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What causes constant urge to spit with chest congestion?

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Posted on Fri, 18 Jul 2014
Question: I have the constant urge to always spit and it is a foamy white spit except in the morning a little worse. Every night when I go to bed I seem to get congestion in my chest and can sometimes become very painful and can wake up with a sore chest for maybe hours almost until nighttime again. I do have a history of acid reflux but I do not feel as though this pain could be acid reflux related due to constant pain. I also will get headaches and this causes a lot of anxiety in my life. Currently taking Prilosec everyday and have had an ekg which was normal. ALso had an upper gi that came back ok aws well. I have had this constant urge to spit and chest pain for quite some time now and would love to figure out what is going on inside my body for this constant pain. I am only 25 years old but it has significallant affected my lif
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Answered by Dr. Deepashree (42 minutes later)
Brief Answer:
chest pain for evaluation

Detailed Answer:
Hi, thanks for your query. In my opinion, at your age cardiac problem is very unlikely.
Congestion in chest with midnight chest pain are symptoms very much suggestive of acid reflux.
Upper gi endoscopy will be normal in many cases of acid reflux. It will detect only erosion or ulcer is very severe cases.
If i were your treating doctor, I would have got echo cardiograghy and TMT testing done to rule out cardiac problems, complete blood work.
Depending on the report, I would treat you or refer you to cardiologist if there is any cardiac problems.
Any type of stress or anxiety can worsen acid reflux without any cause.
Proton pump inhibitors+prokinetcs drug for 6 to 8 weeks, small frequent feeds, avoidance of spicy food, packed foods, foods containing lot of preservatives will help you reduce your symptoms
45 min of yoga and pranayama will help you to reduce your stress, headache, and even chest pain.
don't worry, you will be better soon.
hope my answers have helped you. Thanks. Pleased to help you further. .
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Dr. Deepashree

ENT Specialist

Practicing since :2004

Answered : 937 Questions

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What causes constant urge to spit with chest congestion?

Brief Answer: chest pain for evaluation Detailed Answer: Hi, thanks for your query. In my opinion, at your age cardiac problem is very unlikely. Congestion in chest with midnight chest pain are symptoms very much suggestive of acid reflux. Upper gi endoscopy will be normal in many cases of acid reflux. It will detect only erosion or ulcer is very severe cases. If i were your treating doctor, I would have got echo cardiograghy and TMT testing done to rule out cardiac problems, complete blood work. Depending on the report, I would treat you or refer you to cardiologist if there is any cardiac problems. Any type of stress or anxiety can worsen acid reflux without any cause. Proton pump inhibitors+prokinetcs drug for 6 to 8 weeks, small frequent feeds, avoidance of spicy food, packed foods, foods containing lot of preservatives will help you reduce your symptoms 45 min of yoga and pranayama will help you to reduce your stress, headache, and even chest pain. don't worry, you will be better soon. hope my answers have helped you. Thanks. Pleased to help you further. .