Question 1

I'm having some discomfort in my chest when I masturbate, especially in the middle and left side. It doesn't hurt a lot, just a little, but it's noticeable. At first, I thought it might be because I was overweight, so I lost some weight and now I'm down to 67 kg, but the pain is still there. I even tried stopping for a month, thinking it was because I was doing it too often, like 3-4 times a week, but the pain came back when I started again. I'm a bit embarrassed to talk to my friends or family about this, but is there something else that could be causing it?

Accepted Answer

dermat opinion for further evaluation

Question 2

So, I've been having this chest pain for a few months now, and I went through all the basic heart checks. My ECG was normal, but it showed Sinus tachycardia, and the TMT came back negative. The first time I did a 2D Echo, they mentioned Mild Concentric LVH, but when I repeated it a few days later, they didnt find any LVH. I even went for another 2D Echo at a different place, and again, they said there was no LVH. Is it common for results to differ like this? Could my chest pain still be related to my heart, and have I done enough tests to rule out any cardiac issues? Also, just to add, I dont smoke or drink.

Accepted Answer

It is possible for there to be discrepancies in medical imaging findings, especially when it comes to conditions like mild concentric LVH. However, since your ECG and TMT results are normal and there is no longer evidence of mild concentric LVH on your recent 2D Echo, it is less likely that your chest pain is cardiac in nature. It is important to consider other potential causes for your chest pain, such as musculoskeletal issues, gastrointestinal problems, or even anxiety. To further evaluate your chest pain and rule out any other cardiac issues, you may consider discussing with your healthcare provider about other tests such as a stress echocardiogram, coronary CT angiography, or cardiac MRI. Additionally, lifestyle modifications, stress management techniques, and regular follow-ups with your doctor are important for your overall health and well-being.

Question 3

I've recently had a stress echo and it came back negative. Ten years ago, in 2011, I had an angiogram and it looked fine then too. In 2015, I went through a nuclear test, treadmill test, and some other checks, and they all turned out normal. Lately, Ive been having this dull pain in my neck that sometimes reaches up to my ear and jaw, and it also bothers my shoulder. My neck and upper back always feel stiff. My physiotherapist says my posture is pretty poor, mentions scoliosis, and thinks that might be causing this pain. I don't have issues when I'm walking and I can climb up to 12 floors without a problem but the neck and back pain, especially on the left side, really gets to me. Occasionally, I feel a sharp pain on the left side of my chest, but it fades away quickly. My chest is tender, and some spots are really sore to touch. Do you think it's safe to rule out any cardiac causes? Is there any other test I should consider doing?

Accepted Answer

Based on your history of negative stress echo, normal angio in 2011, and normal nuclear test and TMT in 2015, it is less likely that your current symptoms are related to cardiac issues. However, it is important to consider other potential causes for your neck, ear, jaw, shoulder, and chest pain. Given your description of neck stiffness and pain, along with the presence of scoliosis affecting your posture, it is possible that your symptoms are musculoskeletal in nature. To address your current symptoms, you may benefit from a muscle relaxant such as **Cyclobenzaprine** 10mg to help with the neck and back stiffness. Additionally, you can consider taking **Ibuprofen** 400mg for pain relief. Since you mentioned tenderness in your chest and certain points, it may be helpful to rule out any musculoskeletal chest wall pain. However, considering your history and current symptoms, further cardiac testing may not be necessary at this point. To improve your posture and alleviate the neck and back pain, regular physiotherapy sessions focusing on postural correction and strengthening exercises may be beneficial. It is important to continue working with your physiotherapist to address the underlying cause of your symptoms. If your symptoms persist or worsen, it is advisable to follow up with your healthcare provider for further evaluation and management.

I'm really concerned about my mom. She's got a heart rate that's sitting at 100 bpm. What can we do to bring it down to a normal range? Could you suggest any steps, actions, or medications that might help?

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