Could my symptoms signal a heart problem with BMI 39?

Hello,

Welcome to icliniq.com.

It is great to hear from you.

What you should do first:

• Get an ECG (electrocardiogram) soon to rule out any heart-related causes of your chest discomfort.
• If possible, upload the ECG report here for a second opinion.

What does your symptom suggest

• Your chest discomfort, burning sensation, nausea, irregular heartbeat, and cold sweats after smoking are concerning.
• These could be GERD symptoms or gastritis, especially given your smoking and alcohol habits.
• Relief after taking aspirin suggests it might not be cardiac, but it still requires medical attention.

Lifestyle and diet changes to start now:

• Avoid fatty, oily, and spicy foods.
• Eat small, frequent meals instead of large, heavy ones.
• Don’t lie down after eating; take a light walk instead.
• Stick to a regular sleep schedule and try to manage stress.
• Include green leafy vegetables and fruits in your daily diet.
• Start cutting down on smoking and alcohol, as both worsen gastritis and acid reflux.

Medications you may be prescribed (only under a doctor’s guidance):

• Pantoprazole + Domperidone 40 mg or Esomeprazole + Domperidone, once daily before breakfast for 2 weeks.
• If symptoms continue, Sucralfate + Oxetacaine syrup, two teaspoons, 3 times daily for 1 week, may help.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.