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Hi, I'm Dr.Nitika-a board certified physician. Welcome to JustAnswer. I'm reviewing your question now, and will post back with your reply ASAP.
Is he having choking sensation?
Shortness of breath?
Alcohol and smoking consumption?
Any other medical illness?
Is he taking any medicines?
Pain in upper abdomen?
Waiting for your reply.
Sorry for late reply and inconvenience.
As per your description,possible differential diagnosis may include Esophagitis,Ischemic heart disease,Gastroesophageal reflux.
As he is feeling chest tightness then I recommend to visit ER and EKG should be done.
Also take OTC Zantac.
Maintain a good hydration.
Monitor his blood pressure.
Hope this helps.Feel free for further queries. It's good to discuss rather than quit.Your satisfaction is our goal.We are here to help you until you satisfy.
May I help you more?Waiting for your reply.