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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Chest Pain?

Hi I've had chest pains for about 3 hours. I don't know whether its a muscle or heart attack. The only other symptom I have is nausea. The pain is constant but worsens with torso movement. I don't think it's a heart attack but I'm not sure. What should do?
Mon, 23 Mar 2015
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Pulmonologist 's  Response
Hello dear, thanks for your question on HCM.
In my opinion you are having mostly GERD ( gastroesophageal reflux disease ).
But better to rule out cardiac cause first.
So get done ecg.
If ecg is normal then no need to worry.
Since you have nausea, possibility of GERD is more in your case.
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 like chest pain and nausea.
So better to follow these steps.
1. Avoid hot and spicy food.
2. Avoid stress and tension.
3. Avoid large meals, instead take frequent small meals.
4. Start Proton pump inhibitors.
5. Go for walk after meals.
6. Keep 2 - 3 pillows under head in bed to prevent reflux.
Don't worry, you will be alright.
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What Is The Treatment For Chest Pain?

Hello dear, thanks for your question on HCM. In my opinion you are having mostly GERD ( gastroesophageal reflux disease ). But better to rule out cardiac cause first. So get done ecg. If ecg is normal then no need to worry. Since you have nausea, possibility of GERD is more in your case. 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 like chest pain and nausea. So better to follow these steps. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Start Proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in bed to prevent reflux. Don t worry, you will be alright.