What causes hypertension, chest pain and nausea with overweight?
Patient: 37 yr old male, overweight,very high lipids, hypertension, severe chest pain , arm and jaw pain nausea and vomiting  for several days--grandfather and grand mother--one on each side have heart disease--went to er cardiac enzymes were normal sent home from the emergency room what next Doctor: Hello,Thanks for writing to Health Care magic, I am Dr , Muhammad Ahmad , I have read your question closely, I understand your concern and will be helping you with your health related problem.After the heart issues were ruled out you seem to be having stomach issues, here is the plan of how you deal with stomach problem.1) Avoid coffee, caffeine, Fizzy drinks , junk food, smoking, alcohol (What ever is relevant).2) Take small multiple meals instead of few larger ones.3) Drink much fluids.4) Use fruits and vegetables more than meat.5) Use fiber diet like fruits vegetables whole grain bread and fiber supplements if needed.6) Stay physically active.7) If you are over weight reduce it.8) After trying out all these measure you can use syrup gaviscon thrice a day this will keep a check at your gut PH.9) You can discuss with you doctor about digestive enzymes they too help with digestion and excessive gas.10) I also recommend similar patients  to use Omeprazole 40mg once a day to check stomach acid levels.Next Plan about heart protection is as under.1) Get physically active.2) Reduce you weight. You can join a gym or a fitness club under a certified trainer and you can get healthy weight loss. This will reduce you cholesterol and chances to get heart issues. Will also help with stomach issues.3) Avoid fatty junk food, and smoking if relevant.4) Use a good balance of food, vegetables and fruits have ingredients which are cardio protective.5) Pay regular visits to your doctor to get your progress discussed.I hope this answered your question, If you have more queries I am happy to answer you.Regards.Dr.Muhammad Ahmad