Question 1

Hey, I've been dealing with this pricking sensation on just the left side of my chest for the past year. It's more like a dull, mild sensation rather than outright pain, and it disappears within seconds. I've already done an ECG, echo, TMT, chest X-ray, and blood tests, and everything came back normal.

Do you think I need any more tests to check my heart? Should I be worried about any heart issues even if my tests didn't show anything concerning? Also, what could be causing this pricking feeling in my left chest? Would appreciate your advice.

Accepted Answer

1) Since your ECG, echo, tmt, chest x-ray, and blood tests have all come back normal, further heart investigations may not be necessary at this point. However, if your symptoms persist or worsen, a coronary angiography may be considered by your doctor. 2) If all your tests have come back normal, it is reassuring and indicates that there may not be a serious issue with your heart. However, it is important to continue monitoring your symptoms and follow up with your healthcare provider regularly. 3) The pricking pain in your left chest could be due to various reasons such as musculoskeletal issues, nerve irritation, anxiety, or gastrointestinal problems. It is important to discuss your symptoms in detail with your doctor to determine the exact cause and appropriate treatment.

Question 2

I'm currently on Telpres MT 50mg for my blood pressure, and I'm wondering if it's alright to take it after dinner or just before bed. Does the timing affect how well the medication works? I'm a bit concerned about whether taking it at night might cause any issues or side effects while I'm sleeping. What do you think would be the best time to take it?

Accepted Answer

It is recommended to take Telpres MT 50mg once daily in the morning, preferably at the same time each day. This helps to maintain a consistent level of the medication in your body and optimize its effectiveness in controlling blood pressure.

Question 3

Can you have a look at this EKG for me? I've been having a really tough time with chest discomfort that spreads to my left arm, back, and abdomen. Went to the ER and they did an EKG; the heart doctor said it was normal. They sent me home with meds for acidity and anxiety, but Im feeling even worse now, like it might be a heart attack. So I went to another hospital where they did another ECG, but no cardiologist checked it. Im having body shivers and tremors but no chills. My stomach's also upset, with loose motions a lot because of IBS and GERD, and I ate chocolates today which are the worst for GERD. Should I get a troponin test done? Its really expensivecan I skip it? Any advice would be helpful.

Accepted Answer

Based on your symptoms and medical history, it is important to rule out a heart attack as a cause of your chest discomfort. Given the persistent symptoms and the radiating pain to your left arm, back, and abdomen, along with the shivering and tremors, it would be advisable to go ahead with the Troponin test to assess for any cardiac damage. This test can help determine if there has been any injury to the heart muscles. It is a crucial test in cases of suspected heart attack. In the meantime, continue taking the acidity and anxiety medications prescribed to you. Additionally, avoid trigger foods like chocolates that can exacerbate your GERD symptoms. If the symptoms persist or worsen, seek medical attention promptly

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