apollo
  • male
  • 35 Years
  • 07/02/2025

I've been dealing with chest pain for the past one and a half months. I've had a chest X-ray, ECG, Echo, and TMT done, and all the reports came back normal. I even went to a cardiologist, and he said it's not related to my heart. The pain started about a week after I found out I have high BP. I'm currently taking Prolomet AM, Pantocid IT, Drise 60k, and Rozavel. The pain feels like muscle pain on the upper side of my chest, on both sides. Sometimes, it feels like a pinch all over my chest. It also extends to my underarms and neck occasionally, and I feel tightness, especially on the upper right side of my chest. I sometimes have itching in my chest and sensations below my chin and jawline. What's strange is that I feel a bit better after some physical activity, like exercising or walking. Could you help me figure out what's going on? What should I do next?

Doctor 1

Answered by 1 Apollo Doctors

tab pantop 40 mg for 5 days 12hrly , and timely eating habits, stop junk food , stop tea coffee and review

Dr. Mubarak Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've been having these heart palpitations for about 4 years now, where my heart just suddenly starts pounding, fluttering, or even racing out of nowhere, even when I'm not doing anything physical. The first time it happened was during a cricket practice right after I started jogging, and since then, it's been an on-and-off thing. It freaks me out whenever it happens, and I'm really worried about what it means for my future. Most of the time, I try not to think about it, and my heartbeat stays normal, but then, bam, it starts racing again when I'm just chilling. This issue made me quit sports, so I turned to yoga, which kind of helps since I'm focusing more on my breathing. The weird thing is, the first time I got an ECG, it showed my heart rate was at 122 beats per minute. The doctor back then just told me to avoid stress, but then my mom passed away, which was super stressful, and it made the palpitations worse. But it's strange because I don't have chest pain or dizziness. What do you make of this? Should I be really worried?

It sounds like you have been dealing with heart palpitations for a while now, which can be quite distressing. Based on your description, it seems like you may be experiencing episodes of supraventricular tachycardia (SVT), which can cause the fluttering, pounding, and racing sensations in your heart. One medication that is commonly used to help control heart palpitations like SVT is Verapamil. The usual dosage for Verapamil in cases of SVT is around 120-240 mg per day, divided into 3-4 doses. Additionally, if you are still experiencing palpitations despite lifestyle changes like yoga, your doctor may consider prescribing you a beta-blocker such as Metoprolol. The typical starting dose for Metoprolol in cases of palpitations is 25-50 mg twice a day. It is important to follow up with your doctor regularly to monitor your condition and adjust your treatment plan as needed. Remember to also continue practicing stress-reducing techniques like yoga to help manage your symptoms.

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I'm a 37-year-old guy and I've been dealing with anxiety for a few years now, which makes my hands sweat and sometimes I get chest pains that last for seconds or minutes. I've been on Gudpress AM 50 for the past six months, but it makes my face feel tight for about six hours after taking it. I stopped taking it two days ago, but my blood pressure has been around 150100 and 14090 in this time. Is there another blood pressure medication I can try? Before Gudpress AM 50, I was taking Cinod 10. Any advice would be great.

It sounds like you are experiencing side effects from Gudpress AM 50 (which contains Telmisartan and Amlodipine) such as tightness on your face. Since you are also dealing with anxiety symptoms and high blood pressure, you can consider switching to a different medication for your blood pressure. I recommend discussing with your doctor about starting a different medication such as Losartan (brand name: Cozaar) at a suitable dosage to help manage your blood pressure without causing unwanted side effects. Losartan is an angiotensin II receptor blocker that can be effective in treating high blood pressure and has a lower risk of causing facial tightness compared to Amlodipine. Remember to consult with your doctor for a proper evaluation and prescription adjustment based on your individual health needs.

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I'm a little worried about my mom. She's been taking 3mg of warfarin, but her PTINR test just showed 1.27. Since she has heart issues, should we think about upping her dose to 5mg?

An INR of 1.27 indicates that the patient's blood is not clotting as well as it should be on the current dose of warfarin. For a heart patient, the target INR range is usually higher. In this case, it would be advisable to increase the dose of warfarin. I recommend increasing the dose to 4mg and then rechecking the INR in a week to see if it falls within the target range. Regular monitoring and adjustment of the warfarin dose is important to ensure the patient's blood is clotting within the desired range.

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