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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Intense Chest Pains?

Please tell me what does this health episode means: I had sharp intense chest pain but it was not continuous. It somewhat faded away every half a second or a little less and then I would feel a sharp pain in the chest mostly in the upper area of my chest and under my brestbone and a little pain in my lower back and my stomach. I was standing when I first felt it while I was drinking tea and the chest pain lasted about 25 minutes. I haven't ate much in the past 2 days if it relates and when I laid down on my bed I felt a little better. But after the episode I felt weak and a little light-headed. Please tell me what this means.
Fri, 4 Dec 2015
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Pulmonologist,  's  Response
Hi. I can understand your concern.
Ideally ecg and 2d echo should be done first in your case. If both are normal than no need to worry for heart diseases.
GERD (gastroesophageal reflux disease) can cause similar kind of chest pain.
GERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause central chest pain and nausea.
You are taking proton pump inhibitors (pepcid). But along with drugs you need to follow certain below mentioned lifestyle modifications for better symptomatic relief.
Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals.
Quit smoking and alcohol if you have these habits.
Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux.
Loose weight if you are obese
Don't worry, you will be alright.
Hope I have solved your query.
Wish you good health. Thanks.
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What Causes Intense Chest Pains?

Hi. I can understand your concern. Ideally ecg and 2d echo should be done first in your case. If both are normal than no need to worry for heart diseases. GERD (gastroesophageal reflux disease) can cause similar kind of chest pain. GERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause central chest pain and nausea. You are taking proton pump inhibitors (pepcid). But along with drugs you need to follow certain below mentioned lifestyle modifications for better symptomatic relief. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Quit smoking and alcohol if you have these habits. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. Loose weight if you are obese Don t worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.