apollo
  • female
  • 50 Years
  • 22/01/2025

I've been experiencing this really painful, pinching sharp heartache that makes it hard to breathe. It's mostly in the upper part of my left chest and lasts around 2 minutes. It's happened a couple of times even when I was on an empty stomach or just had some warm lemon water. I've had it at night before dinner too. I got some blood tests done, and they said my lymphocytes were high, but sugar was normal. I often feel short of breath while sitting too, and climbing stairs always makes me breathless. This month, its happened like three times. Do you have any ideas about what this could be?

Doctor 1

Answered by 1 Apollo Doctors

Could be due to a condition called angina. Angina is chest pain or discomfort caused when your heart muscle doesn't get enough oxygen-rich blood. It may feel like pressure or squeezing in your chest. Given your symptoms and the fact that it has occurred multiple times, it is important to consult a healthcare professional for a proper evaluation and diagnosis. However, based on the information provided, you may benefit from taking medications such as Nitroglycerin sublingual tablets for immediate relief during episodes of chest pain. The usual dosage is 0.3 to 0.6 mg sublingually or chewed at the first sign of chest pain. Additionally, you may also be prescribed medications like Aspirin to prevent blood clot formation and reduce the risk of heart attack. The usual dosage is 75-325 mg once daily. It is important to follow up with a healthcare provider for further evaluation and management of your symptoms.

Dr. Kareemulla Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've been feeling some pressure and uneasiness in my heart for the past week, and it usually lasts about an hour. Sometimes it feels a bit better when I cough, but it's only a temporary relief. I'm not experiencing chest pain or getting tired when I work out, which is puzzling. Could this be related to stomach gas or something else? I also got my lipid profile checked, and things seem a bit off with high triglycerides and non-HDL cholesterol. What could be causing these symptoms, and are there any changes I should make to my diet?

Based on your symptoms and lipid profile, the uneasiness and pressure at the heart lasting for about an hour could be related to your high triglyceride levels. The cough providing temporary relief may be due to associated gastric reflux. To address this, you should consider making some dietary changes to improve your lipid profile and overall heart health. I recommend reducing your intake of saturated fats, trans fats, and cholesterol-rich foods. Increase your consumption of fruits, vegetables, whole grains, and lean proteins. Additionally, incorporating foods rich in omega-3 fatty acids like fatty fish, flaxseeds, and walnuts can help lower triglyceride levels. In terms of medication, you may benefit from a prescription medication such as Atorvastatin (brand name Lipitor) to help lower your LDL cholesterol levels and reduce the risk of cardiovascular events. The usual starting dose for Atorvastatin is 10-20 mg once daily, but your doctor may adjust this based on your lipid profile and response to treatment. It is important to follow up with your healthcare provider for further evaluation and management of your lipid profile and heart symptoms. Regular monitoring and adherence to lifestyle modifications and prescribed medications are crucial in managing your condition.

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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.