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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chest Pain During Night

I have acid reflux disease and am on meds for it. I have been getting a pain in my chest at night mostly where it feels like someone is trying to push their fist through my chest. This just started in the last couple of weeks. I try to relieve the pain by taking gaviscon and a few tums. Is there something else I can try?
Wed, 28 Jan 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion we should first rule out cardiac cause for your chest discomfort.
Because night time chest problems are commonly seen heart disease.
So get done ECG to rule out cardiac cause.
If ECG is normal than no need to worry much for cardiac cause.
You are mostly having chest discomfort due to GERD (gastroesophageal reflux disease).
For better control of GERD,along with drugs, you should follow below mentioned lifestyle modifications.
1. Avoid hot and spicy food.
2. Avoid stress and anxiety.
3. Avoid large meals, instead take frequent small meals.
4. Go for walk after meals.
5. Keep 2-3 pillows under head in bed to prevent reflux.
6. Loose weight if you are obese.
7. Avoid smoking and alcohol if you have these habits.
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Suggest Treatment For Chest Pain During Night

Thanks for your question on HCM. In my opinion we should first rule out cardiac cause for your chest discomfort. Because night time chest problems are commonly seen heart disease. So get done ECG to rule out cardiac cause. If ECG is normal than no need to worry much for cardiac cause. You are mostly having chest discomfort due to GERD (gastroesophageal reflux disease). For better control of GERD,along with drugs, you should follow below mentioned lifestyle modifications. 1. Avoid hot and spicy food. 2. Avoid stress and anxiety. 3. Avoid large meals, instead take frequent small meals. 4. Go for walk after meals. 5. Keep 2-3 pillows under head in bed to prevent reflux. 6. Loose weight if you are obese. 7. Avoid smoking and alcohol if you have these habits.