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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain?

I am having chest pain in the middle of my chest. When I lie down it hurts more than when I sit up. I also checked my pulse and I normally run pretty low like between 45-55, but it was 63 when I checked. Do you think maybe it's gas or something more serious?
Wed, 13 Apr 2016
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Central chest pain more on lying down is commonly seen in GERD (gastroesophageal reflux disease).
But better to first get done ecg to rule out heart diseases.
If ecg is normal then no need to worry for serious illness.
Possibility of GERD is more.
GERD is due laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of central chest pain, gaseous distention etc.
So take antacid tablet like pantoprazole. Avoid large meals, instead take frequent small meals. Avoid stress and tension. Keep 2 - 3 pillows under head in bed to prevent reflux.
Don't worry, you will be alright with all these.
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 Chest Pain?

Thanks for your question on Healthcare Magic. I can understand your concern. Central chest pain more on lying down is commonly seen in GERD (gastroesophageal reflux disease). But better to first get done ecg to rule out heart diseases. If ecg is normal then no need to worry for serious illness. Possibility of GERD is more. GERD is due laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of central chest pain, gaseous distention etc. So take antacid tablet like pantoprazole. Avoid large meals, instead take frequent small meals. Avoid stress and tension. Keep 2 - 3 pillows under head in bed to prevent reflux. Don t worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.