My husband has a chest pain that comes and goes. Could it be a heart condition?

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The likely cause for his chest pain is gastritis and reflux disease. Does he also have upper abdominal pain, nausea, bloating, burping, increase in pain on eating, sour water feeling in the throat or chest burning? These are the other symptoms that may be associated. He should avoid fatty, oily and spicy foods. Have a walk after meals. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Take lots of green leafy vegetables, fruits. Avoid smoking and alcohol. Elevate head end of the bed or use pillows during sleep or rest. He should have tablet Pan DSR (a combination of Pantoprazole and Domperidone) 40 mg before breakfast once a day for two weeks. If not adequately relieved, then you should add syrup Sucral O (Sucralfate) or Gelusil (antacid and anti-gas) two teaspoons three times a day for a week. For the possibility of muscle strain, does he get pain on pressing over the chest area or does the pain reappear on movement? If yes, then a muscle strain becomes likely. For strain, he should apply Diclofenac gel two to three times a day over the area. Take tablet Myoril (Thiocolchicoside) 4 mg three times a day for five days. Hope this helps you. Get back if you have any doubts.

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An evening occurrence further points towards reflux as a cause. Does it increases on applying pressure over the area? If yes, then we can say it is originating from the skin and underlying muscles or bone. Sometimes, even a pain from deeper structures may appear to originate from the skin. Cardiac pain will typically occur on exertion and relieve with rest, and be associated with sweating, and anxiety. So, this does not look like a cardiac pain. Also, a cardiac pain will not increase on inspiration. However, there is no harm in getting an ECG (electrocardiogram) done. Do upload it here so that I can confirm the diagnosis. If ECG is also normal, then a cardiac possibility is further reduced. Importantly, does he smoke or drink? If yes, then he should avoid it.

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Continued drinking can cause this kind of pain. If he is drinking at present, it is advisable to stop. I assume he does not have any other illness. Myoril (Thiocolchicoside) as such does not have any serious allergic potential. Initially, he can have it once a day and if he tolerates it well, he can take it twice or even up to thrice a day. It can cause some sedation. Also, he should have tab Pan DSR (Pantoprazole) as advised previously.

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Sedation (sleepiness) is not a prominent side effect. However, the first dose can be taken on a holiday and if sedation is not prominent, he can have it safely. The other side effects which can occur are gas and acidity. Ultracet (Tramadol and Acetaminophen) is alright. It should be taken after food or it can cause gastritis and abdominal pain. Since you are not taking it, it will not affect the pregnancy or baby.