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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain?

hello sir. my mother having bypass surgery recently three months ago is facing chest pain issue many times a day. sometimes light and sometimes strong .pain goes to neck n throat .gets easy on sitting sometimes .no sweating. did medicine echo and it is negative. cardio says its some gastric issue and suggests to get checked .she is having gas formation issue and diarrhea type stool in morning everyday. stomach remains hard n swallowed many times.suggest please to identify the reason of chest pain please .
Fri, 16 Jan 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion your mother is having GERD (gastroesophageal reflux disease).
Her all symptoms like chest pain, gaseous distention, worsened symptoms on lying down and better on sitting can be seen in GERD.
And her cardiac work up is normal. So no need to worry much for cardiac cause.
So GERD is more likely in her 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.
So ask her to follow these steps for better symptomatic relief.
1. Avoid hot and spicy food.
2. Avoid large meals ,instead take frequent small meals.
3. Avoid stress and tension.
4. Take good proton pump inhibitor. Also give ORS (oral rehydration solution).
5. Go for walk after meals.
6. Keep 2-3 pillows under head in bed to prevent reflux.
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What Causes Chest Pain?

Thanks for your question on HCM. In my opinion your mother is having GERD (gastroesophageal reflux disease). Her all symptoms like chest pain, gaseous distention, worsened symptoms on lying down and better on sitting can be seen in GERD. And her cardiac work up is normal. So no need to worry much for cardiac cause. So GERD is more likely in her 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. So ask her to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals ,instead take frequent small meals. 3. Avoid stress and tension. 4. Take good proton pump inhibitor. Also give ORS (oral rehydration solution). 5. Go for walk after meals. 6. Keep 2-3 pillows under head in bed to prevent reflux.