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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Chest Pain And Back Spasms?

My wife has severe chest pain that in the morning is not bad but by afternoon gets to the place where even standing creates wracking pain. It then turns into back spasms because of the clenching of the body. The heart has been ruled out. X-rays show nothing in chest area, ribs, and back. She has a hiatal hernia. Her pcp is doing further studies. It began a year ago and has gotten steadily worse until now by the end of the day she can hardly function. Any idea?
Mon, 8 Apr 2019
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General & Family Physician 's  Response
Hello,

Firstly, I would suggest some further tests:
1. Electromyography for back muscle
2. MRI of the back
3. Nerve Conduction Study
4. Complete Blood Test
5. Urine Test.

Now, for chest pain:
Chest pain is mainly due to Hiatal hernia
Lansoprazole 15 mg 15 minutes before each meal (lunch and dinner)
If heart burning too much, combined drug
Aluminum Hydroxide / Magnesium Hydroxide / Simethicone or when needed.

If weight is too much, please try to keep BMI 20-22 (check your BMI from any BMI calculator online).

If too much back pain, take Tramadol as needed for pain.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dipan Samanta, General & Family Physician
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What Causes Severe Chest Pain And Back Spasms?

Hello, Firstly, I would suggest some further tests: 1. Electromyography for back muscle 2. MRI of the back 3. Nerve Conduction Study 4. Complete Blood Test 5. Urine Test. Now, for chest pain: Chest pain is mainly due to Hiatal hernia Lansoprazole 15 mg 15 minutes before each meal (lunch and dinner) If heart burning too much, combined drug Aluminum Hydroxide / Magnesium Hydroxide / Simethicone or when needed. If weight is too much, please try to keep BMI 20-22 (check your BMI from any BMI calculator online). If too much back pain, take Tramadol as needed for pain. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dipan Samanta, General & Family Physician