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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause Of Chest Pain?

I am 71 years old male. Had a lot of gas last week or so. yesterday evening and this evening had sharp chest pain 4 inches above left nipple lasting less than 10 or 15 seconds about for times within the hour. took one regular aspirin. i am type 2 diabetic. I m taking metformin 500mg twice a day. my A1c is 6.1. also taking Losartan25mg, once a day, and,PravastatinSodium 10mg once a day, plus vitaminD, a baby aspirin a day and some antioxidents wine extract and pomigranet for improved urination. I am 5.7 tall and weigh 147lbs. In very good health condition including cholestoral and triglesorites nothing exceeding range limits, as a matter of fact much below range limits. right now i feel great. no arm pain or other pains. might consider visiting urgent care tomorrow for the peace of mind. would aappreciate your assessment. Thank you.
Mon, 9 Feb 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion you are having GERD (gastroesophageal reflux disease) mostly.
But better to rule out cardiac cause first for your left sided chest pain.
You are having following risk factor for cardiac disease.
1. Old age
2. Diabetes. So get done ECG. If ECG is normal then no need to worry much for cardiac cause.
You had gas problem which also favours GERD more in your case. 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 the symptoms of chest pain and gas.
So avoid hot and spicy food. Avoid stress and tension. Avoid large meals. Start proton pump inhibitor. Go for walk after meals.
Don't worry, you will be alright.
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What Is The Cause Of Chest Pain?

Thanks for your question on HCM. In my opinion you are having GERD (gastroesophageal reflux disease) mostly. But better to rule out cardiac cause first for your left sided chest pain. You are having following risk factor for cardiac disease. 1. Old age 2. Diabetes. So get done ECG. If ECG is normal then no need to worry much for cardiac cause. You had gas problem which also favours GERD more in your case. 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 the symptoms of chest pain and gas. So avoid hot and spicy food. Avoid stress and tension. Avoid large meals. Start proton pump inhibitor. Go for walk after meals. Don t worry, you will be alright.