- Male
- 23 Years
- 22/01/2025
I'm experiencing this sharp, pin-like pain in my chest and back. It was really bad in January, but now it's not as intense, just feels like pins. I had my ECG done and everything came back normal. Can you tell me what precautions I should take?
Answered by 1 Apollo Doctors
Given your symptoms of pin-like pain in the chest and back, and a normal ECG, consider consulting a cardiologist to rule out conditions like pericarditis, costochondritis, or gastroesophageal reflux disease (GERD); in the meantime, avoid heavy lifting, maintain a healthy weight, manage stress, and avoid triggers like spicy or fatty foods that can exacerbate symptoms.
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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View allI'm a bit worried about my TMT results that showed inducible ischemia and mentioned a 1 mm ST change in certain leads during exercise. My max heart rate reached 206, with a maximum blood pressure of 18580, and I'm only 33 years old. I exercised for a total of 6 minutes and 19 seconds, reaching a workload of 7.40 METS, but the test was stopped when I hit my max heart rate. My 2D Echo came back normal. Do you think I need to get an angiogram, or is there anything else I should consider?
Given your positive TMT result showing inducible ischemia with 1 mm ST depression in multiple leads, achieving maximum heart rate during the test, and normal 2D Echo results, an angiogram may be recommended to further evaluate the extent and severity of coronary artery disease, especially considering your young age (33) and high workload achieved during the test; consult your cardiologist to discuss the risks and benefits of an angiogram and determine the best course of action.
Answered by 1 Apollo Doctors
I've been having this issue since an incident a few months back. I was eating crunchy peanut butter, and it got stuck in my food pipe, which led to some pain on the left side of my chest. It's been three months now, but I still feel pain in my chest sometimes. My heart rate also seems to elevate out of nowhere, even when I'm just lying down. Is there a link between the peanut butter incident and these heart symptoms? I've had an ECG and Echo, and both came back normal. I'm wondering if something could be wrong with my heart or if it's all just in my head. Would love to hear your thoughts on this.
It's good that you have already done ECG and Echo tests, and the results were normal. The symptoms you are experiencing may be related to esophageal irritation from the incident with the peanut butter, rather than a heart issue. To help with the chest pain and elevated heart rate, you can try taking over-the-counter antacids like Tums or Maalox to reduce acid reflux and irritation in the esophagus. Additionally, you can take a proton pump inhibitor like Omeprazole to further reduce stomach acid production. If the symptoms persist, you may also consider taking a medication like Propranolol to help with the elevated heart rate. However, it's important to follow up with your doctor for further evaluation and management.
Answered by 1 Apollo Doctors
I've been noticing that when I'm lying down, I can actually feel my heartbeat. Is this what's known as palpitation? It doesn't feel like that scary, pounding sensation, just a slight awareness of my heartbeat. Should I be concerned?
Yes, feeling your heart beat when lying down can be considered palpitations. It is important to monitor your symptoms and consult with a healthcare professional for further evaluation. In the meantime, you can try taking propranolol 10mg once daily to help with palpitations.
Answered by 1 Apollo Doctors
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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.