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Overview

Non-cardiac chest pain (NCCP) resembles cardiac pain in those patients who are not suffering from heart disease. The pain is squeezing, pressure-like and oppressive in nature and is felt in the sternum. It could radiate to the left arm, neck or to the back of the spine. The pain is precipitated by the intake of food and can last for hours.

Non-Cardiac Chest Pain Symptoms

Patients suffering from noncardiac chest pain can complain of related reflux symptoms like heartburn or regurgitation of fluid. This is a sensation of the stomach juices running to the chest or mouth with a sour or bitter taste.

Non-Cardiac Chest Pain Causes

The causes behind the noncardiac chest pain can be classified into the esophageal and the non-esophageal.

The Esophageal Cause of Non-Cardiac Chest Pain:

Gastroesophageal Reflux: The common cause of the esophageal NCCP is the acid or the GERD reflux.

Esophageal Contraction Disorders: Other causes of noncardiac chest pain of the esophageal type include disorder of the esophagus muscle like uncoordinated contractions of the muscle and contractions of high pressure.

Visceral Hypersensitivity: Patients suffering from NCCP may have the ‘visceral hypersensitivity’, in which the slightest change in the exposure or pressure of an acid would result in a lot of pain.

Non-Esophageal Cause of Non-Cardiac Chest Pain:

Musculo-Skeletal Conditions: The non-esophageal cause of NCPP includes the pulmonary or spine disorders, pericardial conditions, pleural illness and digestive disorders like pancreatic diseases, gallbladder, ulcers, and tumors.

Disorders Associated with Non-Cardiac Chest Pain

There various disorders related to noncardiac chest pain are esophageal motility disorder, degenerative spinal disorders, pain disorders etc.

Diagnosis of Non-Cardiac Chest Pain

At mfine you would find a non cardiac chest pain specialist who would first rule out a cardiac cause before a patient is confirmed to be suffering NCCP. Once the cardiac tests confirm that the patients are not suffering from a cardiac disease they are given the proton pump inhibitor and with the improvement the treatment is extended further. If the condition of the patients does not improve other tests such as ‘PH study’ of the esophagus, upper endoscopy,’ esophageal motility’ test, etc are carried out by cardiologists.

Understanding Non-Cardiac Chest Pain

Noncardiac chest pain resembles cardiac pain that must be ruled out by diagnostic procedures such as PPI trial for administering the right treatment for noncardiac chest pain.

Non-Cardiac Chest Pain Treatment

Patients Treated As If NCPP Is Due to GERD or Acid Reflux: Patients treated for NCPP due to acid reflux are prescribed the ‘proton pump inhibitor (PPI)’ or the PPI trial. Apart from prescribing the PPI trial, the H2 Receptor antagonist like Cimetidine or Famotidine medication is given to some of the patients. In case the patient responds the treatment is continued for about 8 weeks in a reduced dose like Omeprazole.

Patients Not Responding to the PPI GERD:  For the patients not responding to PPI GERD low doses of tricyclic antidepressants (TCAs) such as amitriptyline, desipramine, trazodone, etc. are given.

At mfine there are accomplished cardiologists who have years of experience to offer the best treatment for noncardiac chest pain.

At mfine you would get proficient noncardiac chest pain doctors near me.

General Physician

Dr. Arun Noah

Dr. Arun Noah

MBBS, MPH

General Physician

42+ years exp

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Dr. Rama Rao

Dr. Rama Rao

MBBS, MAMS (Vienna), FRFH (London)

General Physician

40+ years exp

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Dr. Faiyaz Ali

Dr. Faiyaz Ali

MD - General Medicine, MRCP

General Physician

38+ years exp

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Dr. Channaraya v

Dr. Channaraya v

MD,DNB,FICP,FICC

General Physician

35+ years exp

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General Physician

Dr. Belliappa CMA

Dr. Belliappa CMA

MD - Aerospace Medicine, DIH, PGDHA, MBA Hospital Administration

General Physician

28+ years exp

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General Physician

Dr. Vidyasagar C R
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