Whenever there is an extreme chest pain of sudden onset; rule is to get an EKG for ruling out heart association. Though I would lie to emphasize that heart attacks are extremely rare in your age group females. Having said that, you are symptoms can also occur due to;
1) Esophageal spasm
2) Esophageal motility disorder
Last 3 will require antibiotic with anti inflammatory.
Following treatment may help you for the first three ailments;
a) Calcium channel blockers (diltiazem, nifedipine) decreases the spasm and improves the movements of the esophagus.
b) Relaxation techniques.
c) Noncardiac chest pain in the setting of esophageal spasm and esophageal movement disorder (dysmotility) often shows good response to antireflux therapy, even in the absence of typical gastroesophageal reflux symptoms.
d) Reassurance and control of anxiety is extremely important.
Anti reflux therapy is;
1) antacids; Maalox
2) acid blocker; Prilosec
3) loosing weight, if overweight.
4) avoiding alcohol, citrus fruits and juices, chocolate, and tomato based products
5) avoiding large meals. Eat 5 small meals in a day.
6) wait three hours after the meal before you sleep.
7) elevate head end of the bed by 8 inches.
You may also consider getting a chest x-ray with the EKG for the evaluation.
Please feel free for your follow up questions.
I would be happy to assist you further, if you need any more information.
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