Question 1

My mom, who's 75, has been having this center chest pain for 25 days now. Last week the doctor gave her met xl 12.5 and veloz d to take every morning after looking at her ECG report, but it hasn't helped with the pain. Today, after checking her 2D echo, they suggested she take Mucaine syrup and Sucrafil three times a day for a month. She's also on telmikind am 80 (half a tablet) and rosuless c 10 every night. I'm really worried since it's been more than a week without improvement. Do you have any idea what might be causing this pain?

Accepted Answer

Based on the medications your mother is currently taking and the symptoms described, the chest pain could be due to acid reflux or gastroesophageal reflux disease (GERD). The medications prescribed such as Veloz D, Mucaine, and Sucrafil are commonly used to treat symptoms of acid reflux. It is possible that the pain is related to acid irritation in the esophagus. To further alleviate the symptoms, you can consider adding a proton pump inhibitor (PPI) such as Esomeprazole (brand name: Nexium) or Pantoprazole (brand name: Protonix) to reduce stomach acid production. The usual dosage for Esomeprazole is 20-40mg once daily before a meal, and for Pantoprazole, it is 40mg once daily in the morning. Additionally, lifestyle modifications such as avoiding trigger foods, eating smaller meals, avoiding lying down after eating, and maintaining a healthy weight can also help in managing acid reflux symptoms. It is important to continue the current medications as prescribed and follow up with your doctor for further evaluation if the chest pain persists.

Question 2

I'm experiencing some persistent chest pain, and it's been going on for over two months now. It feels like a pinching pain right in the middle of my chest, but sometimes it shifts to the right or left side. There are also times when my heart starts beating really fast. I've had an ECG, echo, and TMT done, and all the results came back normal. I'm still feeling this pain and it's quite unsettling. Could you help me figure out what might be going on or suggest what I should do next?

Accepted Answer

it sounds like you may be experiencing symptoms of non-cardiac chest pain. Since your ECG, echo, and TMT results are normal, the chest pain may not be related to your heart. One common cause of such symptoms could be acid reflux or GERD. I recommend trying over-the-counter antacids like Tums or Rolaids to see if it helps with the chest pain. Additionally, you can try taking a proton pump inhibitor like Omeprazole 20mg once daily before breakfast to reduce stomach acid production. If the symptoms persist, you may need to consult a gastroenterologist for further evaluation and management. It's also important to avoid trigger foods like spicy, fatty, or acidic foods. Remember to follow up with your healthcare provider if the symptoms continue."

Question 3

I've been experiencing some unusual muscle twitching for the past couple of weeks, especially in my upper left arm, and sometimes it happens in my chest too. Its mainly my arm thats twitching quite a bit. I'm really worried that this could be related to my heart. Could this muscle twitching be a sign of a heart issue?

Accepted Answer

twitching of the muscle is due to anxiety,stress,ulnar nerve compression ,dehydration etc .. If your chest pain persists ecg and 2d echo is advised and cardiac opinion...

I'm a bit worried because my pulse rate is always between 95 and 120. I have high blood pressure and I'm on Olmat 20. Right now, with the digital machine, my blood pressure is reading around 130 to 145 over 85 to 100. Why is my pulse rate high, and is there any treatment I should consider?

This needs evaluation,visit Physician for the same and appropriate anagement

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