Question 1

I'm a 27-year-old male, and I've been having some pain on the left side of my chest along with pain in my upper back and sometimes in the left side of my neck. It's been a real mixed bagsometimes it's a dull ache, other times it's much worse. About a month ago, I had an ECG, ECHO, and TMT done, and everything came back normal. My lipid profile and high-sensitive troponin levels were normal too, and even my chest X-ray didn't show anything unusual. But this has been going on for the last 10 months now. I'm trying to figure out if this pain might be related to my heart, my lungs, a muscle issue, or maybe just gas. Should I think about repeating the heart-related tests, or what do you recommend as the next step?

Accepted Answer

"Based on your symptoms and the normal results of your previous heart-related tests, it is less likely that the pain is heart-related. The pain in your left chest, left upper back, and neck could be musculoskeletal in nature, possibly due to muscle strain or inflammation. It could also be related to gas or indigestion. To help alleviate your symptoms, you can try taking over-the-counter pain relievers such as acetaminophen and applying heat or ice to the affected areas. Additionally, practicing good posture and gentle stretching exercises may also provide some relief. If the pain persists or worsens, you may consider consulting a doctor for further evaluation. They may recommend physical therapy, muscle relaxants, or other medications such as ibuprofen for pain and inflammation. It is not necessary to repeat the heart-related tests at this point, given your recent normal results. However, if you experience any new or concerning symptoms, it is important to seek medical advice promptly."

Question 2

I'm feeling a lot of pain in the upper muscles of my chest, even though I can breathe normally. It feels like there's pressure on my chest. I recently had a chest X-ray, and the doctor said it was normal. I've got acidity, and I'm not sure if that's what's causing this much pain. It sometimes feels like I might fall over, but my blood pressure and sugar levels are normal. I'm really anxious about my health. I've already taken all the reports; CT scan for my brain was normal, and liver, kidney, and thyroid are also fine. I even checked cardio and took a TMT which came back negative. But both the right and left chest muscles are still hurting. What should I do?

Accepted Answer

tab pantop 40mg for 5 day and continue anxiety treatment

Question 3

So my dad had CABG surgery on March 9, 2017, and everything seemed fine while he was in the hospital and ICU, even when we got home. But during a routine check-up on March 22, some of his meds were stopped. A couple of days later, he developed a fever around 99-100. We told our doctor, and he suggested blood and urine cultures. The urine culture came back positive with two bacteria, and one was really resistant to antibiotics. The surgeon prescribed Linospan 600 and Furadantin 200, twice and thrice daily, but the fever didn't go away. Another culture at the hospital showed negative for infection in his urine, yet his fever continued around 99-99.5. After a week, another urine culture was still negative. We tried stopping his Combiflame, and the fever went away for a couple of days, but then it returned, and we had to start Combiflame again. Why is his fever persisting despite all these medications and negative test results? Could it be something other than an infection, or are we missing something important? Any advice on what we should do next?

Accepted Answer

It seems like your dad is experiencing recurrent fever despite antibiotic treatment for a positive urine culture. Since the urine culture has come back negative on subsequent tests, it is important to consider other possible causes for the fever. One common cause could be a post-operative infection related to the CABG surgery. In such cases, broad-spectrum antibiotics may be needed. I would recommend discussing with your doctor about the possibility of adding a different antibiotic to cover for other potential infections. In the meantime, to help manage the fever, you can continue giving Combiflam as prescribed by your doctor. Additionally, make sure your dad stays well-hydrated and gets plenty of rest. If the fever persists or worsens, further evaluation may be needed to determine the underlying cause.

I'm kind of confused and a bit worried about my recent ECG results. The cardiologist mentioned something about needing to "correlate clinically" with the results. Could you help me understand what that means? I've got my report here and I'm just trying to figure out what I should be doing next.

it is normal

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