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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause On And Off Tightness And Pain In Chest, Dizziness With Tingly Arms?

Hey, um so I just want to get some facts on my chest pain, had if for about 2 months now on and off, only happens when I wake up from drinking alot of alcohol the night before , it s a sharp tight pain, I also feel like I can t breath or that I m going to die. I am a daily smoker , drug abuser and alcohol use. I m just curious to know why it s happening and why has it only been coming on the last 2 months. I m a 17 year old male so it s kinda scaring me I got bad chest pains at such a young age . Also with the chest pains I feel dizzy, my arms and legs go numb and tingly like pins and needles, im short of air and its just a really unpleasant feeling. I should also tell you that I was hospitalized from it about 2 months ago , they ran scans and only told me thy i had severe lung scaring from smoking. Thanks fo taking your time to read this as please get back to me ASAP . Josh
Fri, 31 Oct 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
N my opinion we should first rule out cardiac and pulmonary causes.
Since you are smoker chances of cardiac and pulmonary diseases are more.
So first get done ECG to rule out cardiac cause.
Get done PFT (Pulmonary Function Test) to rule out bronchitis.
If all of the above are normal than your chest pain is due to GERD(Gastro Esophageal Reflux Disease). It is due to laxity of gastroesophageal sphincter.
And due to this acid of the stomach tends to come up in the esophagus and cause the symptoms.
Smoking and alcohol both make this sphincter loose and cause reflux.
So better to quit alcohol and smoking as soon as possible. Eat healthy and stay fit.
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What Could Cause On And Off Tightness And Pain In Chest, Dizziness With Tingly Arms?

Thanks for your question on HCM. N my opinion we should first rule out cardiac and pulmonary causes. Since you are smoker chances of cardiac and pulmonary diseases are more. So first get done ECG to rule out cardiac cause. Get done PFT (Pulmonary Function Test) to rule out bronchitis. If all of the above are normal than your chest pain is due to GERD(Gastro Esophageal Reflux Disease). It is due to laxity of gastroesophageal sphincter. And due to this acid of the stomach tends to come up in the esophagus and cause the symptoms. Smoking and alcohol both make this sphincter loose and cause reflux. So better to quit alcohol and smoking as soon as possible. Eat healthy and stay fit.