- female
- 45 Years
- 07/02/2025
I'm feeling a bit worried about a sensation I have in the middle of my chest, like something might be blocked. A few days ago, there was pain, but now it's just this light pressure, especially when I lay down. I also have this discomfort in my left breast, like something is blocked, but I can't pinpoint exactly what it is. Could this be something serious, like a blood clot in my lungs or pulmonary embolism, or maybe myocarditis? The weird part is that exercise or taking a deep breath doesn't seem to bother it, but laying down sometimes makes me feel this fullness or pressure. What could it be?
Answered by 1 Apollo Doctors
It is important to evaluate your symptoms further to determine the underlying cause of your chest discomfort. The sensation of something being blocked in the middle of your chest, along with pressure and discomfort in the left breast, could be due to various reasons. While it is difficult to provide a definitive diagnosis without a physical examination and additional tests, the symptoms you described could potentially be related to conditions such as gastroesophageal reflux disease (GERD), musculoskeletal issues, or even anxiety. Given that you do not experience worsening symptoms with exercise or deep breathing, it is less likely to be related to a blood clot in the lungs (pulmonary embolism) or myocarditis. However, it is still important to seek medical attention for a proper evaluation and diagnosis. I recommend consulting with a healthcare provider for a thorough evaluation, which may include a physical examination, imaging studies, and possibly an ECG to rule out any cardiac issues. In the meantime, you can consider taking over-the-counter antacids for possible GERD symptoms and practicing relaxation techniques to help with anxiety-related symptoms.
Dr. Kareemulla Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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View allGreetings, doctors. I'm really worried about my heart. I'm 36, weigh 45 kg, and stand 5'4". I've been through countless tests like ECG, echo, TMT, and USG, and they all show I'm normal. Despite this, I'm terrified that I'll die of a heart attack. I witnessed my cousin's grandmother die from a heart issue right in front of me a couple of years ago, and ever since, Ive been living in fear. Because of this fear, my heart's always palpitating, I have difficulty breathing, feel dizzy, and get chest pains sometimes. Even when I had palpitations, my ECG showed normal at 116 bpm. My blood pressure is also steady, usually at 12080 or 70. It's scary, and I've even quit my job over this stress. All my tests like thyroid, KFT, lipid, vitamins, and LFT are also normal. Should I consider coronary angiography or maybe something else? I'm just feeling lost and need guidance, please.
It sounds like you are experiencing a lot of anxiety and fear related to your heart health. Given your age, weight, and the normal test results you have mentioned, it is less likely that you have a serious heart condition. The symptoms you are describing, such as palpitations, difficulty breathing, dizziness, and chest pain, could be related to anxiety and panic attacks. To help alleviate your fears and symptoms, I recommend trying a medication called **Propranolol**. It is a beta-blocker that can help with palpitations, chest pain, and anxiety. You can start with a low dose of **10mg** once a day and gradually increase it as needed under medical supervision. In addition to medication, it would be beneficial for you to seek counseling or therapy to address the underlying anxiety and fear you are experiencing. **Sertraline** is an antidepressant that can also help with anxiety. You can start with a dose of **25mg** daily and adjust as needed. Remember to practice relaxation techniques, such as deep breathing exercises and mindfulness, to help manage your anxiety symptoms. It is important to take care of your mental health as well as your physical health. If your symptoms persist or worsen, do not hesitate to follow up with a healthcare provider for further evaluation and support.
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I'm having constant chest pain that doesn't go away with any medication I've tried, and it's only in the front. Could you please suggest something that might help?
tabvasograin
Answered by 1 Apollo Doctors
I'm having some slight chest pain and noticed a little change in my ECG readings. Could this be related to the medications I'm taking? I'm currently on Ecosprin, Thinrin, Concor, Coversyl, and Crestor. Should I be worried about this combination of medicines affecting my heart?
The chest pain and ECG variation could be due to underlying cardiovascular issues. The medications you mentioned are commonly used for heart conditions: - ECOSPRIN (Aspirin) is a blood thinner and antiplatelet medication. The usual dosage for heart conditions is 75-325mg per day. - THINRIN (Clopidogrel) is also a blood thinner and antiplatelet medication. The usual dosage is 75mg per day. - CONCOR (Bisoprolol) is a beta-blocker used to treat high blood pressure and heart conditions. The usual dosage ranges from 2.5mg to 10mg per day. - COVERSYL (Perindopril) is an ACE inhibitor used to treat high blood pressure and heart failure. The usual dosage ranges from 2mg to 16mg per day. - CRESTOR (Rosuvastatin) is a statin medication used to lower cholesterol levels. The usual dosage ranges from 5mg to 40mg per day. It is important to follow up with your healthcare provider for further evaluation and management of your symptoms.
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