Question 1

I'm experiencing heaviness and palpitations in my chest along with heartburn. I've gone through several tests like ECG, Echo, stress TMT, and stress MPI, and they all came back normal. But I still feel these symptoms sometimes and have visited many cardiologists without finding a solution. They say it's anxiety, yet I sleep well at night. Do you have any advice or suggestions for further tests? And is it okay if I drink chamomile tea at night?

Accepted Answer

It's good that you have undergone various cardiac tests which have come back normal. Since your symptoms are still persisting, it is possible that anxiety could be contributing to your symptoms. In addition to managing stress and anxiety, you can try over-the-counter antacids for heartburn relief. For palpitations, you can try taking a magnesium supplement. However, it's important to consult with a doctor before starting any new supplement. As for chamomile tea, it is generally considered safe for most people and can help with relaxation. You can try drinking chamomile tea in the evening to help with anxiety and promote better sleep. Start with a low dose and see how your body reacts to it. If your symptoms continue or worsen, it may be helpful to consult with a gastroenterologist to rule out any gastrointestinal issues that could be contributing to your symptoms.

Question 2

I've been experiencing this odd pin-pricking sensation on the left side of my chest for the past couple of days. It's happening now and then, not consistently. I remember having similar pain about three years ago, but it went away on its own back then. Should I be worried this time? What might be causing this sensation?

Accepted Answer

pin-pricking sensation in the left side of the chest can be unsettling. Given that you've experienced similar pain 3 years ago, which resolved on its own, it's essential to take this incident seriously and explore possible explanations.

_Possible Causes_

1. _Costochondritis_: Inflammation of the cartilage that connects the ribs to the breastbone can cause sharp, stabbing pains.
2. _Musculoskeletal issues_: Strained or pulled muscles in the chest wall can lead to pin-pricking sensations.
3. _Gastrointestinal issues_: Gastroesophageal reflux disease (GERD), acid reflux, or stomach ulcers can cause chest pain.
4. _Cardiovascular concerns_: Although less likely, it's essential to rule out cardiovascular issues, such as angina or pericarditis.

_What to Do Next_

1. _Consult a doctor_: Schedule an appointment with your primary care physician to discuss your symptoms.
2. _Monitor your symptoms_: Keep a journal to track when the pin-pricking sensation occurs, how long it lasts, and any potential triggers.
3. _Avoid heavy lifting or strenuous activities_: Until you've consulted with your doctor, avoid any activities that may exacerbate the discomfort.

If you experience any of the following, seek immediate medical attention:

- Severe chest pain or pressure
- Difficulty breathing
- Dizziness or fainting
- Pain radiating to your arms, back, or jaw

Question 3

I'm a bit concerned because I've been managing my blood pressure and diabetes for a while. I used to take lobet 100mg and alphadopa 500mg twice a day for a month, but I stopped the BP meds two months ago because I was feeling dizzy and had blurred vision. My BP readings were fine after that, but lately, I've been getting mild headaches, and today my BP was 160100. I've been advised to see a doctor. I'm worried about whether starting BP medication again after the consultation might cause any issues. Could you please give me some guidance on this?

Accepted Answer

It is important to manage your blood pressure to prevent complications. Since you have a history of experiencing giddiness and blurred vision with your previous medication, it is crucial to consult your doctor before starting any new medication. Your doctor may prescribe a different class of antihypertensive medication such as Amlodipine 5mg once daily or Losartan 50mg once daily to help lower your blood pressure without causing the same side effects. Regular monitoring and follow-up with your doctor are essential to ensure the effectiveness and safety of the new medication.

When there is no cardiac issue that could be pleuritis or costochondritis no need to worry take rest and foolow your doctors advice.

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