Question 1

I'm having this issue with pain in my upper chest thats been going on for the last six days, and I'm also dealing with a blocked nose and a bit of a cough. I havent had any fever, but the first day, the pain was pretty intense and felt like a crushing sensation whenever I moved, with pressure in the upper chest area. My hand and shoulder muscles are hurting too, and there's some pain in my back just behind my chest along with prickly feelings every now and then. It's making it really hard for me to sleep. A couple of weeks ago, I had a cold with a fever and a cough but there was no chest pain then. I used to smoke for a few years but I quit smoking about a year ago. Could you help me figure out what's going on and suggest which specialist I should see?

Accepted Answer

consult a pulmonologist

Question 2

I'm kind of worried about my recent heart echo results after having a COVID infection. It says I've got mild tricuspid and mitral regurgitation and borderline concentric hypertrophy. But it also mentions that my systolic function is good with an LVEF of 66, and that my cardiac valves look normal. There's no pulmonary arterial hypertension, intracardiac shunt, or pericardial effusion. Sometimes I get this weird feeling, like something's stuck on the left side, and then when it goes down, I can breathe a lot better. Other than that, I'm feeling okay. Should I be concerned about these findings? What do you suggest I do next?

Accepted Answer

There is no immediate cause for worry. The symptoms you are experiencing on the left side may be related to the mild regurgitation, but further evaluation may be needed to determine the exact cause. To address the mild tricuspid and mitral regurgitation, you can take medication like Losartan to help reduce the regurgitation and prevent any worsening of the condition. Additionally, Metoprolol can be prescribed to help manage any symptoms related to the regurgitation. It is important to follow up with your healthcare provider for further evaluation and management based on your symptoms and the echocardiogram findings. Regular monitoring and follow-up appointments will be essential to ensure your heart health is maintained.

Question 3

I'm 27 and have had no bad habits. For the last eight months, I've been experiencing these quick chest pains on the left side; they just last about 5 to 15 seconds, and they come and go. I've been to the cardiologist and had around 20 ECGs, an echo, and a lipid profile done, and everything came back normal. The thing is, I don't feel any pain during heavy work, just at random times. I'm worried and wondering if this is a heart issue or maybe something physiological? Also, at home, my heart rate is slow, but as soon as I enter the hospital and the tension hits, my heart rate spikes. What could be going on?

Accepted Answer

It sounds like you may be experiencing episodes of non-cardiac chest pain, especially since your cardiology checkups including ECG, echo, and lipid profile have come back normal. Non-cardiac chest pain can be caused by issues such as muscle strain, anxiety, or gastrointestinal problems. Since your symptoms have been ongoing for eight months and are not related to heavy work, it is less likely to be a heart-related issue. To help with the chest pain, you can try taking over-the-counter pain relievers like acetaminophen. Additionally, practicing relaxation techniques or deep breathing exercises may help with episodes of high heart rate related to tension. If the chest pain persists or worsens, it would be advisable to consult with a doctor for further evaluation and management.

Physician opinion for bp.

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