Question 1

I've been having some chest pain that moves around a bit - sometimes it's on the left side, other times in the middle. I walk 5 km every day and I don't feel any pain when I walk, which is odd. About a year and a half ago, I had a TMT, Echo, and ECG done, and everything came back normal. Since then, I've had four more ECGs, and they're all normal too. I attached my latest ECG here. I'm just wondering, is there anything else I can do to really make sure this isn't a heart-related issue? The pain mostly hits when I'm sitting, so I can't figure out what's going on. Could it really be non-cardiac?

Accepted Answer

"Hello, based on your description and the normal results of your TMT, Echo, and multiple ECG tests, it is less likely that the chest pain is related to a cardiac issue. Since the pain occurs mostly when you are sitting, it could be musculoskeletal or related to gastric issues. I recommend trying over-the-counter antacids like **Ranitidine** 150mg twice daily before meals to see if it helps with the pain. Additionally, you can take **Acetaminophen** 500mg as needed for pain relief. If the pain persists or worsens, further evaluation by a healthcare provider may be necessary."

Question 2

I had an angiography a couple of months ago, and it showed there's about a 60-70% blockage in a main artery. I've been on oral medication for it, but I'm curiousare there other ways to check how much blockage is still there or if there's been any improvement since I started the meds? Would love to get some advice.

Accepted Answer

Angiography is a common procedure used to diagnose blockages in arteries. To check the current level of blockage and monitor improvements during treatment, a follow-up angiography can be performed. This will allow the doctors to visually assess the blockage and determine if there have been any improvements with the oral medications. One commonly used oral medication for treating blockages in arteries is Atorvastatin (brand name Lipitor) at a dosage of 10-80 mg per day, depending on the severity of the condition. Regular follow-up with your healthcare provider is important to monitor your progress and adjust treatment as needed.

Question 3

I've been having chest pain for a couple of days now, and it's pretty constant, especially when I'm just sitting or lying down. Plus, sometimes I get this pain in my shoulder and neck, and even occasionally a stomach ache. I'm 20, I don't smoke or drink, and I'm not overweight. Could this be something serious like a heart attack or angina? I'm kinda worried and not sure what to do.

Accepted Answer

Based on your symptoms and age, it is less likely to be a heart attack or angina. However, chest pain should never be ignored. It is important to rule out any serious conditions. You may be experiencing musculoskeletal pain or acid reflux. I recommend taking over-the-counter antacids like Tums for stomach ache and trying ibuprofen for pain relief. If the symptoms persist or worsen, please consult a healthcare professional for further evaluation and management.

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