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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pains?

Hi, I have been having chest pains and have had the all clear with a Cardio Angiography procedure, an ultrasound of my heart and blood tests all fine. I seem to be getting a constant warm sensation through my sternum with some shooting pains on occasion on either side of my chest. Mylanta antacid has been tried and I am not sure if that helped at all. Could it be heartburn, an ulcer? What other possible aspects could it be. It does seem to be worse after eating or having a scotch and cola.
Fri, 26 Dec 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion you are having GERD ( Gastro Esophageal Reflux Disease ) only. As your pain is getting worse by eating and drinking scotch or cola.
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.
Try to follow these steps for better symptomatic relief.
1. Avoid hot and spicy food.
2. Avoid large meals, instead take frequent small meals.
3. Avoid stress and anxiety.
4. Start proton pump inhibitor.
5. Go for walk after meals.
6. Keep 2 - 3 pillows under head in the bed.
7. Avoid smoking and alcohol.
8. Loose weight if you are obese .
Since your cardiac work up is normal, I don't think of any other cause. It is GERD mostly.
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What Causes Chest Pains?

Thanks for your question on HCM. In my opinion you are having GERD ( Gastro Esophageal Reflux Disease ) only. As your pain is getting worse by eating and drinking scotch or cola. 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. Try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7. Avoid smoking and alcohol. 8. Loose weight if you are obese . Since your cardiac work up is normal, I don t think of any other cause. It is GERD mostly.