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'm a bit concerned about the variation in my heart rates. My sleeping heart rate is around 55 bpm, while my resting heart rate falls between 80-100 bpm. When I wake up, it usually ranges from 100-120 bpm, and during brisk walking, it goes up to between 130-160 bpm. I'm 26 years old, have a healthy BMI at 22.5, my cholesterol levels are where they should be, and my blood pressure and echocardiogram results are normal. Is it normal for my heart rate to vary this much?

Accepted Answer

Having variations in heart rate throughout the day is normal, especially in response to different activities and stress levels. However, if you are concerned about the wide range of heart rates you are experiencing, you may consider taking a beta-blocker like Metoprolol (25-50mg) to help regulate your heart rate and reduce fluctuations. It is important to consult with your doctor before starting any medication.

Question 3

I've been having some anxiety and left arm pain for a few days now. My hand just suddenly becomes weak, and theres also this annoying pain in my left shoulder and neck area. The weird thing is, I'm not sure if it's something muscular or maybe related to my glands. It kinda all started after I got my COVID vaccine on May 13th. The arm pain from the shot lasted for about 23 days, and this whole issue kicked off right after. I went ahead and got an ECG done just in case, but it came back normal. Now I'm worried if this could be heart-related since I know my HDL level is low. Have you heard of this happening to anyone else after the vaccine, or do you think it might be something else?

Accepted Answer

The symptoms you are experiencing, such as anxiety, left arm pain, weakness in the hand, and pain in the left shoulder and neck area, could be related to musculoskeletal issues rather than a heart problem, especially since your ECG was normal. The arm pain you experienced after the Covid vaccine could also be a contributing factor. To address the anxiety, you can try relaxation techniques and stress management strategies. For the musculoskeletal pain, you can take over-the-counter pain relievers such as acetaminophen. Additionally, a muscle relaxant like Cyclobenzaprine can help with muscle spasms and pain. If the symptoms persist, you may need to consult a doctor for further evaluation and management.

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