Question 1

I'm experiencing some persistent chest pain, and it's been going on for over two months now. It feels like a pinching pain right in the middle of my chest, but sometimes it shifts to the right or left side. There are also times when my heart starts beating really fast. I've had an ECG, echo, and TMT done, and all the results came back normal. I'm still feeling this pain and it's quite unsettling. Could you help me figure out what might be going on or suggest what I should do next?

Accepted Answer

it sounds like you may be experiencing symptoms of non-cardiac chest pain. Since your ECG, echo, and TMT results are normal, the chest pain may not be related to your heart. One common cause of such symptoms could be acid reflux or GERD. I recommend trying over-the-counter antacids like Tums or Rolaids to see if it helps with the chest pain. Additionally, you can try taking a proton pump inhibitor like Omeprazole 20mg once daily before breakfast to reduce stomach acid production. If the symptoms persist, you may need to consult a gastroenterologist for further evaluation and management. It's also important to avoid trigger foods like spicy, fatty, or acidic foods. Remember to follow up with your healthcare provider if the symptoms continue."

Question 2

I'm currently dealing with a blood pressure reading of 10871, which seems pretty normal. I usually take Telpres CT 4012.5 for my high blood pressure and Etizola Beta to manage my anxiety issues. With my blood pressure being in the normal range right now, I'm wondering if I should keep taking my blood pressure meds or if it's safe to stop them?

Accepted Answer

Your blood pressure is currently within the normal range. It is important to continue taking your blood pressure medication as prescribed by your doctor, even if your blood pressure is normal at the moment. Stopping medication abruptly can lead to a sudden increase in blood pressure. However, you can discuss with your doctor about possibly adjusting the dosage or switching to a different medication based on your current blood pressure readings. For now, continue taking Telpres CT 4012.5 for your blood pressure.

Question 3

Couldn't sleep well last night and only got a little bit of rest today. I didn't have any chest pain earlier, but now, during nighttime, I suddenly felt a shooting pain on the right side of my chest. It only lasts a few seconds, kinda like a sudden leg ache or headache. I also noticed an extra heartbeat. Could this be related to my heart? Why do we get chest pain when we're sleep-deprived?

Accepted Answer

Chest pain, especially on the right side, along with an extra heartbeat can be concerning symptoms. It is important to rule out any heart-related issues. However, in the context of being sleep-deprived, chest pain can also be caused by muscle strain or tension. To help with the chest pain and irregular heartbeat, you can take over-the-counter pain relievers like acetaminophen. Additionally, consider taking a muscle relaxant like methocarbamol to help with any muscle tension that may be contributing to the pain. Make sure to get adequate rest and improve your sleep hygiene to prevent further episodes.

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