Question 1

I've been getting these muscle pains that feel just like a heart attack, but every time, it's diagnosed as acidity. This has been happening for six years now. And in the last two years, I've started having panic attacks that again feel like I'm having a heart attack. I've done stress tests and an echo test, and fortunately, they turned out fine. I've also had gastroscopy done twice. What could be causing these symptoms? Could it just be stress or something else? I'm really looking for some guidance on what steps to take next.

Accepted Answer

It sounds like you may be experiencing musculoskeletal pain that is mimicking heart attack symptoms, along with acidity symptoms and panic attacks. Since your stress test, echo test, and gastroscopy have all come back normal, it is reassuring that there are no major cardiac or gastrointestinal issues. For the muscle pains, you can try taking over-the-counter pain relievers such as acetaminophen or ibuprofen. Additionally, you may benefit from muscle relaxants such as Flexeril (cyclobenzaprine) to help with the muscle pain. For acidity symptoms, you can try antacids such as Tums or Rolaids to help with heartburn and indigestion. For panic attacks, you may benefit from anti-anxiety medications such as Xanax (alprazolam) or Ativan (lorazepam) as needed to help manage the symptoms. It is also important to practice stress-reducing techniques such as deep breathing exercises, meditation, and regular exercise to help manage both the muscle pains and panic attacks. If the symptoms persist or worsen, it is important to follow up with your healthcare provider for further evaluation and management.

Question 2

I've been having this bad breath issue for a few months now, and I've noticed these bumps at the back of my tongue. Also, my nasal passages seem to take turns being blocked every couple of hours, like one side lets me breathe and then it switches. On top of that, I burp really loudly every hour. I know I have a thyroid problem, low Vitamin D, low calcium, fatty liver, and dry mouth. Could all these things be connected somehow? Should I be worried about these symptoms?

Accepted Answer

Loss of smell (anosmia) can be caused by various factors, such as:

Upper respiratory tract infections
Sinusitis
Allergies
Head injuries
Neurological disorders

Consult an:

Ear, Nose, and Throat (ENT) specialist
Neurologist
Primary care physician

They may recommend:

Nasal endoscopy
Imaging tests (CTMRI scans)
Smell tests (olfactometry)

Question 3

I had my gallbladder removed recently and now I'm dealing with a lot of indigestion and stomach issues. I've heard bile salt supplements and choline might help but I'm not sure which ones to take or how much. Can you recommend specific types or brands that would work best for post-surgery digestion problems? Also, are there any side effects I should watch out for?

Accepted Answer

yes advised ,conservative therapy.

I'm struggling with bad breath because of acid reflux. It's been an issue for about 10 years now. Could you suggest any medications that might help? I really want to find something that works.

tab omeprezole

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