Q. I feel heavy over the chest. Is that due to acid reflux or heart problem?

Answered by
Dr. Vedprakash Verma
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 12, 2018

Hi doctor,

I have a heavy feeling over the chest frequently. Sometimes, I also have pain near my left ribs when I move my hands. Whenever I stand up, little pain or crushing pain happens and disappears suddenly. I have done endoscopy for the stomach. I have hyperacidity and H.pylori infection. Also, my endoscopic reports showed me red spots over the food pipe. I have grade A acid reflux. Why is it happening in me? Is it related to the heart? Please suggest.



Welcome to

I have seen your reports (attachment removed to protect patient identity). You have reflux esophagitis with antral gastritis. Please say about your drug history and sent it. Proper treatment is required for eradicating the H.pylori infection.

Thank you doctor,

I am attaching the medicine receipt prescribed. After taking it, I got some relief. But I started to have pain again. The pain comes suddenly and goes suddenly. It is more during anxiety, and the pain is present only in the center of the food pipe. Before two years, for this problem, I did ECG, heart sonography and TMT. The results and my blood reports came normal. Recently, I did a thyroid test, and it was also normal. I always do exercise daily, and this pain comes and goes away suddenly. How to treat this problem? Does it have any relation to the heart? Please suggest.



Welcome back to

I have gone through the medicines. As you are suffering from antral gastritis due to H.pylori infection, it has two therapies. It is called triple therapy and the second one called quadruple therapy. The doctor has prescribed you triple therapy, and the dosage is not clear. You have to take those medicines for 14 days continuously without fail. It is compulsory. Since there is gastritis, it takes some time to get cured, and it depends on your diet.

Stop smoking and drinking alcohol if you have the habit. Do not take dairy products and fried foods. Always take fiber diet with green leafy vegetables, legumes like daal, pulses, gram, soybeans more in your food. Try to reduce your anxiety as it can increase gastritis more. Please say about the dosage you are taking.

Thank you doctor,

I am taking the dosage as per the prescription. Also, the doctor prescribed me Nexito plus recently for anxiety. Can I take it or not? I am taking only milk. Can I take it or not? Please suggest me the best medicine to get cured.



Welcome back to

Taking triple medicine is best, and you can take Nexito plus (Escitalopram). It decreases your anxiety. Avoid taking milk. Follow the above instructions and do not take any other medicine except this. It will take some time to get cured.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
H. Pylori Infection - Diagnosis and Prevention

Endoscopy to look for ulcers and biopsy to detect H ...   Read full

What could be the reason for my acidity and chest heaviness?

Since then, I have severe acidity, heaviness in chest, uneasiness near the heart and pressure in the neck ...   Read full

How to recover from altitude sickness?

I have weird chest and stomach pains that were similar to when I got altitude sickness ... I am worried about my chest and stomach pains ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Missed Miscarriage - An Overview
Sometimes a miscarriage occurs without knowledge, as typical signs may be absent. This is called a missed miscarriage. L...  Read more»
H3N2v Influenza - Treatment and Prevention
Management and prevention of an Influenza A virus variant include various treatment options and measures. The below arti...  Read more»
Flu A - Symptoms, Causes, Diagnosis, Treatment and Prevention
The flu, or influenza, is a contagious viral infection that attacks the respiratory system. Flu A and B viruses are resp...  Read more»

Ask your health query to a doctor online?

Ask an Internal Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.