apollo
  • male
  • 50 Years
  • 01/04/2021

How do I know if my chest pain is serious?

Doctor 1

Answered by 1 Apollo Doctors

Any chest pain needs physical examination by a doctor and tests to know the cause. On a general note, if chest pain is associated with heart burn, abdominal bloating, belching then it may be due to gastritis which may be managed at home. If chest pain is sudden, radiating to left arm/ shoulder and is associated with sweating, breathing issue then it may be due to a cardiac condition which needs immediate hospital visit. Sometimes, atypical presentation like a person who had mild chest pain with vomiting was tested and found to be having a heart attack on ECG. Hence, every chest pain need a doctor's consultation.

Dr. Chandra Suggests...

Consult a Cardiologist

Answered 04/07/2025

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  1. Recognizing Serious Chest Pain

    • Look for sudden onset, a crushing sensation, or pain radiating to the arm or jaw.
  2. Associated Symptoms to Watch For

    • Be alert for shortness of breath, sweating, nausea, dizziness, or palpitations.
  3. When to Seek Emergency Care

    • Seek immediate help if pain is persistent, worsening, or accompanied by the above symptoms.
  4. Common Causes of Serious Chest Pain

    • Consider conditions like heart attack, angina, pulmonary embolism, or aortic dissection.
  5. Diagnostic Steps and Medical Evaluation

    • Prompt evaluation is crucial; tests may include ECG, blood tests, and imaging.
  6. Preventive Measures and Risk Factors

    • Address lifestyle factors and conditions that increase risk; regular check-ups are advised.
  7. Advice for Immediate Action

    • Call emergency services and avoid physical exertion if serious chest pain occurs.

Recommended next steps

Take a CBC Test (Complete Blood Count) Test

Answered 20/08/2025

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Is it normal to feel like my heart is pounding really hard when I'm exercising? It feels like my heart's just doing a crazy workout on its own, almost like I can hold it in my hand. When I checked, my heart rate was between 130-140 during a heavy workout. I'm 20 and I do have high cholesterol. I had an ECG and echo done back in May, and everything seemed okay. But when I'm resting, my heart rate drops to about 50 bpm and it doesn't feel heavy at all. It's only happening when I'm working out. Should I be worried and stop doing these intense exercises?

It is not uncommon to feel a heavy heartbeat during intense exercise, especially when your heart rate is elevated. Given your age and previous normal cardiac evaluations, it is less likely to be concerning. However, if you continue to experience discomfort or if the symptoms worsen, it may be advisable to modify your exercise routine. To help manage your symptoms, you can consider taking a beta-blocker medication like Metoprolol at a low dose before exercise to help control your heart rate and reduce the sensation of a heavy heartbeat. It is important to consult with your healthcare provider before starting any new medication. Additionally, focusing on aerobic exercises within your target heart rate zone and gradually increasing intensity may also help in reducing the sensation of a heavy heartbeat during exercise.

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I've been taking metoprolol 50 mg once a day for the past 3 years, but I'm experiencing some side effects like weight gain, gas, indigestion, abdominal swelling, and a puffy face. Are there any alternative beta blockers I can consider, especially since I have mitral stenosis with a measurement of 1.6?

Considering your side effects with metoprolol, you can discuss with your doctor about switching to a different beta blocker such as Nebivolol (5 mg once daily) or Carvedilol (6.25 mg twice daily). These medications may have a different side effect profile and could be better tolerated in your case. However, it is important to consult with your healthcare provider before making any changes to your medication regimen.

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I'm 24 and I spend a lot of time sitting because of my job. My pulse rate seems to bounce between 92 and 110. Is it normal for it to be that high at my age? I'm a bit worried if it's something I should be concerned about.

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.