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What Causes Tightness In The Chest Area?

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Posted on Tue, 14 Feb 2017
Question: I have a tightness in my chest that came on about 6 hours ago. This is a first time that I can ever recall and I recently started using a twice a day steroid inhaler for 3 weeks and really didn't like the way I was feeling with it. I felt like it gave me asthma so now just have used the rescue inhaler about twice a day for about a week.
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Answered by Dr. Sagar Makode (38 minutes later)
Brief Answer:
Possibility of gastritis and heart disease, needs urgent ecg

Detailed Answer:
hello,

Chest heaviness in your case can be because of both the reason, gastritis and reflux and secondly due to heart problem.

Since you are using steroids inhaler there is a risk of you having gastritis and reflux leading to heaviness. Points which favours this are, increase in heaviness on lying down position, on food and water intake, associated with nausea, vomiting and upper abdominal pain, sour water feeling in your throat, bloating and burping, if these symptoms are there then it goes in favor of gastritis and reflux disease. Considering this, Avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. You can get prescribed tab Pan DSR 40 mg before breakfast once a day for 2 weeks.

Secondly, if you are heaviness and this is going to left arm, lower jaw, neck, associated with sweating, any family history of heart disease then it points towards the heart problem. That's the good thing you chewed an aspirin, you can also take tab sorbitrate 5 mg sublingually and look for the response. If some cholesterol lowering tablets are available like atorvastatin 80 mg or rosuvastatin 40 mg then you should have it, which will complete the preliminary treatment of heart attack.

Listening to your conversation, it appears more like a gastritis and reflux but we can't take a risk and you should an ECG done from nearby doctor and get it reviewed or upload it. I would suggest you rush to the doctor and get an ECG done on urgent basis.

Dr Makode
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1867 Questions

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What Causes Tightness In The Chest Area?

Brief Answer: Possibility of gastritis and heart disease, needs urgent ecg Detailed Answer: hello, Chest heaviness in your case can be because of both the reason, gastritis and reflux and secondly due to heart problem. Since you are using steroids inhaler there is a risk of you having gastritis and reflux leading to heaviness. Points which favours this are, increase in heaviness on lying down position, on food and water intake, associated with nausea, vomiting and upper abdominal pain, sour water feeling in your throat, bloating and burping, if these symptoms are there then it goes in favor of gastritis and reflux disease. Considering this, Avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. You can get prescribed tab Pan DSR 40 mg before breakfast once a day for 2 weeks. Secondly, if you are heaviness and this is going to left arm, lower jaw, neck, associated with sweating, any family history of heart disease then it points towards the heart problem. That's the good thing you chewed an aspirin, you can also take tab sorbitrate 5 mg sublingually and look for the response. If some cholesterol lowering tablets are available like atorvastatin 80 mg or rosuvastatin 40 mg then you should have it, which will complete the preliminary treatment of heart attack. Listening to your conversation, it appears more like a gastritis and reflux but we can't take a risk and you should an ECG done from nearby doctor and get it reviewed or upload it. I would suggest you rush to the doctor and get an ECG done on urgent basis. Dr Makode