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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Chest Pain And Tightness In Middle Of Chest With No Help From Pentoprazole And Pepticaine

Hello, yesterday I had been in sun for a while and had more than usual number of fags and by post-noon developed chest pain and tightness in the middle of chest. I had been prescribed pentoprazole and Pepticaine saying it is gas problem, but no relief if not worsening in 12 hours. Your take on the situation please...
Thu, 5 Feb 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion, we should first rule out cardiac cause. As many times heart problems can also cause central chest pain.
So get done ECG first.
If ECG is normal then no need to worry for cardiac cause.
It is acid reflux mostly.
Along with drugs, you need to follow these lifestyle modifications for better symptomatic relief.
1. Avoid hot and spicy food
2. Avoid large meals, instead take frequent small meals.
3. Avoid stress and anxiety.
4. Go for walk after meals.
5. Keep 2-3 pillows under head in bed to prevent acid reflux.
6. Loose weight if you are obese
7. Quit smoking and alcohol if you have these habits.
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Suggest Remedy For Chest Pain And Tightness In Middle Of Chest With No Help From Pentoprazole And Pepticaine

Thanks for your question on HCM. In my opinion, we should first rule out cardiac cause. As many times heart problems can also cause central chest pain. So get done ECG first. If ECG is normal then no need to worry for cardiac cause. It is acid reflux mostly. Along with drugs, you need to follow these lifestyle modifications for better symptomatic relief. 1. Avoid hot and spicy food 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Go for walk after meals. 5. Keep 2-3 pillows under head in bed to prevent acid reflux. 6. Loose weight if you are obese 7. Quit smoking and alcohol if you have these habits.