It can be frustrating to experience chest pain even after tests show no heart problems, and having a dry throat in the evening adds to the discomfort. These symptoms may be linked to causes other than heart disease.

1. Possible Causes of Dry Throat in the Evening

   • Dry throat at night often results from mouth breathing, especially if nasal passages are blocked or due to sleeping habits.
   • Environmental factors like dry air or dehydration can also cause throat dryness.
   • Conditions such as allergies or acid reflux (gastroesophageal reflux disease, GERD) may contribute to throat irritation and dryness.

2. Understanding Chest Pain Despite Normal Tests

   • Chest pain with normal cardiac tests can arise from musculoskeletal issues like muscle spasms or inflammation, which may be related to muscle relaxant use or strain.
   • Anxiety or gastrointestinal problems, including acid reflux, can also cause chest discomfort that mimics heart pain.
   • Since your doctor has ruled out heart disease, these non-cardiac causes are important to consider.

3. Connection Between Dry Throat and Chest Pain

   • Acid reflux (GERD) is a common condition that can cause both chest pain and throat dryness or irritation, especially in the evening or at night when lying down.

4. Recommendations for Next Steps

   • Keep track of when symptoms occur and any triggers such as certain foods, stress, or medications.
   • Stay well hydrated and avoid irritants like smoking or alcohol that can worsen throat dryness.
   • Consult a gastroenterologist or an ear, nose, and throat (ENT) specialist to evaluate for reflux or other causes.
   • Seek urgent care if chest pain worsens, is accompanied by shortness of breath, sweating, or fainting.

If you want, I can explain more about how acid reflux might cause these symptoms or suggest specific lifestyle changes.To narrow down potential causes, we will need some more information.I understand you're experiencing heart pain and a dry throat in the evening, despite normal test results. Could you please share your age and gender?