Severe burning in the chest and difficulties in...

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What are the causes ?

1.cardiac disease
2.chest infection 
3.reflux and reguarge 

What are the  investigations to do ?

1.cardiac enzyme as tropinin kinine 
2.ECG
3.chest x ray to exclude out any chest infection 
4.barium swallow and meal to exclude out any eosephegeal abnormalities or reflux

How to treat this ?

1.aspirin protect 
2.isoket 20 sublingual 
3.cardiac catherization 
4.treat chest infection by klacid 
5.eosmoprazole for burning sensation and for reflux