Question 1

I'm dealing with some pretty persistent pain in my jaw, neck, shoulder, back, and left arm that I've had for the last three months, and the jaw pain just started about a week ago. About 25 days back, I had an ECG, TMT, and troponin blood test, and they all came back normal. Before that, three months ago, I had earlier done an ECG, TMT, and ECHO test, and those were normal too. But the pain hasn't gotten any better, and it's really stressing me out. Can you suggest what I should do next in terms of treatment or any other tests I need to consider?

Accepted Answer

Based on your symptoms and normal test results, it sounds like you may be experiencing musculoskeletal pain and tension. I recommend trying over-the-counter pain relievers such as acetaminophen or ibuprofen for pain relief. Additionally, you can apply a topical pain relief gel containing diclofenac to the affected areas. For muscle relaxation, you can try a muscle relaxant medication such as cyclobenzaprine. It is important to maintain good posture, practice relaxation techniques, and consider physical therapy to help alleviate your symptoms. If the pain persists, further evaluation by a specialist such as a physiotherapist or orthopedic doctor may be necessary.

Question 2

I'm dealing with some really scary chest pain right in the middle and opposite of my back and it's making it hard to breathe and I feel so weak. We're in complete lockdown here and I saw a pulmonologist a couple of months ago who put me on some meds like Azithral 500, Digihaler FB200, a flubloc nasal spray, cilapam ls, Clonil, and Hifenact. He said to always continue 2, 4, and 5. But yesterday it got so bad, my left chest and hand weren't working properly, so I rushed to a nearby medical place and they gave me two injections. I got an ECG and chest X-ray done, and both came back normal. I've quit smoking recently, which is good, but I can't find those meds anywhere here. Can you suggest alternatives or anything extra that might help? There's no pulmonologist around and I'm really worried.

Accepted Answer

tab pantop for 3 days

Question 3

I've been told by my doctor that I need a CT angiography, but because of my sinus tachycardia, he mentioned it might be hard to do. I'm already taking beta-blockers and sedatives, but my heart rate is still not under control at the doctor's office. I'm worried about how I can manage my heart rate so I can get the CT angio done. What should I do?

Accepted Answer

To manage your heart rate for CT angiography despite sinus tachycardia, you can consider using a calcium channel blocker such as Diltiazem. The recommended dosage for Diltiazem in this case would be 120-360 mg per day. This medication can help in controlling your heart rate and making it feasible to undergo the CT angiography procedure. Additionally, you may also benefit from the use of a medication like Atenolol, a beta blocker, at a dosage of 25-100 mg per day to further help in controlling your heart rate during the procedure. It is important to follow your doctor's guidance and dosage instructions carefully.

I'm really concerned about my mom's health. Her ESR levels are incredibly high, sitting at 155, and she's been struggling with rheumatoid arthritis. Could you help me understand whether this is something we should be worried about and what potential impacts this might have on her condition?

Causes of high esr includes infections like t.b, hepatitis, cancer , bacterial ifections, anaemia and arthritis..etc.. other investigations include RA factor and anti ccp tests is advised..

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