- male
- 45 Years
- 22/01/2025
I'm really concerned about some symptoms I've been experiencing. I started taking Eliwel 10mg for nerve pain about 20 days ago, but suddenly I got rapid heartbeats and chest pain on October 1st with pain intensity around 710. When I went to the doctor, my heartbeat was going from 60s to 110. The doctor gave me Nebicard 5mg and suggested getting an ECG and echo. The ECG was abnormal but the echo was normal, and the doc said not to worry. But the chest pain lingered for 34 days, and I also had some shortness of breath. I've stopped taking Eliwel on my own, which helped a bit, but I still have some chest pain, maybe around a 410. Yesterday I saw a cardiologist who did a TMT test; that was normal too, but the ECG was still abnormal. I've attached my reports. Is there anything here I should be worried about?
Answered by 1 Apollo Doctors
Based on your symptoms and the abnormal ECG findings, it seems like you may have experienced some adverse effects from the Eliwel (Amitriptyline) medication. The rapid heart beat and chest pain could be related to this. Nebicard (Nebivolol) 5mg was prescribed to help with the rapid heart beat. Since you have already discontinued Eliwel and your symptoms have improved but not completely resolved, I would recommend discussing with your doctor about alternative medications for nerve pain. For your ongoing chest pain, you can consider taking a pain reliever like Paracetamol 500mg as needed for pain relief. It is important to follow up with your Cardiologist for further evaluation and management of the abnormal ECG findings. If the chest pain persists or worsens, do not hesitate to seek medical attention promptly.
Dr. Dhankecha Suggests...
Consult a Cardiologist
Answered 04/07/2025
1
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Answered by 1 Apollo Doctors
I'm taking Betacap TR 40 in the morning, but my BP is still high and can't be controlled. I've been feeling dizzy for a few days, and yesterday I had a root canal done. Today, my blood pressure is 150110, and I'm not sure what's going on. Can you help me figure out what to do next?
I can't know the exact reason for your high blood pressure without a proper examination, but considering your symptoms and recent dental procedure, it is possible that the pain and stress from the root canal treatment may have contributed to the elevated blood pressure. I would recommend you to continue taking Betacap TR 40 as prescribed, and also consider adding an additional medication like Telma 40 (Telmisartan) once daily to help control your blood pressure. Additionally, try to manage your stress levels, get an adequate amount of rest, and follow a healthy diet low in salt and saturated fats. It is important to monitor your blood pressure regularly and follow up with your healthcare provider for further evaluation and management.
Answered by 1 Apollo Doctors
I'm having some issues with chest pain on my left side, and it's been going on for the last couple of months. The pain comes and goes and often extends from my upper chest to my left arm. I've also experienced some pulling in my left leg and occasional abdominal pain. I've had 5 ECG tests which were normal, and my echo showed an LVEF of 55. Today, we did a TMT. Could you help explain what all this means? Do you think I need any other tests?
It sounds like you may be experiencing symptoms of angina, which is chest pain or discomfort caused by reduced blood flow to your heart muscle. The pain in your upper chest that extends from your shoulder to your left arm, along with left hand pain and abdominal pain, could be related to this. The normal ECG results and an LVEF of 55% from the echo are positive findings. Since you have already undergone a TMT (Treadmill Test), it is good for assessing how your heart responds to exertion. If the TMT results are inconclusive or if your symptoms persist, you may consider getting a coronary angiography to visualize any blockages in the coronary arteries. This test can help determine if there is any significant blockage that may be causing your symptoms. In the meantime, it is important to manage your symptoms. You can take medications like Aspirin to help reduce the risk of blood clots, and medications like Atorvastatin to lower cholesterol levels. Additionally, Nitroglycerin can help relieve chest pain during episodes of angina. It is important to follow up with your healthcare provider for further evaluation and management.
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