- Male
- 28 Years
- 22/01/2025
I'm really concerned about some pain I've been experiencing. It started about four months ago with chest pain and pain in my left arm. I went to a doctor who said it might be gastric issues, but I was worried so I saw a cardiologist. They did a chest X-ray, a TMT, and an echo 2D, and everything came back negative. My relative, who's a doctor, suggested it might be muscle pain or cervical spondylosis, but I still have this persistent pain in my left arm along with a burning sensation. I've read about anxiety causing these kinds of symptoms, but the pain is also in my neck, jaw, left arm, shoulder, and chest. I'm really hoping for some clarification on what might be going on. What could be causing these symptoms, and what should I do next?
Answered by 1 Apollo Doctors
Visit your Physician for evaluation and appropriate management
Dr. Ibrahim Suggests...
Consult a Cardiologist
Answered 04/07/2025
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More Cardiology Health Queries
View allI was lying down and felt some mild chest pain, so I went to the doctor. They did an ECG and echo, and everything seemed normal, but it showed something about a mild TR Pah and Tr jet at 2.8 with RVSP at 30rap. The doctor said it was fine. A year later, I had another echo, and this time it showed no TR, just PJV at 1.23 msec. I'm not really sure what that means and just want to confirm that there's no PH. The echo report says chamber size and function are normal, so should I be worried about anything?
The results of your echocardiogram show that there is no tricuspid regurgitation (TR) this time, and the pulmonary jet velocity (PJV) is 1.23 msec. This indicates that there is no significant backflow of blood through the tricuspid valve and the blood flow through the pulmonary valve is normal. The right ventricular systolic pressure (RVSP) of 30 mmHg is also within normal limits, indicating normal pressure in the right side of the heart. Overall, the echo results show normal chamber size and function of your heart. No further treatment is needed at this time based on these results.
Answered by 1 Apollo Doctors
I'm a bit worried about this chest pain I've been having for the past 9.5 months. I've seen a bunch of cardiologists and done a ton of tests like ECG, 2D Echo, TMT, lipid profile, and thyroid, but everything's coming back normal. My daily routine includes brisk walking for about 50 minutes and running for 15 minutes, and I don't feel any pain during these activities. The pain occasionally hits on either the left or right side and is pretty mild. Can you help me figure out what might be causing this chest pain?
Chronic chest pain lasting several months with normal cardiac tests such as ECG, 2D Echo, and TMT, along with normal lipid profile and thyroid tests, suggests that the pain might not be heart-related. Since you can perform activities like brisk walking and running without pain, its less likely to be ischemic heart disease. Possible causes of your chest pain could include musculoskeletal issues (like costochondritis or muscle strain), gastrointestinal problems (such as GERD or gastritis), or anxiety-related symptoms. Given the persistence of your symptoms, it might be beneficial to consult with a gastroenterologist or consider a musculoskeletal evaluation. Additionally, managing stress and anxiety with practices like mindfulness or therapy can also help. Please follow up with your healthcare provider to explore these potential causes further.
Answered by 1 Apollo Doctors
I've been taking metoprolol 50 mg once a day for the past 3 years, but I'm experiencing some side effects like weight gain, gas, indigestion, abdominal swelling, and a puffy face. Are there any alternative beta blockers I can consider, especially since I have mitral stenosis with a measurement of 1.6?
Considering your side effects with metoprolol, you can discuss with your doctor about switching to a different beta blocker such as Nebivolol (5 mg once daily) or Carvedilol (6.25 mg twice daily). These medications may have a different side effect profile and could be better tolerated in your case. However, it is important to consult with your healthcare provider before making any changes to your medication regimen.
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.