- 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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View allI'm really confused right now. I went to a hospital because I was having some gastric problems, and the doctor there did a troponin test that came back positive at 0.03. Then, when I spoke to my family doctor, he suggested getting a second opinion, which I did at MMM. They said the results were negative. I'm stuck in this weird spot of not knowing what to believe or trust. Could you help me figure out what to do next?
It seems there is a discrepancy in the troponin test results between the two hospitals. Since the second opinion from MMM hospital came out as negative, it would be advisable to follow that result. In the case of gastric issues, you can take medications like Omeprazole (brand name: Prilosec) 20mg twice daily before meals for acid reflux. Additionally, you can take Simethicone (brand name: Gas-X) 125mg as needed for gas and bloating. Make sure to follow up with your family doctor for further guidance and monitoring of your gastric problem.
Answered by 1 Apollo Doctors
I'm trying to understand the difference between the results of my echo and my CT scan regarding my heart condition. My echo shows mild concentric LVH with lvpwdd 12.2 and ivs d 12, and my LVEF is at 73. But my CT scan, which was a 128-slice MDCT of the heart, suggests normal LVH and a normal LV cavity with normal thickness, having a zero calcium score. Also, my TMT came out negative for any chest pain-related issues. I'm kind of confused here. Which result should I rely on when it comes to the left ventricular hypertrophy? Which is considered more accurate or should I be concerned about something else here?
Both CT angiography and echocardiogram are valuable tools for assessing left ventricular hypertrophy (LVH), but they provide different types of information. In your case, since the CT angiography showed normal left ventricular cavity with normal thickness and normal coronary arteries, and zero calcium score, it indicates a healthy heart without any structural abnormalities or blockages. On the other hand, the echocardiogram reported mild concentric LVH with specific measurements of left ventricular posterior wall thickness (LVPWd) and interventricular septum thickness (IVSd). Given the discrepancy between the two imaging modalities, it is important to consider the clinical context and overall picture. In this scenario, the findings from the CT angiography showing a normal heart structure and function, along with a negative TMT (treadmill test), are more indicative of a healthy heart. Therefore, the CT angiography results are more reliable in this case. To address the chest pain related problem, you can consider taking medications like Amlodipine (5mg) for blood pressure control and Metoprolol (25mg) for heart rate control. Additionally, Nitroglycerin sublingual tablets can be used for chest pain relief as needed. It is also important to follow up with your healthcare provider for further evaluation and management.
Answered by 1 Apollo Doctors
I've been having this left upper chest pain along with a sensation of irritation or discomfort near the right side of my throat and towards the end of my molar teeth for the last 3-4 days. It's really worrying me. About 2 months ago, I had some heart tests done, but everything came back normal. I do have a BP of 14090 though and was taking TELMA H for two months. I quit smoking 6 months ago and used to smoke around 23 cigarettes a day. What could be causing these symptoms, and what should I do?
GERD take pantop 40mg for 3days
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.