Detailed Answer: Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. My opinion- In the given situation-You seem to suffer from-Alcohol induced Gastritis with Acid Reflux with CAD,which needs to be ruled out at this age of 66 yrs. Tightness in the chest could be from-Gastritis/ and or from accompanied Acid Reflux with esophagitis/ and or could be from accompanied CAD,which could precipitate Heart attack, if not investigated and treated in time. Change in life style and diet with Stress test and needful medicines and exercises under guidance from Cardiologist would resolve these issues. Other causes need to be ruled out after Consults with Specialist Physician/Cardiologist doctor -as need be. Further suggestions in this regard would need ore information /investigations after getting more details from You. Do s Suggested- Bland diet with less of Alcohol PPI-like Esomeprazole with domeperidone- if need be. Avoid fatty/spicy/fried diet. Timely care with proper diet and investigations with needful medicines would fix these health issues. Rule out other causes,before starting any treatment as suggested herewith. This brief reply is given on facts submitted, which needs to be verified from your attending doctors, with whom you can check before starting further changes in the treatment. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS