- male
- 27 Years
- 20/02/2025
I'm a 27-year-old male, and I've been having some pain on the left side of my chest along with pain in my upper back and sometimes in the left side of my neck. It's been a real mixed bagsometimes it's a dull ache, other times it's much worse. About a month ago, I had an ECG, ECHO, and TMT done, and everything came back normal. My lipid profile and high-sensitive troponin levels were normal too, and even my chest X-ray didn't show anything unusual. But this has been going on for the last 10 months now. I'm trying to figure out if this pain might be related to my heart, my lungs, a muscle issue, or maybe just gas. Should I think about repeating the heart-related tests, or what do you recommend as the next step?
Answered by 1 Apollo Doctors
"Based on your symptoms and the normal results of your previous heart-related tests, it is less likely that the pain is heart-related. The pain in your left chest, left upper back, and neck could be musculoskeletal in nature, possibly due to muscle strain or inflammation. It could also be related to gas or indigestion. To help alleviate your symptoms, you can try taking over-the-counter pain relievers such as acetaminophen and applying heat or ice to the affected areas. Additionally, practicing good posture and gentle stretching exercises may also provide some relief. If the pain persists or worsens, you may consider consulting a doctor for further evaluation. They may recommend physical therapy, muscle relaxants, or other medications such as ibuprofen for pain and inflammation. It is not necessary to repeat the heart-related tests at this point, given your recent normal results. However, if you experience any new or concerning symptoms, it is important to seek medical advice promptly."
Dr. Ibrahim Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Ask Apollo
AI powered Health Chatbot
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Reassess Symptoms: a. Monitor for any new symptoms like shortness of breath, dizziness, or increased pain. b. Note any triggers or patterns in the pain.
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Consider Musculoskeletal Causes: a. Evaluate posture and recent physical activities. b. Try over-the-counter pain relief and gentle stretching exercises.
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Consultation: a. Schedule a follow-up with a primary care physician or a cardiologist. b. Discuss the possibility of non-cardiac causes such as musculoskeletal or gastrointestinal issues.
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Lifestyle Modifications: a. Maintain a balanced diet and regular exercise. b. Manage stress through relaxation techniques.
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Further Testing: a. Consider imaging like a CT scan if symptoms persist. b. Explore referral to a specialist if no improvement.
Recommended next steps
Consult a Family Physician or Consult a Cardiologist
Answered 10/09/2025
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I've been really worried about some recent health issues and could use some advice. I had an angioplasty back in 2013 and also dealt with Covid in August '20. Recently, I had some pain in my left arm, so I went to the cardiologist. The ECG came back normal, but some of my test results are concerning. My homocysteine level is at 44, triglycerides are sitting at 275, but my creatinine and cholesterol are normal. My SGPT is at 46 and B12 is at 218. I'm really anxious because I know the high homocysteine could mean a higher chance of another heart issue. Should I be considering more tests, like angiography, or is there a treatment plan you would suggest? Just hoping to get some peace of mind here.
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Answered by 1 Apollo Doctors
I'm a bit worried because I recently experienced a sudden increase in my heart rate, and when I got an ECG, it showed something called an ST abnormality. I'm wondering, is this a cause for concern? Does it often show up on ECGs, or should I be more alarmed about it?
ST abnormalities in an ECG can indicate various cardiac conditions. It is important to determine the specific type of ST abnormality (e.g. ST elevation or ST depression) and its location on the ECG. ST abnormalities can be seen in conditions such as myocardial infarction, angina, pericarditis, myocarditis, or electrolyte imbalances. Given your sudden increase in heart rate and the presence of ST abnormalities on your ECG, it is important to further evaluate the underlying cause. Depending on the severity and type of ST abnormality, treatment may include medications such as aspirin, nitroglycerin, beta-blockers, or interventions like angioplasty or surgery. I recommend consulting with a cardiologist for a thorough evaluation and appropriate management.
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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.