apollo
  • male
  • 35 Years
  • 07/02/2025

I'm experiencing this weird needle-like pricking sensation in my right chest and arms, but it only happens at night, and Ive noticed it seems to occur when I drink alcohol. My blood pressure seems to range from 8095 to 120140 in the evening, but its normal in the morning. This has been going on for months now. I had an ECG done and the doctor said my heart seems fine, but he mentioned symptoms of high blood pressure over the past few months. Should I be worried about this, or is there something I could do to help with the symptoms?

Doctor 1

Answered by 1 Apollo Doctors

This sensation in your right chest and arms, especially occurring at night after drinking alcohol, could be related to nerve irritation or inflammation. Given your fluctuating blood pressure readings, it is important to manage your blood pressure effectively to prevent any complications. I recommend you to take a low dose of Amlodipine (brand name: Norvasc) 5mg once daily to help control your blood pressure. Additionally, you can take Acetaminophen (brand name: Tylenol) 500mg for relief from the needle-like sensation in your chest and arms. However, it is important to limit or avoid alcohol consumption as it can exacerbate your symptoms and negatively impact your blood pressure. Please make sure to follow up with your doctor regularly to monitor your blood pressure and adjust your treatment plan as needed.

Dr. Anshul Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've been dealing with hypertension for the last 12 years and usually take TOZAM Losartan 50mg Amlodipine 5mg in the morning. But about a month ago, I noticed some palpitations and sweating, and when I checked, my blood pressure was 95150. After getting checked at the hospital, they did an angiogram and said theres a minor artery disease with a 30% block. Now, they've put me on TOZAM and Prolomate XL 25mg Metoprolol 25mg every morning, plus Rosutor Gold Aspirin at night. I'm wondering, do I really need to be on both TOZAM and Prolomate, or is there something else I should be considering?

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I'm really concerned about how blood pressure might affect heart health, especially since I'm diabetic. Can you explain whether high blood pressure or low blood pressure is more likely to lead to heart failure for someone in my situation?

High blood pressure (hypertension) is a common cause of heart failure in diabetic patients. Uncontrolled high blood pressure can lead to the heart working harder to pump blood, which can eventually weaken the heart muscle and result in heart failure. It is important for diabetic patients to manage their blood pressure effectively to reduce the risk of heart failure. For high blood pressure in diabetic patients, medications such as Lisinopril (brand name: Zestril) or Amlodipine (brand name: Norvasc) may be prescribed. The dosage will depend on individual factors and should be determined by a healthcare provider. On the other hand, low blood pressure (hypotension) is generally not a direct cause of heart failure in diabetic patients. However, extremely low blood pressure can lead to inadequate blood flow to the organs, including the heart, which can be harmful. It is important for diabetic patients to regularly monitor their blood pressure, follow a healthy lifestyle, and take medications as prescribed to manage both high blood pressure and diabetes effectively.

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I'm having this tender chest pain right in the middle of my chest, and it's getting me worried. I did an ECG, and everything seemed fine. My TMT test was negative too, which was a relief at first. But now, I'm sometimes feeling short of breath and there's a pain in my left hand. I even had a CT Coronary Angiography last year that showed normal results. What could be going on? Could you help me figure this out?

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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.