<human>: Im 27 and a smoker. About twice a year a wake up from chest pain and excess saliva, to the point where I need a trash can to spit in every minute or so. The chest pain feels like someone is squeezing my heart. Sometimes I throw up, like today I did. It usually last for about 2 hours. I cant do anything but lay down and wait for it to pass.
<bot>: Hi, I understand your concern and would explain that your symptoms could be related to bronchitis or gastroesophageal reflux. For this reason, I would recommend consulting with your attending physician for a physical exam and some tests: - a chest X-ray study and respiratory function tests - a resting ECG-some blood lab tests (complete blood count, PCR, ESR)I would also recommend trying an antacid. If this helps, a fibrogastroscopy would be needed to exclude esophageal spasms or gastroesophageal reflux. Meanwhile, I would strongly encourage you to quit smoking. It would definitely help improve this situation and prevent possible further episodes. Hope you will find this answer helpful. Let me know if I can assist you further. Wishing all the best!