- Male
- 31 Years
- 29/01/2025
I'm feeling a bit worried because all my tests like ECG, echocardiography, TMT, and CT coronary angiogram came back normal, but I'm still having symptoms every day. Could it be microvascular angina or maybe spasms in my arteries, or is it something else entirely?
Answered by 1 Apollo Doctors
Based on your normal test results and everyday symptoms, it is possible that you may be experiencing microvascular angina or spasms in the arteries. In such cases, medications like Nitroglycerin sublingual tablets can be helpful in relieving symptoms. The usual dosage is 0.3 to 0.6 mg sublingually as needed. Additionally, medications like Calcium channel blockers such as Amlodipine can also be prescribed to help with vasospasms. The typical dosage for Amlodipine is 5 to 10 mg once daily. It is important to follow up with your healthcare provider for further evaluation and management.
Dr. Kareemulla Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI'm having this ongoing pain in my chest, left arm, and shoulder blade, and it's been going on for over six months now. I've had my ECG done a couple of times and it came back normal, but I'm still worried because I have a history of depression and was on medication for about a year and a half. My doctors mentioned it might be related to that. I've also had a few panic attacks in the last six months, and randomly I get chills all over. Just recently, I was doing some physical work when I felt a sharp chest pain radiating to my left arm. The weather was really hot that day, like 42 degrees. The doctors said not to worry, but I'm still concerned about this chest pain that seems to come out of nowhere. I'm also feeling some dull pain in my spine and disc area, and there are signs of cervical issues. Sometimes I feel suffocated or have this heaviness in the back of my head and shoulders. My physical shape isn't great either, and after eating, my left arm feels heavy with chest pain. Could this all be linked somehow or should I get a second opinion?
Based on your symptoms and history, it is important to consider the possibility of musculoskeletal issues, anxiety-related chest pain, and gastrointestinal concerns. To address the chest pain and discomfort in your left arm and shoulder blade, you can try taking a muscle relaxant like **Cyclobenzaprine** 10mg to help with any muscle tension or spasms. For the dull pain in your spine and disc area, you can take **Ibuprofen** 400mg as needed for pain relief. Additionally, for symptoms of cervical issues, you can use a topical pain relief gel like **Diclofenac** gel applied to the affected area. To manage anxiety and panic attacks, you can consider taking an anti-anxiety medication like **Lorazepam** 0.5mg as needed for acute episodes. It is also important to practice relaxation techniques and seek therapy to address the underlying causes of your anxiety. For gastrointestinal symptoms such as chest pain after eating, you can try an antacid like **Omeprazole** 20mg before meals to help with acid reflux and indigestion. It is also advisable to maintain a healthy diet and avoid trigger foods that worsen your symptoms. Please note that these recommendations are based on the information provided, and it is important to follow up with your healthcare provider for a comprehensive evaluation and management plan.
Answered by 1 Apollo Doctors
What test shows blocked arteries in the heart?
The most accurate method to detect blocked arteries remains an invasive test called cardiac angiography, which requires a catheter to be threaded into heart vessels. But the signs of blocked arteries may also be seen on an ECG.
Answered by 1 Apollo Doctors
I'm really worried about something. I've been dealing with diabetes for about three years now and high blood pressure for over 15 years. For that, I've been taking losium and istamate regularly. But lately, I've been experiencing a dry cough and feeling gassy. When I went to the Baptist Hospital, they said I needed to be admitted to the CCU and they ran some tests like ECG and blood tests, which came back negative. They also did a TMT and an echo. During the TMT, I felt tired after the second stage when the speed increased, and they told me I might have a heart problem, suggesting an angiogram. I decided against it and got discharged instead. I'm confused and not sure what to do next. Can you give me some advice on this?
It sounds like you are experiencing some side effects from your current medications. The dry cough and gas could be related to the medications you are taking for diabetes and high blood pressure. Since you are experiencing symptoms related to your heart, it is important to follow up with a cardiologist for further evaluation. I recommend discussing with your doctor about switching from losium to a different medication for high blood pressure to see if that helps with the cough and gas. Additionally, you may benefit from a medication adjustment for your diabetes as well. For your heart condition, it is important to follow up with a cardiologist for further evaluation and to discuss the possibility of undergoing an angiogram to assess the blood flow to your heart. In the meantime, make sure to monitor your blood pressure and blood sugar levels regularly, follow a healthy diet, and engage in regular physical activity as advised by your healthcare provider.
Answered by 1 Apollo Doctors
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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.