Feeling Constricted in the Chest with Acidity? Experiencing Discomfort?

Feeling of blockage in the chest accompanied by acid reflux and discomfort may stem from abnormal gastric function or reflux esophagitis, and cannot be discounted as symptoms of cardiovascular diseases such as angina or myocardial infarction. Details are as follows:

1. Abnormal Gastric Function

The primary functions of the stomach include storing and grinding food. When its function is abnormal and large amounts of difficult-to-digest food are consumed, indigestion can occur, manifesting as hiccups, belching, acid reflux, and a sensation of blockage in the chest. In such cases, it is crucial to consume light and easily digestible foods, adopt small and frequent meals instead of overeating, and take the prokinetic drug domperidone as needed to stimulate gastric motility and aid digestion. Additionally, acid suppression medications such as omeprazole, rabeprazole, pantoprazole, and cimetidine can be administered to control acid reflux symptoms.

2. Reflux Esophagitis

Reflux esophagitis can also cause chest tightness and acid reflux discomfort. It is recommended to avoid overly liquid foods and refrain from lying down immediately after meals. Sleeping in a semi-reclined position at a 30° or 40° angle can help. Additionally, acid suppression medications like omeprazole, rabeprazole, and pantoprazole, along with gastric mucosa protectants such as sucralfate, bismuth subcitrate, and magnesium aluminum carbonate, can be taken to neutralize gastric acid and bile. If symptoms persist despite these measures, a visit to the gastroenterology department of a reputable hospital for an electronic gastroscopy and carbon-13 or carbon-14 breath test to assess for Helicobacter pylori infection is advised.

3. Cardiovascular Considerations

If gastric examinations reveal no significant abnormalities, the sensation of blockage in the chest requires further evaluation for cardiac conditions such as angina or myocardial infarction. Medications like musk pill for protecting the heart, quick-acting heart-saving pill, and Danshen dripping pills can be administered sublingually to alleviate symptoms. A consultation with a cardiologist at a reputable hospital is also recommended for further clarification.