A member asked:
Hi, i use dip tobacco once a day before i go to bed.i experience pain in & around my heart sometimes.i have mvp and take toprol 50 mg 2x a day.sometimes the pain starts after i am done and laying in bed. sharp pain. it goes away. i sleep &feel ok. ty?
9 doctors weighed in across 3 answers
Tobacco: The tobacco at bedtime would likely cause GERD. This would explain your chest pain.
Answered 9/12/2019
142 views
Vasoconstriction: Nicotine causes coronary arteries to constrict and reduce blood supply to the heart and could be responsible for some of your symptoms. It would be good to quit using tobacco while you are ahead. https://www.ncbi.nlm.nih.gov/pubmed/8354792
Answered 9/7/2019
142 views
Chest distress: I agree with Dr. H as to the probable cause of your chest distress especially if you inadvertently swallow tobacco juice. I assume you were given Toprol to prevent cardiac arrythmias which can occur with MVP. MVP can also cause atypical chest discomfort itself.
Answered 9/8/2019
141 views
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