Question 1

I've been having this thing where my chest hurts for just a second or two, and then I feel okay again, but it keeps happening. It's like every 45 minutes or so, especially after I eat or drink. I'm not really sure what's going on, and it's starting to worry me. What do you think I should do about it?

Accepted Answer

Intermittent chest pain can be concerning. Given your symptoms, here are some possible explanations and advice:

*Possible Causes*

1. *Acid Reflux*: Gastroesophageal reflux disease (GERD) can cause chest pain, especially after eating or drinking.
2. *Digestive Issues*: Swallowing air, eating too quickly, or having an underlying digestive condition like IBS can lead to chest pain.
3. *Musculoskeletal Issues*: Tight muscles or inflammation in the chest wall can cause brief, sharp pains.

*What to Do*

1. *Stay Calm*: Your symptoms don't appear to be life-threatening, but it's essential to monitor them.
2. *Monitor Your Symptoms*: Keep a journal to track when the chest pain occurs, how long it lasts, and any potential triggers.
3. *Avoid Trigger Foods*: If you suspect acid reflux, try avoiding trigger foods like citrus fruits, tomatoes, chocolate, and spicy or fatty foods.
4. *Antacids or Acid Reducers*: Consider taking antacids or acid reducers like Tums, Rolaids, or Zantac to help alleviate acid reflux symptoms.
5. *Stay Hydrated*: Drink plenty of water throughout the day to help with digestion and reduce symptoms.

*When to Seek Medical Attention*

1. *Severe Chest Pain*: If your chest pain becomes severe, lasts longer than a few seconds, or is accompanied by difficulty breathing, dizziness, or a cold sweat, seek immediate medical attention.

Question 2

I've been told by my doctor that I need a CT angiography, but because of my sinus tachycardia, he mentioned it might be hard to do. I'm already taking beta-blockers and sedatives, but my heart rate is still not under control at the doctor's office. I'm worried about how I can manage my heart rate so I can get the CT angio done. What should I do?

Accepted Answer

To manage your heart rate for CT angiography despite sinus tachycardia, you can consider using a calcium channel blocker such as Diltiazem. The recommended dosage for Diltiazem in this case would be 120-360 mg per day. This medication can help in controlling your heart rate and making it feasible to undergo the CT angiography procedure. Additionally, you may also benefit from the use of a medication like Atenolol, a beta blocker, at a dosage of 25-100 mg per day to further help in controlling your heart rate during the procedure. It is important to follow your doctor's guidance and dosage instructions carefully.

Question 3

I'm 29 and feeling anxious about the possibility of having a heart attack. My blood pressure and blood sugar levels are normal, my TSH is normal too, I have no bad habits, and I weigh 55 kg. Is it still possible for me to have a heart attack?

Accepted Answer

It is uncommon for someone with your profile to have a heart attack at such a young age. However, there are other factors that can contribute to heart attacks, such as family history, cholesterol levels, and overall lifestyle. It is important to continue monitoring your health and consider regular check-ups with your doctor to assess your overall cardiovascular risk.

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More Cardiology Health Queries

I'm 29 and feeling anxious about the possibility of having a heart attack. My blood pressure and blood sugar levels are normal, my TSH is normal too, I have no bad habits, and I weigh 55 kg. Is it still possible for me to have a heart attack?

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