apollo
  • female
  • 45 Years
  • 07/02/2025

I've been having this really awful chest pain for about a month now, and it sometimes feels like my heartbeat is a bit off. After doing a bunch of research, I think it might be esophageal spasms. I went to the ER twice, and they said my EKG and heart monitor were fine. My doctor gave me muscle relaxers, which help with the spasms, but I still cant shake this terrible feeling in my chest. My blood pressure seems okay, it's usually around 120 over 86. I keep feeling my pulse all down my chest and arms, and its been really hard to get any sleep. Could there be something else going on that Im missing?

Doctor 1

Answered by 1 Apollo Doctors

That could be GERD avoid late night eating and consume bland diet and maintain healthy lifestyle.

Dr. Chandra Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm really concerned about this condition called cough syncope. What kind of tests are usually done to confirm it? How can I be sure if what I'm experiencing is actually cough syncope?

To confirm a diagnosis of cough syncope, the following tests may be helpful: Electrocardiogram (ECG): This test can help rule out any underlying heart conditions that may be causing the syncope. Echocardiogram: This test uses sound waves to create a moving picture of the heart and can help evaluate the structure and function of the heart. Holter monitor: This is a portable device that continuously records the heart's electrical activity. It can help detect any irregular heart rhythms that may be associated with cough syncope. Tilt table test: This test involves being tilted at different angles to see if changes in position trigger syncope. Blood tests: These can help rule out other potential causes of syncope, such as anemia or electrolyte imbalances. It is important to consult with a healthcare professional to determine the appropriate tests needed for an accurate diagnosis of cough syncope.

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My fiance is just 22 and she's started having symptoms of bradycardia for about a month now. Her heart rate is averaging between 40 and 47 bpm, which seems super low, and she's getting tired really fast. She even has syncope sometimes. Her heart's actually healthy otherwise, but the doctor thinks it might be something with her body's natural pacemaker. They've recommended a pacemaker, but we're really hoping for a cure instead. Is there anything else we can explore?

Symptomatic Bradycardia with a heart rate of 40-47 bpm and exhaustion can be concerning. In cases where a pacemaker is not desired, medication therapy can be considered. One common medication used to increase heart rate in cases of symptomatic Bradycardia is Atropine. The usual dosage for Atropine in adults is 0.5 to 1 mg IV every 3 to 5 minutes as needed, with a maximum dose of 3 mg. However, the use of Atropine should be carefully monitored by a healthcare professional. It is important to follow up with your doctor for proper evaluation and management of the condition.

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.