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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pressure And Pain In The Chest?

5th incident this month. early morning hours, sharp heavy pressure chest pain when turning from left side of sleep unto my back. center of my chest,can hardly move,almost like a paralysis...but painful. I hold and push on my own chest to help relieve pressure,squeezing,pain.Thought it was a heart attack?
Tue, 21 Apr 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
We need to get done ecg and 2d echo first, to rule out cardiac cause.
If both are normal then no need to worry for cardiac cause.
GERD (gastroesophageal reflux disease) can also cause similar symptoms.
It is due to laxity of gastroesophageal sphincter.
Because of this the acid of the stomach tends to come up in the esophagus and cause severe central chest pain.
Better to follow these steps for better symptomatic relief.
1. Avoid stress and tension. Avoid hot and spicy food.
2. Avoid large meals, instead take frequent small meals.
3. Start proton pump inhibitors.
4. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux.
5. Avoid alcohol and smoking if you have these habits.
Don't worry, you will be alright.
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What Causes Pressure And Pain In The Chest?

Thanks for your question on HCM. I can understand your situation and problem. We need to get done ecg and 2d echo first, to rule out cardiac cause. If both are normal then no need to worry for cardiac cause. GERD (gastroesophageal reflux disease) can also cause similar symptoms. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause severe central chest pain. Better to follow these steps for better symptomatic relief. 1. Avoid stress and tension. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Start proton pump inhibitors. 4. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. 5. Avoid alcohol and smoking if you have these habits. Don t worry, you will be alright.