apollo
  • male
  • 45 Years
  • 20/02/2025

I'm dealing with some pretty bad acid reflux after eating heavy masala foods. I've got this weird dhada sensation in my chest, so I got an ECG done. The results said something about a left axis and poor R progression. Is this something normal, or should I be worried? Would love some advice on what to do next!

Doctor 1

Answered by 1 Apollo Doctors

It sounds like you may be experiencing acid reflux symptoms and chest discomfort. The ECG findings of Left axis poor R progression may indicate certain heart conditions, but it is important to correlate these findings with your symptoms and overall health status. To address your acid reflux symptoms, you can try taking Omeprazole (brand name Prilosec) 20mg once daily before breakfast for a few weeks. Additionally, you can take Gaviscon (antacid) as needed for immediate relief. It is also recommended to avoid spicy and heavy meals, eat smaller meals, and avoid lying down immediately after eating. If your symptoms persist or worsen, please follow up with your healthcare provider for further evaluation and management.

Dr. Shubham Suggests...

Consult a Cardiologist

Answered 25/07/2025

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I'm really worried about my aunt who's dealing with hypertension. Her blood pressure was really high at 190110 during her echo testing. The echo report mentioned things like AO 30mm, LA 40mm, EF 60%, and LVIDd 40mm, among others. She was diagnosed with CVH and grade 1 LVDD. I've heard CVH can be reversible with long-term control of blood pressure. The doctor has prescribed meds, and now her BP is down to 13185. I'm just trying to understand if her condition is mild, moderate, or severe. Can you help me make sense of all this?

Based on the information provided, your aunt's CVH (Cardiovascular Hypertension) condition is concerning due to her high blood pressure of 190110. However, with proper management and the prescribed blood pressure tablets, her current blood pressure of 13185 is within a better range. To help control her blood pressure and potentially improve her CVH, the doctor may have prescribed medications such as Amlodipine (5mg) and Lisinopril (10mg) to be taken daily. These medications can help lower blood pressure and reduce the strain on the heart. In terms of the severity of her CVH, it is considered mild at this stage with grade 1 LVDD (Left Ventricular Diastolic Dysfunction). With continued management of her blood pressure and overall health, there is a possibility that the CVH can be reversible over time. Remember to monitor her blood pressure regularly, take the prescribed medications as directed, follow a healthy lifestyle, and attend follow-up appointments with her doctor for further evaluation and management of her condition.

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Doctor 1Doctor 2

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So, I was wondering, while I was out trekking recently, my heart rate spiked up to 85% of what my target heart rate is, which is about 185 BPM. During this, I felt a bit of pain on the left side of my neck. Its kind of a pulsating ache, but not too intense, and it seems to improve when I rest. Is this something normal? Ive already done some tests like a blood test showing my cholesterol is in range, an ECG that came back normal with sinus tachycardia, and both an ECHO 2D and TMT that are normal. By the way, Im 26 years old. Can you shed some light on this?

Hello, based on your description, it sounds like you may be experiencing some muscle strain or tension in your neck, especially since the pain improves with rest. However, given your normal test results and age of 26 years, it is less likely to be related to any serious heart condition. To help with the mild pulsating pain in your left side of the neck, you can try taking over-the-counter pain relievers like acetaminophen (Tylenol) as needed. Additionally, you can apply a warm compress to the area to help relax the muscles. Make sure to stay hydrated and practice good posture while trekking to prevent further strain on your neck muscles. If the pain persists or worsens, it would be advisable to follow up with your healthcare provider for further evaluation

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Ive been noticing some pain in my chest that moves to my left arm and its paired with shortness of breath. It usually happens after Ive had an emotional setback and tends to go away on its own after a while. What could be causing this? Is it something I should be worried about?

Based on your symptoms, it sounds like you may be experiencing episodes of angina. Angina is chest pain or discomfort that occurs when the heart muscle doesn't get enough oxygen-rich blood. In your case, the pain may be triggered by emotional stress. I recommend you to take Nitroglycerin sublingual tablets as needed for chest pain. The usual dose is 0.3 to 0.6 mg every 5 minutes as necessary, up to 3 doses. If the pain persists after taking the medication, please seek immediate medical attention.

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