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Chest uncomfortable
Hello Dr. I have been having a sudden choking sensation in my chest for the past few days and it feels like I am unable to breathe. For this reason I got an ECG done and everything came out normal. The cough is dry and there is a lot of acidity but suddenly for some time it feels like I am unable to breathe. Why has this happened, Dr. My blood pressure is also 130/80 and my oxygen level is 98/99.
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Hello there, chocking sensation and feeling of breathlessness can be mostly due to hyper acidity or esophagitis in your case. It will be treated with medication and some dietary and lifestyle changes.
Do consult Online for better treatment and don't worry you'll be fine soon with medicines.
Next Steps
Consult Online
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Since ecg you said is normal, it could be acid reflux or esophagitis. However you should take an ecg during rhe episodes of pain to see if there are any intermittent variations. This needs more workup and history. Please consult on practo
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Try to reduce weight and do some exercises it’s maybe be due to acidity? Needs further information for detailed history and treatment
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consult me on Practo
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Symptoms suggest acidity related chest discomfort or reflux with possible anxiety episodes. Normal ECG and oxygen levels make cardiac cause unlikely. Sudden choking feeling with dryness and acidity points more towards GERD with panic like episodes
Next Steps
-Start pantoprazole 40 mg twice a day before breakfast for 10 days
-Avoid late meals and spicy oily food
-No need for cardiac tests further if ECG normal and no risk factors
Health Tips
-Avoid lying down immediately after food
-Eat small frequent meals
-Reduce stress and anxiety triggers
-Practice slow breathing during episodes
contact me anytime on practo for further consultation
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Please consult a physician physically for clinical evaluation.
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Gastritis
Extra cervical rib???
Nexpro RD40 ONE IN EMPTY STOMACH FOR ten. Mucain gel10 ml without water nothing by mouth till 30min can be taken 3to4 times.
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Gastritis
Avoid spicy foods
Avoid coffee and tea in empty stomach
Use more of curd and butter milk
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Get yourself checked .
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It is reassuring that your ECG, blood pressure, and oxygen levels are normal, the combination of a sudden choking sensation, dry cough, and acidity suggests that your symptoms may be linked with severe acid reflux
Next Steps
Avoid lying down for at least 2 3 hours after eating. Elevate the head of your bed use wedge pillow. avoid trigger foods (spicy, fatty, caffeine, or citrus)
Health Tips
Even with a normal ECG, you should go to the emergency room if you have Pain that spreads to your arms, jaw, or back. Dizziness, fainting, or cold sweats. Severe difficulty speaking or a blue tint to your lips
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Hello , Kindly consider having a Tele-Consultation with me on PRACTO App since adequate patient history is required for proper treatment and further follow up . Thank You
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Are you also having any constant worry or anxiety. What you are describing can very well be a sign of Anxiety. Have you had any kind of mental illness in the past? Are you currently suffering from low mood, decreased interest in previously pleasurable activity, any kind of negative thoughts or excessive worry about future. If thats the case then you should get a detailed evaluation and management. You can contact me directly on nine eight two six five four five six six zero.
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Relax its just due to acid reflux currently u doesn’t seems to have significant risk factor and ecg also normal.
U can take cap pantoprazole 40 mg + Domperidone 30mg per oral once OD before taking meal
Also Syp Antacid 2tsp TDS
Adv
Change dietary habbit avoid fatty meals and spicy foods
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It may be Acute Gastritis.
Use Pantoprazole 40mg before breakfast.
Go for Endoscopy in view of any Ulcers in stomach.
Treatment varies depending on cause.
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Saikat Biswas
General Physician
1 yrs exp
Kalyani
For gas and acidity:- Avoid spicy and oily foods.
Avoid swallowing of air.
Avoid tea, avoid smoking and tobacco, avoid soft drinks, Alchohol.
Eat small frequent meals. Eat slowly and chew all foods before swallowing
Do regular exercise at least 1 hour daily. Abdominal exercises are very helpful in this case alongwith running and jogging.
1. TAB. PAN D - 1 TAB ONCE DAILY BEFORE BREAKFAST x 10 days
2. TAB. DIGIPEN - 1 TAB TWICE DAILY AFTER MEAL x 10 DAYS
3. Kayam Churna - 1 tea spoon full - once daily after meal x 10 days
Next Steps
INVESTIGATIONS TO BE DONE- Upper GI Endoscopy, CBC, LFT, RBS, USG WHOLE ABDOMEN, CHEST XRAY PA VIEW.
Health Tips
I need to know detailed history. You need further evaluation. So please consult me on practo.com for follow up
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Dr. Abdul Rasheed
General Physician
35 yrs exp
Bangalore
Mostly it's due to Acid reflux or esophagitis.Avoid spicy oily food,take a combination of rabeprazole and dompeidone for a few days.However if the pain recurs,repeat the ECG to compare
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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. Manjot Singh Waraich
General Physician
11 yrs exp
Amritsar
Based on your symptoms—sudden choking sensation, difficulty breathing episodes, dry cough, and associated acidity—with a normal ECG, stable BP (130/80), and good oxygen levels (98–99), the cause is less likely to be cardiac and more likely related to:
Gastroesophageal Reflux (Acidity/GERD) – Acid reflux can cause chest tightness, choking sensation, and dry cough.
Anxiety or Panic Episodes – Sudden feeling of not being able to breathe with normal vitals is commonly seen.
Bronchospasm / Mild Airway Irritation – Especially if symptoms worsen at night or after triggers.
What you can do:
Avoid spicy, oily, and late-night meals
Do not lie down immediately after eating
Try steam inhalation
Practice slow deep breathing during episodes
Reduce caffeine and stress triggers
Medications (after consultation):
Antacid / PPI (like Pantoprazole)
If needed, mild anti-anxiety or bronchodilator support
When to seek urgent care:
Persistent chest pain
Radiation to arm/jaw
Severe breathlessness not settling
Sweating or dizziness
Next Steps
If symptoms persist, I recommend a consultation with a physician for evaluation of GERD and anxiety, and possibly a chest examination or spirometry if needed.
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Dr. Yuvraj Arora Monga
General Physician
29 yrs exp
Delhi
It could be because of hyper acidity. Try to avoid all the maida, oily, fried and spicy food in your diet, Include lot of fresh fruits and vegetables in your diet. Avoid non veg in your food .
We have very good treatment for this problem along with lifestyle management but for treatment we need a detailed history so it would be best if you come for consultation
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Dr. Davra Kaushalkumar Dilipbhai
General Physician
6 yrs exp
Ahmedabad
It's due to gastritis
Syp istaraft 10ml.after food take
Tab nxpro IT take before food for 5 days
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Dinesh Mehta
General Physician
3 yrs exp
Jaipur
Due to gastritis/gerd mostly .
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Dr. Sachin Madan
General Physician
8 yrs exp
Rajgarh
Hello,
As your ECG, BP, and oxygen are normal, this is more likely due to acidity/GERD causing reflux-related chest tightness, choking sensation, and dry cough rather than a heart issue. These symptoms often worsen after meals or while lying down.
Please take Pantoprazole before breakfast for 2 weeks, avoid spicy/oily food, tea/coffee, and late-night meals, and do not lie down immediately after eating.
If symptoms become severe, frequent, or are associated with sweating, left arm pain, or persistent breathlessness, please get reviewed urgently.
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