I've been experiencing some concerning health issues lately and could really use some guidance. I'm 32, from Hyderabad, and generally healthyI don't smoke and only drink beer like once in every three or four months. I used to be really active with running, climbing, and cycling, even training for triathlons. But around five months ago, I started having chest pain that spreads to my back and left arm, especially when I'm lying down. Despite having had an ECG, echo, TMT, troponin, and a CT angiography, all these tests came back negative. The only thing I've been diagnosed with is high heart rate, for which I'm on medication. This has helped bring down the chest pain but not completely. Now, for the past month, I've had intense headaches and dizziness that make me feel like I might just collapse. Last night was particularly bad with the headache and chest pain. I'm really worried and not sure how to proceed. Could you advise on what might be causing this and what I should do next?

Answered by 1 Apollo Doctors

Dr Dr Khaleel Ur Rahim

General Practitioner

MBBS
1+ Yrs

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It sounds like you are experiencing a combination of chest pain, back pain, left arm pain, headaches, and dizziness. Since your cardiac tests have come back negative and you are already being treated for high heart beats, it is important to consider other possible causes for your symptoms. The chest pain, back pain, and left arm pain could be related to musculoskeletal issues or nerve impingement. For your headache and dizziness, it may be helpful to explore the possibility of migraines or other neurological conditions. I recommend trying a medication like Acetaminophen for your headache and pain relief. For your ongoing chest pain, back pain, and left arm pain, you can try a muscle relaxant like Cyclobenzaprine. Additionally, for your high heart beats, you can continue with the medication prescribed by your doctor. However, it is important to follow up with your healthcare provider to discuss these new symptoms and explore further evaluation or treatment options.

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Answered 04/07/2025

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I recently did some heart tests because I was experiencing pain in my left arm. My doctor mentioned it was muscular pain. My ECG didn't come out normal, but the TMT and 2D echo were fine. I'm really confused about whether it's okay to do strength training at the gym. I've attached my reports. Can you check them out and let me know what you think?

based on the reports you have provided, it's good to hear that your TMT and 2D echo results are normal, despite the abnormal ECG. Since your doctor has mentioned that the left arm pain is muscular in nature, it is generally safe to engage in strength training at the gym. However, it is important to start slowly and gradually increase the intensity to avoid any strain on the muscles. You can start with light weights and focus on proper form and technique. Additionally, it would be beneficial to consult with a fitness trainer at the gym to create a suitable workout plan that aligns with your health status. Remember to listen to your body and stop any exercise that causes discomfort or pain.