Question 1

Today I experienced some heat in my chest area, which is unusual for me, and it wasn't during my regular walks or runs either. I've been feeling mild chest pain on and off for the last eight months, but my tests like the echo ECG in April were normal, and my TMT in August came back negative too. I'm pretty active, walking daily and running, and haven't changed my dietno junk or spicy foods. Seeing the cardiologist got me a list of medications like Escitalopram, Gastoflora, and Alprazolam, among others, but I'm curious about this new sensation. Is it something to worry about, or could it be a side effect of the medications?

Accepted Answer

The heat on the chest area that you are feeling could be due to various reasons, including anxiety or musculoskeletal issues. The medications prescribed to you by the cardiologist are as follows: 1) Escitalopram tablets - 1 tablet in the evening 2) Gastoflora tablet - 1 tablet in the evening 3) Alprazolam tablet - 12 tablet in the morning and 12 tablet in the evening 4) Duloxetine capsule - 1 capsule after breakfast 5) Retizyme capsule - 1 capsule in the morning and 1 capsule in the evening 6) Etoricoxib soft gelatin capsule - 1 capsule in the morning and 1 capsule in the evening 7) Difen Gel ointment These medications suggest that the cardiologist may suspect an underlying anxiety or gastrointestinal issue. It is important to follow the prescribed dosage and schedule as advised by the doctor. If you continue to experience chest pain or any concerning symptoms, please follow up with your cardiologist for further evaluation.

Question 2

I'm a bit worried because last night I had some breathing troubles and felt pain on the left side near my armpit. I went to see a doctor, and although my vitals like blood pressure and pulse were normal, he suggested an ECG, which also turned out normal. I have spondylitis, so I was wondering what tests or checkups I should consider next? Any advice would be really helpful.

Accepted Answer

Having a pain, heaviness or discomfort in your chest can be scary. It does not always mean that you are having a heart attack. There can be many other causes, including
Other heart problems, such as angina
Panic attacks
Digestive problems, such as heartburn or esophagus disorders
Sore muscles
Lung diseases, such as pneumonia, pleurisy, or pulmonary embolism
Costochondritis - an inflammation of joints in your chest
Some of these problems can be serious. Get immediate medical care if you have chest pain that does not go away, crushing pain or pressure in the chest, or chest pain along with nausea, sweating, dizziness or shortness of breath. Treatment depends on the cause of the pain.
To rule out cardiac issues. Get a ECG and 2D echocardiography done. If they are normal then get a TMT  stress echo done.. 
Meanwhile take
Tab. Flexon Mr twice a day for 5 days

Question 3

I'm really concerned about my husband who's 41 years old. He's been experiencing some pain on the left side of his chest every now and then, but when we did an ECG and an X-ray, everything came back normal. He weighs about 78 kg. Should I be worried even though the tests are normal? What else could be causing this pain?

Accepted Answer

gastritis rule out.

I've been noticing that my heartbeat is a real problem for me. I get stressed really easily, and then I just find myself getting angry. Is there something I can do about this? Can stress and anger actually affect my heart rate like this? Any insights would be greatly appreciated.

ecg and cardiac markers are advised

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