Hello doctor, I have been using Adderall for about three years now. About one year ago, I started experiencing chest pains that would quickly go away after awhile. Then, there were a few occasions where I abused my medication and took too much. Since the last time that this happened (about six months ago), I have experienced squeezing chest pains that last longer and longer. I also cannot drink alcohol anymore because my chest hurts so bad afterward. Now, for the past three weeks, I have experienced a constant squeezing pain in my chest and it does not go away. I have had an echo, multiple EKG, stress test, and a CTA scan of my chest, but the pains are still getting worse. What should I do?
Hello. Likely, this is gastritis and reflux disease. Pain occurs due to acid reflux and esophageal spasm. You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Avoid smoking and alcohol for few days, for about 2 to 3 weeks. Elevate head end of the bed or use pillows while sleeping. You should get prescribed tablet Pan DSR (Pantoprazole, Domperidone) 40 mg or Esomeprazole, Domperidone combination before breakfast once a day for two weeks, and if relief then two additional weeks. If not adequately relieved, then you should add syrup Sucral O (Oxetacaine, Sucralfate) or Gelusil two teaspoons three times a day for a week.  For more information consult a cardiologist online -->