apollo
  • Female
  • 24 Years
  • 22/01/2025

I'm 24 and I spend a lot of time sitting because of my job. My pulse rate seems to bounce between 92 and 110. Is it normal for it to be that high at my age? I'm a bit worried if it's something I should be concerned about.

Doctor 1

Answered by 1 Apollo Doctors

ecg and echo advised to the pt..

Dr. Chandra Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've recently had a stress echo and it came back negative. Ten years ago, in 2011, I had an angiogram and it looked fine then too. In 2015, I went through a nuclear test, treadmill test, and some other checks, and they all turned out normal. Lately, Ive been having this dull pain in my neck that sometimes reaches up to my ear and jaw, and it also bothers my shoulder. My neck and upper back always feel stiff. My physiotherapist says my posture is pretty poor, mentions scoliosis, and thinks that might be causing this pain. I don't have issues when I'm walking and I can climb up to 12 floors without a problem but the neck and back pain, especially on the left side, really gets to me. Occasionally, I feel a sharp pain on the left side of my chest, but it fades away quickly. My chest is tender, and some spots are really sore to touch. Do you think it's safe to rule out any cardiac causes? Is there any other test I should consider doing?

Based on your history of negative stress echo, normal angio in 2011, and normal nuclear test and TMT in 2015, it is less likely that your current symptoms are related to cardiac issues. However, it is important to consider other potential causes for your neck, ear, jaw, shoulder, and chest pain. Given your description of neck stiffness and pain, along with the presence of scoliosis affecting your posture, it is possible that your symptoms are musculoskeletal in nature. To address your current symptoms, you may benefit from a muscle relaxant such as **Cyclobenzaprine** 10mg to help with the neck and back stiffness. Additionally, you can consider taking **Ibuprofen** 400mg for pain relief. Since you mentioned tenderness in your chest and certain points, it may be helpful to rule out any musculoskeletal chest wall pain. However, considering your history and current symptoms, further cardiac testing may not be necessary at this point. To improve your posture and alleviate the neck and back pain, regular physiotherapy sessions focusing on postural correction and strengthening exercises may be beneficial. It is important to continue working with your physiotherapist to address the underlying cause of your symptoms. If your symptoms persist or worsen, it is advisable to follow up with your healthcare provider for further evaluation and management.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm curious about how long the TMT test results are valid for. Are they considered accurate or reliable for a specific period, like one month, two months, or maybe six months? I just want to ensure I'm understanding it right.

The TMT (Treadmill Test) is a diagnostic test used to evaluate the heart's response to exercise. The validity of a TMT test result depends on various factors such as the individual's medical history, risk factors, and current symptoms. In general, the validity of a TMT test result is not based on a specific time frame like 1 month, 2 months, or 6 months. It is more about the current health status of the individual at the time of the test. If you have concerns about the validity of a previous TMT test result, it is best to consult with your healthcare provider for further evaluation and guidance.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm experiencing some persistent chest pain, and it's been going on for over two months now. It feels like a pinching pain right in the middle of my chest, but sometimes it shifts to the right or left side. There are also times when my heart starts beating really fast. I've had an ECG, echo, and TMT done, and all the results came back normal. I'm still feeling this pain and it's quite unsettling. Could you help me figure out what might be going on or suggest what I should do next?

it sounds like you may be experiencing symptoms of non-cardiac chest pain. Since your ECG, echo, and TMT results are normal, the chest pain may not be related to your heart. One common cause of such symptoms could be acid reflux or GERD. I recommend trying over-the-counter antacids like Tums or Rolaids to see if it helps with the chest pain. Additionally, you can try taking a proton pump inhibitor like Omeprazole 20mg once daily before breakfast to reduce stomach acid production. If the symptoms persist, you may need to consult a gastroenterologist for further evaluation and management. It's also important to avoid trigger foods like spicy, fatty, or acidic foods. Remember to follow up with your healthcare provider if the symptoms continue."

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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