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What Causes Chest Pain At Night?
Let s say your chest hurt in the middle in your shoulder in the middle of your chest then get tight and but it s like it go away and it happens only at night and it keep coming back at night almost every night can this mean that it can be heart attack
Tue, 3 Oct 2017
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that your symptoms are not typical of any cardiac disorders.
Gastro-esophageal reflux could be the cause of your complaints. A panic attack can not be excluded either.
Coming to this point, I would recommend taking omeprazole before sleep. If it help relieve the chest pain during the night, you should consider gastro-esophageal reflux as the main cause of your complaints. In such case a fibrogastroscopy would be necessary.
Otherwise, if the chest pain persists, despite trying omeprazole, I would recommend performing some tests:
- a resting ECG, cardiac enzymes and a cardiac ultrasound
- a chest X ray study
- complete blood count, PCR, ESR for inflammation.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that your symptoms are not typical of any cardiac disorders.
Gastro-esophageal reflux could be the cause of your complaints. A panic attack can not be excluded either.
Coming to this point, I would recommend taking omeprazole before sleep. If it help relieve the chest pain during the night, you should consider gastro-esophageal reflux as the main cause of your complaints. In such case a fibrogastroscopy would be necessary.
Otherwise, if the chest pain persists, despite trying omeprazole, I would recommend performing some tests:
- a resting ECG, cardiac enzymes and a cardiac ultrasound
- a chest X ray study
- complete blood count, PCR, ESR for inflammation.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
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