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Severe pain over the chest - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   Hi
User :   hello doctor a swear pain occures in or around heart almost every day and last for 1 or 2 seconds. i am not able to find out what it is. pls help
Doctor :   Iam.Dr.XXX
User :   hi
Doctor :   Please let me read your post
Doctor :   May i know yor age and gender?
User :   29+ female
Doctor :   Since how long you have it?
Doctor :   ok
Doctor :   Are you on any medicines?
User :   its been almost 6 months
User :   no
Doctor :   Ok
User :   i underwent ecg almost 1 year back
Doctor :   Did you have burning pain?
Doctor :   or you have local pain
User :   pain is quite swear
Doctor :   when you press over your chest
Doctor :   ok
User :   the same pain does not happen when i press over the chest
Doctor :   ok
Doctor :   the most common cause is an musculoskeletal pain
User :   will this pain happen only for a second
Doctor :   The source of pain may arise from a variety of potential sources: Doctor :   the chest wall including the ribs, the muscles, and the skin;
Doctor :   the back including the spine, the nerves, and the back muscles;
Doctor :   he lung, the pleura (the lining of the lung) or the trachea;
Doctor :   the heart including the pericardium (the sac that surrounds the heart);
Doctor :   Do you have a reflux acid disease?
User :   do u think it has nothing to do with heart
User :   wha tis that
User :   reflux acid?
Doctor :   no i cannot say that
Doctor :   acid refluxing from the stomach
Doctor :   in to oesophagus
Doctor :   causing a burning pain in the stomach and chest
User :   yes i do have a commonly called acidity problm and gas problem
Doctor :   Was your ECG normal?
User :   yes. i got it done for insurance purpose
Doctor :   was it normal?
User :   yes
Doctor :   ok
Doctor :   are you on any medicines for acidity?
User :   no
Doctor :   do you feel belching and abdominal distension?
User :   i have not visited any doctor yet
User :   no
Doctor :   ok
Doctor :   when do you notice the pain ?
Doctor :   is it related with food?
Doctor :   do you take a lot of spicy or oily food?
User :   not reallyy
User :   my diet is normal
Doctor :   ok
Doctor :   do you have pain when you press on the chest?
Doctor :   is your pain increasing with breathing?
Doctor :   The most common cause of pain is musculoskeletal
Doctor :   that is costochondritis or tietze's syndrome
Doctor :   for which you need only some simple pain killers and some rest
Doctor :   and ice compresses
Doctor :   recovery may take weeks
User :   ok
Doctor :   Are you there?
User :   yup
Doctor :   You need to also watch gor GERD
Doctor :   for GERD
Doctor :   or acid reflux symptoms
User :   GERD?
Doctor :   for that
Doctor :   GERD-gastro oesophageal reflux disease
Doctor :   Don't eat within 3 hours of bedtime. This allows your stomach to empty and acid production to decrease.
User :   ya
User :   ok
Doctor :   don't lie down right after eating at any time of day.
Doctor :   Elevate the head of your bed 6 inches with blocks. Gravity helps prevent reflux.
Doctor :   Don't eat large meals
Doctor :   Eating a lot of food at one time increases the amount of acid needed to digest it.
User :   but i generally reach home at 8pm. cook food eat by 9 30 pm go for sleep at 11 pm
Doctor :   Eat smaller, more frequent meals throughout the day.
Doctor :   ok that is good
Doctor :   Avoid fatty or greasy foods, chocolate, caffeine, mints or mint-flavored foods, spicy foods, citrus, and tomato-based foods.
Doctor :   Overweight and obese people are much more likely to have bothersome reflux than people of healthy weight.
User :   i am about to et into obess category soon
User :   get
Doctor :   may i know your height weight and age
User :   i still need to understand why i am putting on weight
User :   5 feet 2 incehs
User :   70
User :   29+ years
User :   april 2009 my weight was 59
User :   my diet is absolutely normal
Doctor :   yes
Doctor :   As per BMI you are in the extreme end of overweight category
Doctor :   soon to become obese cateogry
Doctor :   your ideal recommended weight is
Doctor :   58kg
Doctor :   between a range of 47-62kg
Doctor :   . Green tea is one of the popular home remedies for weight loss. Drink three cups of green tea to deal with the extra weight. It is an ultimate fat burner.
Doctor :   Drink a glass of lukewarm water mixed with lime juice and some honey the first thing in the morning. This is also a common home remedy for weight loss to dissolve the excess fats.
Doctor :   . Minimize your carbohydrate intake. Avoid rice and potatoes. Wheat, barley and maize are ideal substitutes for rice in people who has weight problems
Doctor :   Begin your day with a glass of lukewarm water with honey or lime juice in it
Doctor :   go for a brisk 30 min walk regularly
Doctor :   take a lot of vegetables and fruits daily
Doctor :   are you there?
User :   yes
Doctor :   hope you are following me
Doctor :   drink plenty of water daily
Doctor :   it clears your body of the toxins
Doctor :   use only skimmed milk
User :   ok
Doctor :   avoid milk and dairy products
Doctor :   use sunflower or safflower oil
Doctor :   or if poz use olive oil
Doctor :   which is very very good
User :   ok
Doctor :   since it is rich in monounsaturatted fatty acids
Doctor :   avoids fruit like banana and chikku
Doctor :   take green tea or mint tea daily
Doctor :   it is very good for weight loss
Doctor :   is it enough for today?
Doctor :   so do follow the home remedies what i have said
Doctor :   and get back to me anytime
Doctor :   when you need any help
Doctor :   24/7
Doctor :   are you there?
Doctor :   Thanks for consulting................
User :   thanks doctor
User :   sorry i was away
Doctor :   Bye for now.......
Doctor :   thanks......
User :   thanks for your advice
User :   bye
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