apollo
  • 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?

Doctor 1

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

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I'm getting these episodes of chest pain and heaviness on my left side that go down to my shoulder and arm, and they last a really long time, like more than a day. They happen randomly without any exertion, and it's scary. I had an ECG during a panic attack, and it showed a heart rate of 130 bpm with sinus tachycardia, but I was discharged after 12 hours. Another time, I felt that chest heaviness with a burning sensation again, and the echocardiography came out normal. The doctor said there's nothing to worry about cardiac-wise, but the anxiety and fear are hard to shake off. Should I consider a stress test or something, even though my ECG was normal at that rate?

patient needs psychiatric opinion for his anxiety.

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I'm feeling a bit worried because I've been experiencing chest pain again. A few months ago, I had a TMT and it was negative, and my echo was normal. I don't have a history of any major diseases and I dont smoke or drink alcohol. But today, the pain came back, and I've been having some breathlessness because of my asthma. Could the asthma be causing this chest pain or should I be concerned about something else?

Given that your TMT and echo were normal three months ago, and you have a history of asthma, your chest pain and breathlessness might be related to asthma exacerbation rather than a cardiac issue. Asthma can cause chest tightness and breathlessness, especially during physical activity. It is important to manage your asthma effectively with your prescribed medications and follow your asthma action plan. If the chest pain persists or worsens, consult your healthcare provider to rule out any other potential causes and ensure your asthma is well-controlled.

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I'm 25 and I've been experiencing some strange symptoms after meals. My heart feels like it's racing, and my ears get really hot. When I checked my blood pressure, it was around 170100. Do you know what might be causing this and what steps I should take?

This could be a sign of uncontrolled hypertension. I recommend you start taking Amlodipine (brand name Norvasc) 5mg once daily to help lower your blood pressure. Additionally, you should make lifestyle changes such as reducing salt intake, exercising regularly, and managing stress. It is important to follow up with your doctor for further evaluation and monitoring.

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