Question 1

I've been experiencing some pain on the left side of my chest, right around my heart, and I'm also having a lot of burping, indigestion, and gas issues. I'm trying to figure out if this is something to do with my heart or maybe it's just my stomach acting up. What kind of doctor should I see for this?

Accepted Answer

Acid peptic disease,  u can take tab pan D ,once daily for 2 weeks, before food ,orally, also syrup sucralfate 10 ml thrice daily orally, a Gastro-enterelogist

Question 2

I'm really worried because I got my ECG done and it came back abnormal. The report mentions sinus tachycardia and right atrial enlargement. What does that mean exactly? Should I be concerned about this? My heart rate was really high at the time of the test, but my other tests, like thyroid and lipid profile, were normal. Can you help me understand what might be going on?

Accepted Answer

Hello sir, based on your description of the ECG findings showing sinus tachycardia and right atrial enlargement, along with the symptoms of high heart rate, it indicates that your heart is beating faster than normal and the right upper chamber of your heart is enlarged. Sinus tachycardia can be caused by various factors such as stress, anxiety, caffeine, or certain medications. Right atrial enlargement can be a sign of heart conditions such as heart failure or lung disease. To address the sinus tachycardia, you can take a beta-blocker medication like Metoprolol at a starting dose of 25mg once daily, which can help slow down your heart rate. For the right atrial enlargement, managing the underlying cause such as treating heart failure or lung disease is important. It is also essential to follow up with a cardiologist for further evaluation and management.

Question 3

I've recently come across my TMT results, which show a mildly positive reaction with horizontal ST depression up to 2mm in some leads, but it normalizes quickly in recovery. My echo came out normal, and I don't smoke, drink, or have any early CAD family history. My lipid profile reads LDL at 101, triglycerides at 139, HDL at 33, and a total of 157. I'm quite sedentary, and lately, I've noticed pinpoint pain and pressure in my chest, shoulders, and upper abdomen. It flares up intermittently during brisk walking and feels really localized. I've also been dealing with anxiety for the past four years, so I sometimes have breathing difficulties whether I'm resting or active. Is it possible to have CAD at this age without any obvious risk factors, or could this pain just be anxiety? I did have stress echo tests in the past, which were negative, just like a TMT back in 2016. Could you offer some insight?

Accepted Answer

Given your history of chest painpressure, especially with brisk walking, and the findings on your recent TMT showing mildly positive results with horizontal ST depression, it is important to consider the possibility of coronary artery disease (CAD) even in the absence of traditional risk factors. The fact that the ST depression normalizes within 15 seconds of recovery is somewhat reassuring, but further evaluation is warranted. Considering your symptoms and history of anxiety, it is also possible that the chest pain you are experiencing could be related to anxiety. However, it is crucial not to dismiss the possibility of CAD, especially with the new onset of localized chest pain and your TMT results. Given your overall profile and symptoms, I would recommend further evaluation by a cardiologist. They may consider additional tests such as a coronary angiogram to assess the extent of any possible blockages. In the meantime, it is important to continue monitoring your symptoms and seek medical attention if they worsen or become more frequent. In terms of medication, based on your lipid profile, a statin medication such as Atorvastatin (10-20mg) may be considered to help lower your LDL cholesterol levels and reduce the risk of CAD progression. Additionally, medications to manage anxiety such as Escitalopram (10mg) may be prescribed to help alleviate your symptoms. It is important to address both the cardiac and psychological aspects of your symptoms to ensure a comprehensive treatment approach.

I'm wondering if it's okay to stop taking ecospirin 75 after recovering from COVID. Is there a recommended time to keep taking it if I only had mild symptoms? And what happens if I stop using it after a month? Could there be any side effects from stopping it so soon?

More Cardiology Health Queries

Health Articles for you

Biomarker Tests: Detecting Heart Disease and Stroke Risks in Healthy People

Guide to Minimally Invasive Cardiac Surgery

What Leads To Signs Of Heart Attack

Understanding Complete Heart Block Symptoms

Guide to Indicators Heart Disease Child