I mix the comments in with yours. "Brian Sandle" <[email protected]> wrote in message news:[email protected] > I had CABG a couple of years ago. >Waiting for it I was put on beta > blockers and noticed a bit of burning in the upper chest. Apparently some > people get that. > > A few times since the CABG I have been having chest discomfort. A small > artery was not bypassed in the CABG, but I do not show any cardio enzymes. > > Before the heart attack I had been taking 3 grams of fish oil daily. While > waiting for CABG in hospital I changed that to 1 gram. That resulted in > less chest discomfort when walking a bit. Fatty foods lend to acid reflux. People often complain about meat stews and peanut butter as two examples that come to mind. > > I had used fish for many years and it had controlled my blood pressure to > about 120/80. > > 23.75 mg of metoprolol daily had kept my blood pressure at about 107/70 > measured at home. At the doctor's it was rather higher. Recently, getting > some discomfort I measured it again and it was about 100/65, perhaps going > even lower. Lying down had not been good. At the doctor's it was 110/70 > and she suggests keeping on the metoprolol in case there is heart trouble. > > Today at home mu blood pressure it is down again and I got quite a pain > when lying down (waiting to go for cholesterol check). > > But is rather low blood pressure going to cause lack of strength in the > esohpageal sphincter? Could the pain from beta blocker be that? > > The nocturnal blood pressure is lower - is that part of GERD? This I doubt but I am not a medical man. > > Is nocturnal asthma to do with nocturnal GERD? This what is called microaspiration. The "refluxed" acid get into the lung which causes a spasm. It also cause inflamation and acid burn damage. > I not that beta blockers > (not so much metoprolol) are warned against with asthma sometimes. But > would GERD be any part of that in some cases? AFAIK, this is a reasonable hypothesis to consider. But acid reflux is a common disorder in the middle aged and the old so perhaps it is just one more thing getting old and failing. Hopefully you'll get a much better answer than I provided.