Question 1

I'm having this ongoing pain in my chest, left arm, and shoulder blade, and it's been going on for over six months now. I've had my ECG done a couple of times and it came back normal, but I'm still worried because I have a history of depression and was on medication for about a year and a half. My doctors mentioned it might be related to that. I've also had a few panic attacks in the last six months, and randomly I get chills all over. Just recently, I was doing some physical work when I felt a sharp chest pain radiating to my left arm. The weather was really hot that day, like 42 degrees. The doctors said not to worry, but I'm still concerned about this chest pain that seems to come out of nowhere. I'm also feeling some dull pain in my spine and disc area, and there are signs of cervical issues. Sometimes I feel suffocated or have this heaviness in the back of my head and shoulders. My physical shape isn't great either, and after eating, my left arm feels heavy with chest pain. Could this all be linked somehow or should I get a second opinion?

Accepted Answer

Based on your symptoms and history, it is important to consider the possibility of musculoskeletal issues, anxiety-related chest pain, and gastrointestinal concerns. To address the chest pain and discomfort in your left arm and shoulder blade, you can try taking a muscle relaxant like **Cyclobenzaprine** 10mg to help with any muscle tension or spasms. For the dull pain in your spine and disc area, you can take **Ibuprofen** 400mg as needed for pain relief. Additionally, for symptoms of cervical issues, you can use a topical pain relief gel like **Diclofenac** gel applied to the affected area. To manage anxiety and panic attacks, you can consider taking an anti-anxiety medication like **Lorazepam** 0.5mg as needed for acute episodes. It is also important to practice relaxation techniques and seek therapy to address the underlying causes of your anxiety. For gastrointestinal symptoms such as chest pain after eating, you can try an antacid like **Omeprazole** 20mg before meals to help with acid reflux and indigestion. It is also advisable to maintain a healthy diet and avoid trigger foods that worsen your symptoms. Please note that these recommendations are based on the information provided, and it is important to follow up with your healthcare provider for a comprehensive evaluation and management plan.

Question 2

I'm really concerned because I've been feeling my heart pounding in my stomach, especially when I'm lying down. It's even more noticeable while I'm sleeping. I also have exciting dreams that cause me to wake up suddenly. Is this something I should be worried about? Could there be an underlying issue causing this?

Accepted Answer

its normal no need to worry

Question 3

I'm experiencing this strange sensation right when I start to fall asleep each nightit's like there's a tightness or pressure in my chest, and I sometimes feel like I'm suffocating. I've checked my blood pressure during these episodes, and it's around 12683, which I've read is normal. Plus, I've had an ECG and a 2D Echo, and both came back normal. Given all this, do you have any idea what might be going on or what I can do about this? It's really concerning, and I'd love some guidance.

Accepted Answer

Since all the reports are normal ,advised a psychiatric opinion for diagnosis of anxiety and other conditions..

How can I lower heart disease risk if I have diabetes?

Prefer foods lower in fats, salt and calories and higher in fiber. Focus on fruits, green vegetables and whole grains. Regular physical activity.

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