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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Cardiology
Satisfied Customers: 62899
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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May I have some advice please

Customer Question

May I have some advice please
Submitted: 8 days ago.
Category: Cardiology
Expert:  Dr. Arun Phophalia replied 8 days ago.

Welcome to Just Answer.

Answers here are for education and information.

I will respond shortly with an answer or further information request.


Customer: replied 8 days ago.
Thank you.
Expert:  Dr. Arun Phophalia replied 8 days ago.

How may I help you, please?

Customer: replied 8 days ago.
I have had this feeling for 2 weeks it lasts all day effects my sleep etc, it feels as if someone is squeezing my heart and it is causing very uncomfortable pain radiating to jaw left arm main pain is in heart. I have gotten 4ecgs 2 chest X-ray and bloods. All came back clear but heart pain is still serve 24/7 sqeezing. I am a female , I am 18 years old
Expert:  Dr. Arun Phophalia replied 8 days ago.


Thanks for the further information.

I am writing the answer for you and will get back to you in 3-5 minutes.

Unless you wish to speak in person, you can ignore the request for a phone call automatically generated by the website, not by me.

Thank you.

Customer: replied 8 days ago.
Okay thank you
Expert:  Dr. Arun Phophalia replied 8 days ago.

Since your ECGs, blood tests and chest x-rays are normal; diseases of the heart and lungs are ruled out.

Your symptoms are suggestive of;

1) Esophageal spasm

2) Hiatal hernia

3) Acid reflux.

The following investigations are advised for the diagnosis;

1) Upper GI endoscopy

2) 24 hours esophageal pH estimation

3) Esophageal manometry.

Following treatment may help you;

a) Calcium channel blockers (diltiazem, nifedipine) decrease the spasm and improve the movements of the esophagus.

b) Relaxation techniques.

c) Esophageal spasm and esophageal movement disorder (dysmotility) often show a good response to antireflux therapy,

d) Reassurance and control of anxiety are extremely important.

Anti-acid-reflux therapy is;

1) antacids; Maalox/Tums

2) acid blocker; Lansoprazole/Prilosec/Nexium

3) losing weight.

4) avoid alcohol, citrus fruits, juices, chocolate, and tomato-based products

5) avoid large meals. Eat 5 small meals in a day.

6) wait three hours after the meal before you sleep.

7) elevate the head end of the bed by 8 inches.

I hope your symptoms resolve soon.

I would be happy to assist you further if you need any more information.
Thanks for using JustAnswer.

Customer: replied 8 days ago.
Ah okay so you do not think that my constant heart sqeezing pain raditing to left jaw etc is due to a blocked artery or not enough blood flow reaching the heart etc??
Expert:  Dr. Arun Phophalia replied 8 days ago.

It is not due to heart but due to acid reflux.

Customer: replied 8 days ago.
Okay. Are you postive it is not due to reduced blow flow to heart or blocked arteris since it literally feels like someone is squeezing my heart all the time and it’s extremely painful. My blood preassure is okay and beats per minute is between 70-80 if that helps. But heart constantly feels like it’s getting tighter
Expert:  Dr. Arun Phophalia replied 8 days ago.

I am positive that it is not related to heart.