- female
- 65 Years
- 22/01/2025
I'm really worried about my mom. She had bypass surgery back in September 2022, and every now and then she gets this angina-like pain near the stitches in her chest. It's really unsettling. Plus, she's dealing with type 2 diabetes and thyroid issues too. Can you help me figure out what's going on and what we should do about it?
Answered by 1 Apollo Doctors
It is important to manage angina pain effectively, especially after bypass surgery. I recommend she takes Nitroglycerin sublingual tablets as needed for chest pain. The dosage is usually 0.3 to 0.4 mg every 5 minutes for up to three doses. Additionally, she can take Aspirin to help reduce the risk of blood clots and relieve chest pain. The usual dosage is 81mg to 325mg once daily. Since she is diabetic, it's crucial to control her blood sugar levels. She can take Metformin to help manage her diabetes. The usual starting dose is 500mg or 850mg once daily with meals. For her thyroid condition, she can continue taking Levothyroxine to regulate her thyroid hormone levels. The dosage will depend on her TSH levels as determined by her doctor.
Dr. Kareemulla Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0

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View allI'm feeling a tightness in my chest and it's like there's a squeezing sensation around my heart. My heart rate seems to be going really fast. I'm obese, about 5'4" and weigh 85 kg. My job is pretty sedentary because I'm at a desk all day, and I've had diabetes for about six months. Should I be worried about these symptoms?
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I've been dealing with this issue in my chest and left arm for about a month now. It's a persistent pain, and even after taking the meds prescribed by the doctor, it hasn't improved. I'm really worried and not sure what to do next. Can anyone help with this?
use medicine
Answered by 1 Apollo Doctors
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?
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.
Answered by 1 Apollo Doctors
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.





