- male
- 35 Years
- 22/01/2025
I'm really worried about my brother. He's been having some chest discomfort and mild pain that sometimes happens on the left side and other times in the center. He gets really nervous, and his heart rate spikes to around 90-98 bpm when this happens, but when he's more relaxed, it goes back down to about 68-72 bpm. He runs on the treadmill for 20 to 30 minutes at least five days a week and doesn't feel any discomfort during that time. Although he has an acidity and GERD problem, he's finished his course of medication and isn't taking any other tablets. His sugar and blood pressure are normal, and chest X-rays came back fine, with an orthopaedic saying it's nothing serious and just suggesting vitamins. He also feels pain at certain points when the chest is pressed. With all these symptoms, I'm wondering if it could be his heart, acidity, muscular, or maybe even a nerve issue. Do you think an angiography would be necessary given his normal reports so far?
Answered by 1 Apollo Doctors
Since all the reports are normal ,advised a psychiatric opinion for diagnosis of anxiety and other conditions..
Dr. Anshul Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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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.
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I'm really concerned about my 17-year-old brother. His blood pressure reading came back as 154 over 90, but his other test results were all normal. What could this mean? Should he start taking medication for it? I'm just trying to figure out what the best course of action is.
for a 17-year-old with a blood pressure reading of 15490, the high blood pressure could be due to various factors such as stress, poor diet, lack of exercise, or genetics. It is important to monitor his blood pressure regularly to see if it remains high. In some cases, lifestyle changes such as improving diet and exercise may be enough to lower blood pressure. However, if his blood pressure remains high, medication may be necessary to prevent complications. I recommend starting with lifestyle changes and monitoring his blood pressure closely. If medication is needed, he may be prescribed a medication like Amlodipine 5mg once daily.
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I've been having this chest pain and heaviness, and sometimes it feels like I'm short of breath, especially when I'm walking. I got an ECG and a chest x-ray, and they came back normal. I went to a nearby clinic just a couple of days ago for the same issue. I can't help but think I might have angina, but no doctor has confirmed this. They usually just check my pulse rate and listen to my heartbeat with a stethoscope and tell me everything's fine. Should I be worried about this, or can I trust the tests and what the doctors have said so far? Would love some guidance!
Since your symptoms are persisting, it's important to consider other causes of chest pain apart from heart-related issues. One common condition that can cause similar symptoms is acid reflux or GERD. You can try taking Omeprazole (brand name Prilosec) 20mg once daily before breakfast for 2 weeks to see if your symptoms improve. Additionally, you can also take Ranitidine (brand name Zantac) 150mg twice daily for immediate relief of chest pain. However, if your symptoms persist or worsen, it's advisable to consult a gastroenterologist for further evaluation and management.
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.