Feeling tightness in chest. Pain radiating to hands , back. Dizziness, light headedness. Unable to concentrate. And also suffering from gastritis

Dear Rajeshwari G,

We're sorry to hear about the discomfort you're experiencing. To better understand the nature of your symptoms and determine whether they are cardiac or gastrointestinal in origin, consider the following questions:

Symptom Assessment:

1. Nature of Pain:

   • Cardiac-Related: Is the chest tightness accompanied by a pressure or squeezing sensation that may radiate to your arms, back, neck, or jaw?
   • Gastric-Related: Do you experience a burning sensation that rises from your stomach to your chest, possibly accompanied by a sour taste in your mouth?

2. Onset and Triggers:

   • Cardiac-Related: Does the pain occur or intensify during physical exertion or emotional stress and subside with rest?
   • Gastric-Related: Is the discomfort associated with meals, especially after consuming spicy or fatty foods or when lying down?

3. Associated Symptoms with Duration:

   • Cardiac-Related: Have you noticed symptoms like shortness of breath, sweating, nausea, or lightheadedness?
   • Gastric-Related: Do you experience bloating, belching, or relief of pain after taking antacids?

Precautions to Prevent Symptom Aggravation:

• Dietary Adjustments: Avoid heavy, spicy, or fatty meals, and refrain from lying down immediately after eating.
• Stress Management: Engage in relaxation techniques such as deep breathing exercises, meditation, or gentle yoga to alleviate stress.
• Physical Activity: Incorporate moderate exercise into your routine, but avoid strenuous activities that may trigger symptoms.
• Medication Adherence: If prescribed, take medications as directed and inform your healthcare provider of any side effects.

Recommended Specialist Consultation:

Given the complexity of your symptoms, it's advisable to consult with a Cardiologist to evaluate potential heart-related causes. They may recommend diagnostic tests such as an electrocardiogram (ECG) or stress test. Additionally, a Gastroenterologist can assess for gastrointestinal conditions like gastritis or acid reflux, possibly suggesting an endoscopy for further evaluation.

Timely consultation with these specialists will aid in accurate diagnosis and appropriate treatment planning.