Question 1

Sir, I'm 27 and have no bad habits like drinking or smoking, but my weight is 80 kg. For the past year, I've experienced daily pain in my left chest. Throughout this time, I've had 20 ECGs, 2 echocardiograms, and a TMT that was negative. My troponin levels are normal, along with a normal chest X-ray, random blood sugar, renal function tests, and thyroid function tests. My blood pressure is high at 16298, so I'm on Telma 20 tablets. Six months ago, my lipid profile was normal too. Why do I keep getting this pain in my left chest? It's causing me a lot of anxiety, and I worry about dying. I even got an ECG yesterday and attached the pic. Is there any other test I should consider for this pain?

Accepted Answer

The tests you have done so far indicate that your heart and other vital organs are functioning normally. Since your chest pain has been persisting for a year and you have already undergone multiple tests, it is important to consider other possible causes for your symptoms. One potential reason for your chest pain could be related to musculoskeletal issues or anxiety. I recommend trying over-the-counter pain relief medication like acetaminophen for your chest pain. Additionally, practicing relaxation techniques such as deep breathing exercises or yoga may help alleviate any anxiety-related chest discomfort. If your symptoms persist or worsen, you may consider consulting with a specialist such as a cardiologist or a gastroenterologist for further evaluation. They may suggest additional tests or imaging studies based on their clinical assessment. Remember to maintain a healthy lifestyle, including regular exercise and a balanced diet, to support your overall well-being. If you have any concerns or new symptoms, do not hesitate to seek medical advice promptly.

Question 2

I've been feeling some pain in my chest, shoulder, and back, and the doctor thinks it might be diastolic dysfunction grade one. Is this something serious? I'm really curious about whether this condition can be cured. Also, does what I eat or how much I exercise make a difference in dealing with this issue? The doctor gave me some medicine, but I'm not sure where to go from here.

Accepted Answer

Yes that is reversible,no need to worry follow your doctors advice

Question 3

I'm feeling a strong pulse in my chest and throat when I'm sleeping. If I stay in the same position for about half an hour, I really start to notice it, but it seems to stop when I change positions. During the day, I'm super energetic and don't have any issues, but this pulse thing keeps happening at night when I'm trying to sleep. Should I be worried about this? What could be causing it?

Accepted Answer

This sensation of feeling your pulse in your chest and throat while sleeping is known as pulsatile tinnitus. It can be caused by various factors such as high blood pressure, anemia, thyroid disorders, or even stress and anxiety. To address this issue, you can try managing stress levels, maintaining a healthy lifestyle, and ensuring proper sleep hygiene. If the symptoms persist or worsen, it is recommended to consult a healthcare professional for further evaluation and management. In the meantime, you can try taking a low dose of propranolol (Inderal) under the guidance of a doctor to help alleviate the sensation of pulsatile tinnitus while sleeping.

consult a pulmonologist

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