apollo
  • female
  • 20 Years
  • 29/01/2025

I'm really worried because I started with heart pain, and then the next day, I got this really bad pain in my left upper abdomen. I had an ECG done, and they didn't find anything unusual, and my stomach scan was clear too. But I keep getting these chest pains, mostly at night, and sometimes there's this pain in my shoulder blade that only lasts a few minutes. I'm too scared to tell my parents about all this. Can you tell me what's going on?

Doctor 1

Answered by 1 Apollo Doctors

based on your symptoms of chest pain, left upper abdominal pain, and shoulder blade pain, along with normal ECG and abdominal scan results, it is important to consider the possibility of acid reflux or gastroesophageal reflux disease (GERD) as a potential cause of your symptoms. I recommend taking a proton pump inhibitor such as Esomeprazole (brand name Nexium) 40mg once daily before breakfast for at least 2 weeks to see if it helps alleviate your symptoms. Additionally, you can take antacids like Tums as needed for immediate relief of chest pain. It is also important to avoid spicy, fatty, and acidic foods, as well as eating at least 2-3 hours before bedtime to help reduce acid reflux symptoms. If your symptoms persist or worsen, please follow up with a doctor for further evaluation and management.

Dr. Chandra Suggests...

Consult a Cardiologist

Answered 04/07/2025

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So, I've been having this chest pain for a few months now, and I went through all the basic heart checks. My ECG was normal, but it showed Sinus tachycardia, and the TMT came back negative. The first time I did a 2D Echo, they mentioned Mild Concentric LVH, but when I repeated it a few days later, they didnt find any LVH. I even went for another 2D Echo at a different place, and again, they said there was no LVH. Is it common for results to differ like this? Could my chest pain still be related to my heart, and have I done enough tests to rule out any cardiac issues? Also, just to add, I dont smoke or drink.

It is possible for there to be discrepancies in medical imaging findings, especially when it comes to conditions like mild concentric LVH. However, since your ECG and TMT results are normal and there is no longer evidence of mild concentric LVH on your recent 2D Echo, it is less likely that your chest pain is cardiac in nature. It is important to consider other potential causes for your chest pain, such as musculoskeletal issues, gastrointestinal problems, or even anxiety. To further evaluate your chest pain and rule out any other cardiac issues, you may consider discussing with your healthcare provider about other tests such as a stress echocardiogram, coronary CT angiography, or cardiac MRI. Additionally, lifestyle modifications, stress management techniques, and regular follow-ups with your doctor are important for your overall health and well-being.

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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.