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Why Do I Have Intermittent Chest Tightness Mostly While Sitting?

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Posted on Thu, 29 Dec 2022
Question: I have intermittent chest tightness. Mostly when sitting, is not influenced by physical exertion like walking or mowing the lawn. When I am on my feet it is reduced or leaves. Father died of heart attack at this age. Have been on statins for 20 years, have type 2 diabetes and am on insulin.
doctor
Answered by Dr. Sagar Makode (17 minutes later)
Brief Answer:
Its likely a gastritis and reflux disease

Detailed Answer:

Hello,

It’s unlikely to be a cardiac related pain, but the first possibility is of Gastroesophageal reflux disease, followed by musculoskeletal pain. However, considering the dyslipidemia, family history and diabetes status, it's advisable that you undergo ECG followed by stress test for screening like TMT or stress thallium.

Do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated with Gastroesophageal reflux.

You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg or esomiprazole domperidone combination before breakfast once a day for 2 weeks.

Hope this helps you and get back if you have any doubts.

Regards
Note: For further queries related to coronary artery disease and prevention, click here.

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

Cardiologist

Practicing since :2013

Answered : 1867 Questions

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Why Do I Have Intermittent Chest Tightness Mostly While Sitting?

Brief Answer: Its likely a gastritis and reflux disease Detailed Answer: Hello, It’s unlikely to be a cardiac related pain, but the first possibility is of Gastroesophageal reflux disease, followed by musculoskeletal pain. However, considering the dyslipidemia, family history and diabetes status, it's advisable that you undergo ECG followed by stress test for screening like TMT or stress thallium. Do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated with Gastroesophageal reflux. You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg or esomiprazole domperidone combination before breakfast once a day for 2 weeks. Hope this helps you and get back if you have any doubts. Regards