apollo
  • male
  • 30 Years
  • 29/01/2025

Ive been experiencing some chest pain on the upper right side whenever I laugh. Its strange because the pain shows up only during laughter and then just disappears. Should I be worried about this, or is it something that might just pass on its own?

Doctor 1

Answered by 1 Apollo Doctors

See a specialist for accurate diagnosis and targeted treatment.

Dr. Mubarak Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm Rohit, and I'm from Delhi. Back in December, I had some chest pain and got an ECG done. The doctors thought it might be type 1 Brugada morphology. I've since done a bunch of tests like ECG, ECHO, TMT, CT Angiography, and a 24-hour holter test, all of which came back negative. The doctor said it's asymptomatic since I don't have ventricular tachycardia, ventricular fibrillation, a family history of sudden cardiac death in a close relative under 45, or anything like that. Now, I'm planning to get married and just want to be sure about the Brugada syndrome diagnosis. Do you think it's a good idea for me to take a Flecainide or Ajmaline challenge test to confirm whether I have Brugada syndrome? Also, could you recommend any hospitals in India, especially near New Delhi, where I could get this test done? Would appreciate any info you have!

Yes, you can undergo a FlecainideAjmaline challenge test to confirm the presence of Brugada syndrome. This test is commonly used to unmask the Brugada ECG pattern in individuals suspected of having the syndrome. In India, you can consider getting this test done at reputed hospitals like AIIMS (All India Institute of Medical Sciences) in New Delhi, or at Max Super Speciality Hospital in Saket, New Delhi. It is important to undergo this test under the supervision of a cardiologist experienced in managing Brugada syndrome, as the test involves administration of a sodium channel blocker (Flecainide or Ajmaline) which can induce changes in the ECG pattern characteristic of Brugada syndrome. This test should only be performed in a hospital setting with facilities for managing any potential complications that may arise during the test. Before proceeding with the FlecainideAjmaline challenge test, it is advisable to discuss the potential risks and benefits of the test with your healthcare provider to make an informed decision.

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I've been dealing with blood pressure issues for about a year now. Initially, I was on S Numlo, but I had to stop because it caused swelling in my legs. Then, I switched to Eritel 40 mg for a few months, and now I've been taking Eritel 20 mg for the past couple of months. My main concern is that I've been gaining weight since my blood pressure diagnosis, and I'm worried it might be because of the Eritel tablets. Do you think the medication could be causing the weight gain?

Weight gain is a common side effect of certain blood pressure medications, including Eritel (Metoprolol); consider discussing alternative medications or adjusting your dosage with your doctor, and in the meantime, focus on a healthy lifestyle, including a balanced diet, regular exercise (aiming for 150 minutesweek), and stress management techniques to help manage weight and blood pressure.

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Doctor 1Doctor 2

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I've been dealing with chest pain for the past six months, and it's been really worrying me. I've already had ECGs done five times, an echocardiogram, blood tests, and even an endoscopy, but they all came back normal. My physical activity seems fine, but the pain is there all day. I'm just trying to figure out what might be going ondo you have any thoughts or advice on what I should do next?

It's good that you have already undergone several tests to investigate the cause of your chest pain. Since your ECG, echocardiogram, blood tests, and endoscopy all came back normal, it's less likely to be related to the heart or gastrointestinal issues. Considering your symptoms have persisted for 6 months, it's important to explore other possible causes such as musculoskeletal issues or anxiety-related chest pain. I recommend trying a medication like Acetaminophen 500mg as needed for pain relief. Additionally, practicing relaxation techniques or deep breathing exercises may help if anxiety is a contributing factor to your chest pain. If the pain continues, further evaluation by a specialist may be needed.

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Doctor 1Doctor 2

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