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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Sense Of Tightness In The Chest On Waking Up?

Hi I m a 39 year old male, overweight and trying to change my diet habits and exercise more. I am however feeling a tightness across my upper chest and it s particularly noticable in the morning when I first wake up and for instance try and roll over etc..etc.. I ve also noticed when I sneeze, I can t perform a deep sneeze that I can feel starting deep in my chest. My body seems to only allow a somewhat shallow sneeze. If I sneeze again, it s deeper (as it should be) but slightly hurts. Same as a cough. I can no longer do a deep cough. My doctor suggests it might be some kind of bug in my stomach? Huh? He ordered a blood test which I m waiting on now. Any ideas? Could it be anything else? What kind of bug are we talking about here and how does one get rid of it? Any help would be great!
Mon, 31 Jul 2017
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Cardiologist,  's  Response
Hello!

Thank you for asking on HCM!

Your symptoms could be related to a musculo-skeletal pain or chostochondritis.

Gastro-esophageal reflux or gastritis can not be excluded either.

For this reason, I would recommend trying an antiacid or PPI (omeprazole, esomeprazole). If it helps relive your symptoms, it would indicate possible gastritis or gastro-esophageal reflux underlying your symptoms. In such case a fibrogastroscopy would be necessary to confirm the diagnosis.

Otherwise, I recommend trying ibuprofen. If your symptoms are relied by ibuprofen, it would indicate possible musculo-skeletal pain (including chostochondritis), as the main cause of your complaints.

Anyway, as a cardiologist, I would like to reassure you that your symptoms are not related to the heart, as they are not characteristic of any cardiac disorders.

Hope you will find this answer helpful!

Wishing good health,

Dr. Iliri
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What Causes A Sense Of Tightness In The Chest On Waking Up?

Hello! Thank you for asking on HCM! Your symptoms could be related to a musculo-skeletal pain or chostochondritis. Gastro-esophageal reflux or gastritis can not be excluded either. For this reason, I would recommend trying an antiacid or PPI (omeprazole, esomeprazole). If it helps relive your symptoms, it would indicate possible gastritis or gastro-esophageal reflux underlying your symptoms. In such case a fibrogastroscopy would be necessary to confirm the diagnosis. Otherwise, I recommend trying ibuprofen. If your symptoms are relied by ibuprofen, it would indicate possible musculo-skeletal pain (including chostochondritis), as the main cause of your complaints. Anyway, as a cardiologist, I would like to reassure you that your symptoms are not related to the heart, as they are not characteristic of any cardiac disorders. Hope you will find this answer helpful! Wishing good health, Dr. Iliri