apollo
  • Male
  • 32 Years
  • 29/01/2025

I'm experiencing all the symptoms that feel like angina. I've had chest pain, shortness of breath when walking, pain in my left arm, and jaw pain. I already did an ECG and an echocardiogram, and they came back normal. Should I have more tests done?

Doctor 1

Answered by 1 Apollo Doctors

Visit your Physician for appropriate management

Dr. Dhankecha Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm a bit worried about this chest pain I've been having for the past 9.5 months. I've seen a bunch of cardiologists and done a ton of tests like ECG, 2D Echo, TMT, lipid profile, and thyroid, but everything's coming back normal. My daily routine includes brisk walking for about 50 minutes and running for 15 minutes, and I don't feel any pain during these activities. The pain occasionally hits on either the left or right side and is pretty mild. Can you help me figure out what might be causing this chest pain?

Chronic chest pain lasting several months with normal cardiac tests such as ECG, 2D Echo, and TMT, along with normal lipid profile and thyroid tests, suggests that the pain might not be heart-related. Since you can perform activities like brisk walking and running without pain, its less likely to be ischemic heart disease. Possible causes of your chest pain could include musculoskeletal issues (like costochondritis or muscle strain), gastrointestinal problems (such as GERD or gastritis), or anxiety-related symptoms. Given the persistence of your symptoms, it might be beneficial to consult with a gastroenterologist or consider a musculoskeletal evaluation. Additionally, managing stress and anxiety with practices like mindfulness or therapy can also help. Please follow up with your healthcare provider to explore these potential causes further.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I've been having some concerns about my recent health check-up. My heart rate is around 55, and after a second ECG, it dropped to 52. The doctor had me do some additional tests, and my sodium is at 137, and potassium is 5.8. I'm not experiencing any shortness of breath or fatigue while going about my daily activities, but I do feel a bit light-headed and dizzy. How serious is this situation? Also, what should I do in terms of medication or diet to lower my potassium levels? Does adding salt and lemon to water affect my potassium levels at all? I'd appreciate any guidance you can provide.

The decrease in heart rate from 55 to 52 beats per minute on ECG may not be a significant concern on its own, but the high potassium level of 5.8 mmolL (normal range is typically 3.5-5.0 mmolL) could be a cause for your light-headedness and dizziness. High potassium levels can affect the heart's rhythm and lead to symptoms like weakness, fatigue, and palpitations. To lower your potassium levels, you can make dietary changes such as avoiding high-potassium foods like bananas, oranges, potatoes, and tomatoes. Additionally, you should limit salt intake as high sodium levels can affect potassium levels. Drinking salt water with lemon may not significantly affect your potassium levels, but it's best to avoid it for now. Your doctor may prescribe you with a medication called **Sodium Polystyrene Sulfonate** to help lower your potassium levels. The typical dosage is 15-60 grams daily, but your doctor will determine the appropriate dose for you based on your potassium levels. It's important to follow up with your doctor for further evaluation and management of your potassium levels. Make sure to follow a low-potassium diet and take the prescribed medication as directed to help normalize your potassium levels and alleviate your symptoms.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

What is the normal BP range?

In adults it is below 130/80 mmhg

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.