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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tightness In Chest And Above The Stomach?

Hello, Doctor. I am having a tightening feeling in my chest area--above my stomach--in the mornings just after I wake up. I will be awake for just 4 or 5 seconds and I feel a sort of squeezing feeling, as if my blood pressure is trying extra hard to rise. I am 50, female, don't smoke, I weigh about 143, and I exercise fairly hard 3 times a week. I have low blood pressure--sometimes in the 90s on top and 50's-60s on the bottom. I never feel faint or dizzy or have chest pains. When I get out of bed following this tightening, I'm not dizzy or lightheaded. What do you think this might be?
Wed, 8 Jun 2016
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Pulmonologist 's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Possibility of gastritis or GERD (gastroesophageal reflux disease) is more likely for your chest tightness.
But since you are perimenopausal female, we should first rule out heart related diseases for your chest discomfort because heart diseases are common in this age.
So get done ecg and 2d echo.
If both these are normal then no need to worry for heart diseases.
Gastritis and GERD can cause similar symptoms due to acid reflux.
So take pantoprazole tablet on empty stomach. Avoid hot and spicy food. Avoid junk food. Drink plenty of fluids orally and keep your self hydrated. Avoid stress and tension if you are having stressful life. Don't worry, you will be alright.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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What Causes Tightness In Chest And Above The Stomach?

Thanks for your question on Healthcare Magic. I can understand your concern. Possibility of gastritis or GERD (gastroesophageal reflux disease) is more likely for your chest tightness. But since you are perimenopausal female, we should first rule out heart related diseases for your chest discomfort because heart diseases are common in this age. So get done ecg and 2d echo. If both these are normal then no need to worry for heart diseases. Gastritis and GERD can cause similar symptoms due to acid reflux. So take pantoprazole tablet on empty stomach. Avoid hot and spicy food. Avoid junk food. Drink plenty of fluids orally and keep your self hydrated. Avoid stress and tension if you are having stressful life. Don t worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.