Question 1

I've been experiencing chest pain and headaches lately. I got an ECG done, and it came back normal, but I still don't feel right. I'm having trouble eating and walking properly too. Recently, I had milk and curd together, and I'm wondering if that could be causing these issues. Could you suggest any remedies or possible causes?

Accepted Answer

Intolerance to Spicy Food

_Symptoms:_

1. Burning sensation
2. Discomfort after consuming spicy food

_Possible causes:_

1. Acid reflux
2. Irritable bowel syndrome (IBS)
3. Inflammatory bowel disease (IBD)
4. Gastroparesis
5. Food intolerance

_Doctors to consult:_

1. Gastroenterologist
2. General Physician
3. Internal Medicine Specialist

_Solution steps:_

1. _Consult a doctor_: Schedule an appointment with a gastroenterologist or general physician.
2. _Diagnostic tests_: Undergo tests, such as endoscopy, colonoscopy, or blood tests, to determine the underlying cause.
3. _Dietary modifications_: Avoid spicy food and follow a bland diet.
4. _Medications_: Your doctor may prescribe medications to manage symptoms, such as antacids, acid reducers, or anti-diarrheal medications.
5. _Lifestyle changes_: Maintain a healthy lifestyle, including regular exercise, stress management, and adequate sleep.

_Interim remedies:_

1. _Ginger_: Try ginger tea, ginger ale, or ginger candies to help alleviate symptoms.
2. _Yogurt_: Eat plain yogurt to help neutralize stomach acid.
3. _Avoid trigger foods_: Identify and avoid foods that trigger your symptoms.

Question 2

I'm experiencing this chest heaviness and heavy breathing whenever I walk or do any small physical activities, and it's been going on for about three weeks now. I already went to my GP about two weeks ago and was on Azithromycin for three days, but it didnt really help. Yesterday, I started feeling some chest pain right in the center, and when I consulted a cardiologist online, they said it wasn't cardiac pain. But this morning after a little activity post-breakfast, I felt the same heaviness and then a dull pain in the center of my chest. It only lasts about 2 seconds and then disappears for a minute. The pain doesn't get worse when I breathe deeply either. Just wondering what's going on and what I should do next. Any thoughts?

Accepted Answer

take one pain killer and one antacid

Question 3

I'm really worried about my 37-year-old brother. He's been having this mild chest pain for a few months now, right in the heart area, and it sometimes radiates to his arms and back. We had an ECG, a TMT which showed a borderline positive at 10 Mets, and an echo doneall normal, and the coronary angiogram was normal too. The local doctor said it's non-cardiac and just gave him painkillers, but I'm not so sure. Could this be microvascular angina since the TMT was mildly positive and the angiogram came back normal? The pain just comes and goes for him, and it's really concerning. Do you have any advice on what this might be?

Accepted Answer

Based on the symptoms described and the test results provided, it is possible that your brother is experiencing microvascular angina. In such cases, medications like Ranolazine can be prescribed to help with the chest pain. The usual dosage for Ranolazine is 500mg to 1000mg twice daily. However, it is important to consult with a healthcare professional for a proper diagnosis and treatment plan.

Ecg and chest x-ray pa view is advised to the patient.

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