###Human: I have tightness in chest. Is it start of a heart attack? ###Assistant: Hi. I have thoroughly gone through your case and can understand your genuine concerns. 1. Muscular spasm for example: respiratory muscles like diaphragm, abdominal muscles, chest accessory muscles of respiration and back muscles. 2. There is an aching lung tissue because of bad cough. 3. Chest infection (respiratory tract infections). 4. When you cough on already aching muscles you will have chest tightness. This is known as the guarding reflex of the body. I would suggest you to start with these medications after consulting your cardiologist for physical examination. 1. Tablet Azithromycin (Zithromax). 2. Tablet Ebastine (Ebatrol). 3. Tablet Ibuprofen (Advil). 4. Start having a good cough syrup. 5. If you are not allergic to vicks, then apply vicks vaporub over the chest and neck to get better relief. 1. Start using a nebulizer. 2. Use vicks warm mist humidifier. In case you are allergic to vicks, then use only plain water in the humidifier. 3. Drink lots of fluids and take good rest. 4. In order to prevent constipation, take lots of fiber rich foods and whole grain containing healthy foods. 5. Avoid processed foods, coffee, tea and energy drinks. For further queries consult a cardiologist online.--->