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    What causes tightness sensation in the chest?

Posted on Wed, 9 Aug 2017 in Lump
Question: Hi, my chest feels tight and it feels like something is stuck in my esophagus. I dont have heartburn. I play a lot of golf and I am not overweight. It is uncomfortable enough to wake me up in the middle of the night.
Answered by Dr. Bhagyesh V. Patel 17 minutes later
Brief Answer:
Primary concern of lax esophageal sphincter, needs further details please .

Detailed Answer:
Hello dear

Thanks for using Healthcaremagic.com
I have evaluated your query thoroughly .

* Seems in relation with lax esophageal sphincter or other problem .

Kindly provide some more details so that I can answer your query completely .

1. Duration of the same with progress since beginning .
2. Timing of occurrence only at night or whole day , aggravating , relieving factors
3. Any relation with food intake .
4. Vomiting , alterations in bowel habits , weight .
5. Other systemic issues as diabetes or hypertension .

Awaiting for your response .

Regards .
Above answer was peer-reviewed by : Dr. Vaishalee Punj
Follow up: Dr. Bhagyesh V. Patel 24 minutes later
Thank you very much for your reply.
This started mildly 2 days ago and has increased in discomfort. As of about 20 minutes ago, I have severe diarrhea. Not sure if this is related or not, but veryunusual.The discomfort in my chest is not worse at night but does keep waking me up, but still the same this morning. Is uncomfortable when I move a certain way but was able to take my vitamins easily this morning.
I am very active and not overweight. No vomiting. I make homemade chicken jerky frequently and ate about 3-5 oz last night befoer bed, but this is not unusual. No other issues, very healthy.
Answered by Dr. Bhagyesh V. Patel 2 hours later
Brief Answer:
Relux oesophagitis with intestine infection .All suggestions given in depth

Detailed Answer:
Thanks for the details .

* Seems more of reflux oesophagitis which may be possible without heart burn
with intestine infection .

* Suggestions for better recovery

- Drink plenty of liquids with preferable boiled water , lemon juice , coconut water
green tea , coffee , butter milk .
- Soft , light diet at intervals with fresh curd preferable .
- Avoid all oily , spicy , non veg , beverages , chilly at present .

- Remain ambulatory with regular exercises , YOGA and deep breathing exercises
will recover faster .
- No smoking or alcohol if using .
- Keep foot end of the bed elevated for 30 degrees when resting .
- No sleeping for 3 hrs after meals .
- Avoid prolong fasting , over eating , keep stomach empty by 25 % during each
meal .

- Cap.omeprazole ( 20 ) mg morning and evening with sips of water , nothing to
be taken orally after that for 1 hr .
- Probiotic intake will also help a lot .
- Need of antibiotic depends upon the progress of the condition .

* Suggested follow up after 24 hrs of above .
To evaluate any need of lab tests , endoscopy or further .

Hope this will help you .
Welcome for further assistance .

Wishing you fine recovery .
Regards dear take care .
Above answer was peer-reviewed by : Dr. Raju A.T
Answered by
Dr. Bhagyesh V. Patel

General Surgeon

Practicing since :1999

Answered : 15654 Questions


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