Brief Answer: nothing to worry. Detailed Answer: hi XXXX, Chronic sinusitis causes post nasal drip but not chest congestion or burning feeling in your chest. The burning feeling in your chest may be due acid reflux. Acid is normally produced by the stomach. If the lower end of the food pipe is incompetent then acid refluxes into the food pipe causing burning. Nothing to be worried about. It can be easily treated with antacids and prokinetic drugs. You can meet with your doctor for a prescription. Also try some breathing exercises to improve tone of the sphincter in the lower end of the food pipe. You can take an ECG as well to rule out heart disease. Feel free to followup. Regards, Dr kishori

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Brief Answer: exercise increases reflux Detailed Answer: Hi Mr XXXXXXX This symptom only gets worse during exercise. During exercise the sphincter at the lower end of the esophagus looses tone thereby making it lax which increases the reflux. Some amount of reflux will be present even at rest. Very mild reflux need not always produce heart burn. Ask your doctor to prescribe a prokinetic along with omeprazole. Prokinetic drugs increase motility of the stomach thereby emptying it faster. If the stomach is empty chances of reflux reduce dramatically. regards, Dr Rajkishori.

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