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Chest tightness and chest burn
I had chest tightess and chest burn ... they took ecg and high sensitivity troponin test ... it was normal .. after that i consulted gastroenterologist.. he gave me nexpro 40 and kinipride for 10 days ... my symptoms reduced ... still mild tightness is there sometimes .. what to do
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As your ECG and troponin are normal, your symptoms are most likely related to upper gastrointestinal issues.Continue with the same medicines for a few more days.Consider consultation with a cardiologist if no improvement is observed
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I need more details
kindly consult me on practo
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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Ecg is one month old but reassuring
Continue your treatment and avoid alcohol and spicy food. Do exercise
Next Steps
If u need detailed discussion and appropriate consultation. consult me online with complete detailed history
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Needs thorough evaluation .let's discuss for treatment.
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Right prescription.
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Ecg is normal which is reassuring .sometimes gerd also mimic these symptoms.please consult me on practo for further management and evaluation.
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
92469306sevenfour
Dr. Harichandana,
MBBS, MD (General medicine)
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Need some more details kindly consult
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ECG is one month old . Kindly consult with me on 94 two six eight six 78 nine six.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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Since:
• ECG normal
• High-sensitivity troponin normal
• Symptoms improved with Nexpro (esomeprazole) + Kinipride (prokinetic)
This strongly suggests your chest tightness was gastro-esophageal reflux (GERD) related, not cardiac.
Chest burning + tightness that improves with PPI = typical reflux pattern.
However, mild residual tightness can persist because:
• Esophageal inflammation takes time to fully heal
• Acid suppression was only for 10 days (often insufficient)
• Stress/anxiety can perpetuate chest muscle tightness
• Gastric motility may still be slow
The normal cardiac workup is reassuring.
Next Steps
A. Extend treatment (very common need)
Most GERD cases require:
• PPI for 4–6 weeks, not just 10 days.
You may discuss with your doctor:
• Continue Nexpro 40 once daily before breakfast for 4 weeks
OR
• Step-down to Nexpro 20 if symptoms mild
Kinipride is usually short-term (10–14 days).
⸻
B. Lifestyle correction (critical)
• Early dinner (before 8 pm)
• Avoid tea/coffee on empty stomach
• Avoid spicy, oily, citrus food
• No lying down for 2–3 hours after meals
• Elevate head end while sleeping
• Weight reduction if overweight
⸻
C. When to re-evaluate heart?
If chest tightness:
• Occurs on exertion
• Radiates to arm/jaw
• Associated with sweating, breathlessness
• Or strong family history of early heart disease
Then consider:
• TMT (stress test)
• 2D Echo
But based on your current description, this sounds non-cardiac.
Health Tips
• GERD chest pain can mimic heart pain.
• Anxiety after cardiac scare can itself cause chest tightness.
• Deep breathing exercises reduce esophageal spasm.
• Avoid frequent self-checking or monitoring — it increases muscle tension.
• Magnesium at night sometimes helps chest muscle tightness.
If mild tightness is only occasional and not exertional, it is likely residual reflux or muscular.
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If symptoms persist beyond 4–6 weeks despite treatment, or if you have risk factors like diabetes, hypertension, or smoking, I would recommend a structured cardiac risk evaluation to be absolutely safe. We can review your full history in consultation and decide whether further testing is needed or if this is purely reflux-related.
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ECG and high-sensitivity troponin are normal, which is reassuring. Since symptoms improved with Nexpro, it is likely acidity/GERD related.
Next Steps
Continue medicine as advised, avoid spicy/oily food, late meals, and stress. If pain becomes severe, radiates to arm/jaw, or breathlessness occurs, seek urgent care. Otherwise, follow up with your doctor — you may consult me for further guidance.
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Dear Patient,
Since your ECG and high-sensitivity troponin were normal, a serious heart problem is very unlikely. The improvement after taking Nexpro (acid reducer) and Kinipride (motility medicine) also suggests that your symptoms are most likely due to acidity / GERD (acid reflux) with esophageal spasm or gastritis.
Mild tightness can still persist for some time because the food pipe remains sensitive even after acid control.
What you should do now:
• Continue Nexpro 40 once daily before breakfast for another 2–4 weeks (if not already completed course).
• Take small frequent meals; avoid spicy, oily, citrus, coffee, and late-night eating.
• Do not lie down for at least 2 hours after food.
• Elevate head end while sleeping.
• Reduce stress and anxiety (they worsen chest tightness).
• Warm water sipping or antacid syrup can help during episodes.
When to worry:
• Chest pain on exertion (walking, climbing stairs)
• Pain radiating to left arm/jaw
• Severe sweating, breathlessness, dizziness
If symptoms persist despite 3–4 weeks
• Increasing PPI dose or adding antacid
• Endoscopy (if recurrent)
For further guidance and treatment adjustment, you can text me on Practo anytime.
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
It's Acid reflux
But get one ECG done
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Bland diet helps
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Gastritis
Avoid spicy foods
Avoid coffee and tea in empty stomach
Use more of curd and butter milk
Drink plenty of water
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Rachna Pande
Internal Medicine
42 yrs exp
Bhopal
Could be due to acid reflux. Take small, frequent meals. Avoid fatty, spicy and sugary food.
Take more of fresh green vegetables and fruits.
Continue nexpro.
Get cardiac echo and TMT done to exclude any heart problem.
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