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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Chest Pains At The Center Of Chest?

I am a healthy 73 year old woman. For several wks I have been having sharp but not severe chest pains in the center of my chest of and on often throughout the day. I thought it could be posture related at the computer or reading etc. but I m wondering. I have stairs at home and seem to not notice problem climbing. I do maybe feel a little light headed. Could this be angina related?
Wed, 28 Jan 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion you should consult cardiologist and rule out cardiac cause first. In old age (73 years) central chest pain can be due to Cardiac problem.
So get done
1. ECG
2. 2d echo
3. Stress test
To rule out cardiac cause.
If all are normal than no need to worry for cardiac cause.
You may have GERD ( gastroesophageal reflux disease) mostly. It is commonly seen in old age due to laxity of gastroesophageal sphincter.
Because of these the acid of the stomach tends to come up and cause the symptoms like central chest pain.
So try to follow these steps for better symptomatic relief.
1. Avoid hot and spicy food. Avoid stress and anxiety. Avoid large meals, instead take frequent small meals.
2. Take good proton pump inhibitor.
3. Go for walk after meals. Keep 2-3 pillows under head in bed.
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What Causes Severe Chest Pains At The Center Of Chest?

Thanks for your question on HCM. In my opinion you should consult cardiologist and rule out cardiac cause first. In old age (73 years) central chest pain can be due to Cardiac problem. So get done 1. ECG 2. 2d echo 3. Stress test To rule out cardiac cause. If all are normal than no need to worry for cardiac cause. You may have GERD ( gastroesophageal reflux disease) mostly. It is commonly seen in old age due to laxity of gastroesophageal sphincter. Because of these the acid of the stomach tends to come up and cause the symptoms like central chest pain. So try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. Avoid stress and anxiety. Avoid large meals, instead take frequent small meals. 2. Take good proton pump inhibitor. 3. Go for walk after meals. Keep 2-3 pillows under head in bed.