apollo
  • Male
  • 37 Years
  • 22/01/2025

I'm experiencing some pain in the middle of my chest since last night. I think it might be related to stress and maybe even gastric issues. Should I be considering a heart checkup just to be safe, or is it okay to just monitor it for now?

Doctor 1

Answered by 1 Apollo Doctors

It is important to rule out any potential heart issues, especially if you are experiencing chest pain. However, based on your description and suspicion of gastric-related pain due to work stress, you can start with an over-the-counter antacid like Tums (calcium carbonate) for relief. If the chest pain persists or worsens, it is advisable to consult a doctor for further evaluation and appropriate management.

Dr. Kareemulla Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm really puzzled and a bit worried about what's been going on with me lately. Every time I try to catch some sleep, I get woken up by this chest pain and a rapid heartbeat. It's been happening for over a month now. Climbing stairs also brings on this uncomfortable chest feeling. I'm around 100 kg and on met XL and telmisartan for blood pressure. I had a Stress Echocardiogram and CT angiogram recently, and both came back normal. I also attached my last two ECGs for a reference. I've been reassured that this isn't cardiac pain, but it genuinely feels like angina to me. So I'm kind of confused and not sure whats going on. Could this still be related to my heart in some way, or maybe it's something else entirely?

It's good that your recent tests have come back normal, ruling out any cardiac issues. The symptoms you are experiencing could be due to acid reflux or GERD. I recommend trying over-the-counter medication like Omeprazole 20mg once daily before breakfast for 2 weeks. Additionally, you can try raising the head of your bed and avoiding heavy meals close to bedtime. If the symptoms persist, you may need to follow up with a gastroenterologist for further evaluation.

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Answered by 1 Apollo Doctors

I'm a bit worried after getting some tests done. I had an ECG yesterday due to some mild chest pain, and it showed abnormal inferolateral ischemia. Then I went through a TMT, and it came out borderline positive for inducible myocardial ischemia at 10.1 Mts. Can you help me understand what all of this means? Is it something I need to be really concerned about?

Based on the findings of infrolateral ischemia on the ECG and borderline positive result on the TMT for myocardial ischemia, I recommend starting treatment with Aspirin 75mg once daily to prevent blood clot formation and reduce the risk of heart attack. Additionally, you can take Atorvastatin 20mg once daily to lower cholesterol levels and reduce the risk of further heart issues. It is important to follow up with a cardiologist for further evaluation and management.

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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.