Question 1

Ive been getting this warm sensation near my left ribs and just below my breast lately. I went for a master checkup and had an ECG and 2D Echo done, and everything came back normal. But I couldn't do the TMT test because of an ACL ligament tear, so walking on the treadmill isn't an option for me. Do you think I need the TMT or any other tests to make sure it's not a heart issue?

Accepted Answer

Since your ECG and 2D Echo reports are normal, it is less likely that the heat feeling near your left ribs and below your breast is related to a heart issue. However, considering your symptoms, it may still be beneficial to undergo further testing to rule out any other potential causes. One option could be a CT scan or MRI to evaluate the area near your left ribs and below your breast for any abnormalities. Additionally, a consultation with a gastroenterologist may also be helpful to assess for any gastrointestinal issues that could be causing your symptoms.

Question 2

I'm feeling a bit worried about a sensation I have in the middle of my chest, like something might be blocked. A few days ago, there was pain, but now it's just this light pressure, especially when I lay down. I also have this discomfort in my left breast, like something is blocked, but I can't pinpoint exactly what it is. Could this be something serious, like a blood clot in my lungs or pulmonary embolism, or maybe myocarditis? The weird part is that exercise or taking a deep breath doesn't seem to bother it, but laying down sometimes makes me feel this fullness or pressure. What could it be?

Accepted Answer

It is important to evaluate your symptoms further to determine the underlying cause of your chest discomfort. The sensation of something being blocked in the middle of your chest, along with pressure and discomfort in the left breast, could be due to various reasons. While it is difficult to provide a definitive diagnosis without a physical examination and additional tests, the symptoms you described could potentially be related to conditions such as gastroesophageal reflux disease (GERD), musculoskeletal issues, or even anxiety. Given that you do not experience worsening symptoms with exercise or deep breathing, it is less likely to be related to a blood clot in the lungs (pulmonary embolism) or myocarditis. However, it is still important to seek medical attention for a proper evaluation and diagnosis. I recommend consulting with a healthcare provider for a thorough evaluation, which may include a physical examination, imaging studies, and possibly an ECG to rule out any cardiac issues. In the meantime, you can consider taking over-the-counter antacids for possible GERD symptoms and practicing relaxation techniques to help with anxiety-related symptoms.

Question 3

I've been having chest pain on the left side for about a year now. I've done all sorts of tests like ECG, echo, and TMT, and they all came back normal. For more clarity, I even had a CT coronary angiogram done. I've attached the frame and report here. Could you please take a look and let me know what's going on?

Accepted Answer

It is possible that you may be experiencing musculoskeletal pain or other non-cardiac causes of chest pain. To help alleviate your symptoms, you can try taking over-the-counter pain relievers such as acetaminophen (Tylenol) as needed. Additionally, practicing relaxation techniques and maintaining good posture may also be beneficial. If your symptoms persist or worsen, please follow up with your healthcare provider for further evaluation and management.

Yes you have to start statins and quit smoking completely,maintain healthy lifestyle and stay physically active,use statins for a period of 3 months and check your lipid profile for followup

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