Reason for the pain and tightness in the chest?
Patient: I have been having pain and tightness in my chest for approx 20-30 mins feels like a huge cramp going from honey area between breast and straight through to back   helps a tiny bit if hold my breath but not even have no indigestion to my knowledge burping just fine Doctor: Hello dear, thanks for your question on HCM. I can understand your situation and problem. Your symptoms like central chest pain and burping are suggestive of GERD ( gastroesophageal reflux disease ) more. But better to first rule out cardiac cause for your chest pain. So get done ecg. If ecg is normal then no need to worry for cardiac cause. GERD appears more.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. Try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid stress and tension. 3. Avoid large meals, instead take frequent small meals. 4. Start Proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in bed to prevent reflux. Don't worry, you will be alright.