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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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What causes heart pain?

At 47, I just started to have heart pain. The pain seems to be 3 maybe 4 times a day lasting 3 minutes to an hour. Almost like spasms. I am a light smoker and as of now, have stopped now although I think it is too late. I have no persistant cough, my eating is very good and I ride my bike 10 miles a day. Pretty much a weight lifter. My blood pressure is 127/82. Needless to say, I am very scared now. I have no health insurance and frankly not working at the moment. So, am I dying here or what?
Wed, 14 Feb 2018
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Cardiologist 's  Response
Hello,

Form description, pain appears to be from reflux disease rather than cardiac cause. Still you should get yourself evaluated. Cardiac pain will occur on exertion and relieves with rest. Pain of heart attack would be severe associated with sweating uneasiness etc. Still you should get ECG done and if normal then echo or stress test.
You should avoid fatty, oily and spicy 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. Avoid smoking and alcohol if any. Its never late to quit smoking.
You can get prescribed tab Pan DSR 40 mg or Esomiprazole Domperidone combination before breakfast once a day for 2 weeks. If not adequately relieved, then you should add Sucral-O or Gelusil two teaspoon three times a day for a week.

Hope this helps you and get back if you have any doubts.

Regards
Dr. Sagar Makode,
Cardiologist
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