Question 1

I'm really worried because I've been having pain in my left chest every day for the past 10 months. I've done about 20 ECGs, a 2D echo, and a TMT test a month ago, all of which came back normal. The high sensitivity troponin test was normal, and so were my chest X-ray, random blood sugar, and CBC tests. I've been to the cardiologist three times, and he keeps saying it's not a heart issue, but the pain in my left chest, left hand, and upper left back is still there. I'm scared it might be a heart attack. What other tests should I consider, and which type of doctor should I see next?

Accepted Answer

Since the cardiac evaluations have come back normal and your cardiologist has ruled out any heart-related issues, the persistent left chest pain could be due to musculoskeletal problems or other non-cardiac causes. I would recommend consulting a Rheumatologist to evaluate for conditions such as costochondritis or fibromyalgia. Additionally, you may consider getting a CT scan or MRI of the chest to further investigate any potential structural issues. In the meantime, you can take over-the-counter pain relievers like Acetaminophen (Tylenol) for symptomatic relief.

Question 2

I'm really struggling with anal fissures because of constipation for over a year now, and I've been in a lot of pain. I tried seeing a gynecologist, and they gave me some meds for five days, but nothing's changed. I'm usually on a routine in the morning with bowel movements, but it's been painful for so long. I've switched up my diet to include more fiber and fluids, but I still feel the pain. The only relief I get is from using Cremaffin Plus syrup at night and nifecaine cream around bowel movements, but if I miss the syrup even for a night, the pain is unbearable the next day.

We're thinking about having kids, but I'm concerned if these medications might affect conception. How long can I keep using the syrup without any long-term effects? Is there a solid solution for my situation, and what can I expect if there's a treatment?

Accepted Answer

It sounds like you're experiencing chronic pain due to an anal fissure, which can be aggravated by constipation. Despite your efforts with diet and medications, if the pain persists, it might be worth seeking a second opinion, as other treatments like topical nitrates or botox injections could help. Regarding conception, Cremaffin Plus and nifecaine cream are generally safe for short-term use, but it's advisable to discuss them with your doctor during the planning phase. Treatment duration and improvement vary, but typically, with proper management, healing can occur in a few weeks to months.

Question 3

I've been having these concerning symptoms lately and I'm not sure what's going on. I was sleeping and suddenly woke up feeling dizzy, short of breath, and with some gas problems that caused a prickling pain in my chest. After that, I couldn't sleep and my body feels really weak, and the dizziness hasn't gone away. I looked it up on Google and came across GERD and acid reflux, which have similar symptoms. Could you help me figure out what this might be?

Accepted Answer

take antacids for few days it will reduce symptoms

Visit your Physician for appropriate management

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