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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sharp And Intermittent Chest Pains?

I have a sharp pain in left chest at bottom of breast line that some times is on right side. It feels like gas Ihave had a ekg and that was good. I have a henita hernia small. I also takenexium for years. If I don t take it heartburn bad.this has sent me to emergency more than a few times over the years. This comes and goes I work out buy running an d riding my bike I am 52 years old and not over weight.
Thu, 29 Jan 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your problem.
In my opinion you are having GERD (gastroesophageal reflux disease) associated chest pain mostly. No need to worry much for cardiac cause as your ECG is normal.
For better control of GERD, along with drugs you need to follow these lifestyle modifications.
1. Avoid hot and spicy food.
2. Avoid stress and anxiety.
3. Avoid large meals, instead take frequent small meals.
4. Go for walk after meals.
5. Keep 2-3 pillows under head in bed to avoid acid reflux.
Small hiatal hernia can also cause poor control of GERD symptoms. So consult gastrosurgeon and if needed get done operation for hernia.
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What Causes Sharp And Intermittent Chest Pains?

Thanks for your question on HCM. I can understand your problem. In my opinion you are having GERD (gastroesophageal reflux disease) associated chest pain mostly. No need to worry much for cardiac cause as your ECG is normal. For better control of GERD, along with drugs you need to follow these lifestyle modifications. 1. Avoid hot and spicy food. 2. Avoid stress and anxiety. 3. Avoid large meals, instead take frequent small meals. 4. Go for walk after meals. 5. Keep 2-3 pillows under head in bed to avoid acid reflux. Small hiatal hernia can also cause poor control of GERD symptoms. So consult gastrosurgeon and if needed get done operation for hernia.