Question 1

I'm 30 years old and started having chest pain and tingling back in December 2016. I went through all the tests like ECG, 2D echo, and a stress test, and everything came back negative. They told me it's anxiety, so I've been on Depranex and Betacap. Lately, I've been getting this burning sensation that starts from my stomach or chest. It also feels like I'm being pricked on the left side of my chest and back. I'm really not sure what's going on with me, and it's making me worried. Could you give me some advice on what might be happening?

Accepted Answer

It sounds like you may be experiencing symptoms related to anxiety and possibly acid reflux. The burning sensation starting from the stomach or chest could be due to acid reflux, and the feeling of being pricked on the left side of the chest and back could be related to nerve pain or muscle tension. To address your symptoms, I recommend the following: - Continue taking Depranex for anxiety as prescribed. - For acid reflux and burning sensation, you can try taking Omeprazole (brand name: Prilosec) 20mg once daily before breakfast. - For nerve pain or muscle tension, you can try taking Gabapentin (brand name: Neurontin) 300mg once daily at bedtime. It's important to follow up with your healthcare provider for further evaluation and management of your symptoms.

Question 2

I'm really worried about this ongoing lightheadedness I've been dealing with for the past 8 months. It's like I'm under the influence of something, almost like alcohol, but I'm not. I've had these scary episodes where my chest hurts and my blood pressure shoots up to 150100. The ER told me it was a panic attack, and it's happened twice now. I've undergone so many testsHolter Monitor, ECG, EKG, chest and heart CT scans, even a brain MRI and countless blood tests. Everything comes back normal, including checks for anemia and thyroid issues. They did find H. Pylori, and I finished a 14-day antibiotic course for that, but otherwise, doctors say I'm fine. Yet, I can't shake these feelings and symptoms. I'm 30, 6 feet tall, and weigh 90 kg, with blood pressure often around 13590. I've even had ECGs during the pain episodes. Can you help me figure out what might be going on here?

Accepted Answer

It sounds like you have been through a thorough evaluation for your symptoms. Since all your reports have come back normal and your doctors have ruled out various possible causes, including panic attacks, it's important to consider other factors that may be contributing to your lightheadedness and other symptoms. One possible cause could be inner ear problems leading to vertigo-like symptoms. I recommend trying a medication called Meclizine (brand name Antivert) at a dose of 25-100 mg per day to help with your lightheadedness. Additionally, you may benefit from vestibular rehabilitation therapy to address any inner ear issues. It's also important to stay well-hydrated, maintain a healthy diet, and practice stress-reducing activities such as yoga or meditation. If your symptoms persist or worsen, it may be helpful to see an Ear, Nose, and Throat (ENT) specialist for further evaluation and management.

Question 3

I've been experiencing a sharp pain on the left side of my chest for a few seconds when I'm exercising, like jumping or running. It's been happening since last week. I've had an ECG, 2D echo, and TMT done last month and everything came back normal. I also get gas pain in my chest. But this pain specifically seems to come in the morning while I'm working out. Should I be worried that this is something serious?

Accepted Answer

Based on your description, it is possible that the chest pain you are experiencing during exercise could be due to musculoskeletal causes or related to gas pain. Since your ECG, 2D echo, and TMT tests were normal, it is less likely to be related to your heart. To help alleviate the gas pain, you can try over-the-counter antacids like **Tums** (dosage: as directed on the package) to relieve gas and bloating. Additionally, for musculoskeletal chest pain, you can try taking **Ibuprofen** (dosage: 400mg-800mg every 6 hours as needed) for pain relief. However, if the chest pain persists or worsens, it is advisable to consult with your healthcare provider for further evaluation and management.

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?

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