Question 1

I'm feeling some chest and back pain that seems to move around my upper body, and it's been going on for about 4-5 months now. I've done a bunch of tests like an endoscopy, throat scope, and both ECG and a 2D echo, and they all came back normal. I'm just curious, could this be related to something like variant angina? And do painkillers even help with angina pain?

Accepted Answer

based on your symptoms and normal test results, it is possible that you may be experiencing variant angina, also known as Prinzmetal's angina. Variant angina is a type of chest pain caused by coronary artery spasm, which can lead to temporary narrowing or constriction of the coronary arteries. For variant angina, painkillers like nitroglycerin can help relieve the chest pain by relaxing and dilating the coronary arteries, improving blood flow to the heart muscle. Nitroglycerin is commonly prescribed for angina and is available in various forms such as sublingual tablets or spray. The usual dosage is 0.3 to 0.6 mg sublingually as needed for chest pain. It is important to follow up with a cardiologist for further evaluation and management of your symptoms.

Question 2

I've been having this small tingly sensation in my upper chest since November 2016. It kinda feels like there's a blockage or something. Should I be worried about this, and what might it be?

Accepted Answer

The symptoms you are describing could be related to acid reflux or a nerve issue. To help with the tingling sensation, you can try taking Omeprazole (brand name Prilosec) 20mg once daily before breakfast to reduce stomach acid. Additionally, you can take Gabapentin (brand name Neurontin) 300mg three times a day to help with nerve-related symptoms. However, it is important to consult with a doctor for a proper diagnosis and treatment plan.

Question 3

I'm really worried about my husband. About eight months ago, he had some chest pain, so we went for a check-up. They did an ECG, an echo, and a stress test, and thankfully everything seemed normal, but he had high blood pressure and his triglycerides were around 250. He's been on medication for BP since then, including Prolomet XL 50, Hytel H, Tonact D, and Nulong 5mg. But just yesterday, he experienced chest pain again. We went to the doctor and did another ECG, which came back normal. The doctor said it might be muscle pain and gave him some pain medicine. I'm still worried it could be related to his heart. Should we be looking at other tests, like an echo again or something else, to be sure everything's okay with his heart?

Accepted Answer

It is good that your husband's ECG results have been normal. Since he has a history of chest pain and high triglycerides, it is important to monitor his heart health closely. Given the symptoms of chest pain, it would be advisable to follow up with an echocardiogram (echo) to assess the structure and function of the heart. Additionally, considering his risk factors, a stress test or a coronary angiography may also be recommended by the doctor to further evaluate his heart health and rule out any underlying heart conditions. In the meantime, continue with the prescribed medications including Prolomet XL 50 for blood pressure, Hytel H for hypertension, Tonact D for cholesterol, and Nulong 5mg.

composition is same in both the medications, .

More Cardiology Health Queries

I've been having this small tingly sensation in my upper chest since November 2016. It kinda feels like there's a blockage or something. Should I be worried about this, and what might it be?

Health Articles for you

Understanding Cholesterol

Precautions After Angioplasty

Patent Ductus Arteriosus: Causes, Symptoms, and Treatment

How to Reduce Chest Pain?

How To Reduce Resting Heart Rate?