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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Left Side Chest Pain

I Have been having chest pain on the left side of my chest. Today is the third day and it gets worse when I eat. It almost feels like I can feel the food in my chest. I took heart burn medicine and it didn't help at all. I went to walmart and took my blood pressure and my blood pressure was 130/84 which my blood pressure is ALWAYS 90/60. I am 27 years old.
Mon, 28 Sep 2015
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Cardiologist 's  Response
Greetings. Welcome to HCM and thank you for your question. I understand your concern.

Clearly, you were preoccupied by this new event or sensation you were experiencing. In various stressful situations, both physical or psychological, heart rate and blood pressure are parameters that increase.

Your age is not very consistent with a coronary artery origin of this pain (i.e. a blockage within the coronary arteries - arteries that encompass the heart as a crown, hence the name, and supply the heart muscle with oxygen and important nutrients). However, angina is more like a squeezing or heaviness felt in the mid-chest which radiates to the throat and jay, and left shoulder and left arm, starts on exertion, is not related to the food intake, and is relieved when the exercise is ceased. I am assuming you are an active and healthy 27-year old, so this kind of pain would be sensed by you during moderate physical activity.

There are other origins of this kind of chest pain. And if it is food-related, then the highest probability is that it has a digestive tract origin. I would recommend you a consult with a gastrohepatologist (digestive tract and liver specialist) to further examine whether this pain is coming from a possible oesophageal spasm (the tube that connects the pharynx with the stomach) or it is coming from an abnormal process in the stomach or the early part of the small intestine. An upper gastro-intestinal endoscopy may be required for properly assessing these issues.

I hope I was of help with my answer.

Kind regards,
Dr. Meriton
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Suggest Treatment For Left Side Chest Pain

Greetings. Welcome to HCM and thank you for your question. I understand your concern. Clearly, you were preoccupied by this new event or sensation you were experiencing. In various stressful situations, both physical or psychological, heart rate and blood pressure are parameters that increase. Your age is not very consistent with a coronary artery origin of this pain (i.e. a blockage within the coronary arteries - arteries that encompass the heart as a crown, hence the name, and supply the heart muscle with oxygen and important nutrients). However, angina is more like a squeezing or heaviness felt in the mid-chest which radiates to the throat and jay, and left shoulder and left arm, starts on exertion, is not related to the food intake, and is relieved when the exercise is ceased. I am assuming you are an active and healthy 27-year old, so this kind of pain would be sensed by you during moderate physical activity. There are other origins of this kind of chest pain. And if it is food-related, then the highest probability is that it has a digestive tract origin. I would recommend you a consult with a gastrohepatologist (digestive tract and liver specialist) to further examine whether this pain is coming from a possible oesophageal spasm (the tube that connects the pharynx with the stomach) or it is coming from an abnormal process in the stomach or the early part of the small intestine. An upper gastro-intestinal endoscopy may be required for properly assessing these issues. I hope I was of help with my answer. Kind regards, Dr. Meriton