange juice it will increase symptoms. Thanks