A 19-year-old male asked:
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i have chest discomfort and i chew tobacco. i went to a hospital and had an x-ray and ecg and everything was fine. could it just be the nicotine?

1 doctor answer
Dr. Shaym Puppala
24 years experience Internal Medicine
Possibly: Nicotine relaxes the sphincter between the esophagus and stomach which allows stomach acid to wash up and irritate the esophagus. This can cause a sensation of heartburn. Some people get spasm of the esophagus which can be experienced as chest pain or chest tightness.
Answered on Apr 25, 2018

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