- male
- 32 Years
- 29/01/2025
I've been experiencing some concerning health issues lately and could really use some guidance. I'm 32, from Hyderabad, and generally healthyI don't smoke and only drink beer like once in every three or four months. I used to be really active with running, climbing, and cycling, even training for triathlons. But around five months ago, I started having chest pain that spreads to my back and left arm, especially when I'm lying down. Despite having had an ECG, echo, TMT, troponin, and a CT angiography, all these tests came back negative. The only thing I've been diagnosed with is high heart rate, for which I'm on medication. This has helped bring down the chest pain but not completely. Now, for the past month, I've had intense headaches and dizziness that make me feel like I might just collapse. Last night was particularly bad with the headache and chest pain. I'm really worried and not sure how to proceed. Could you advise on what might be causing this and what I should do next?
Answered by 1 Apollo Doctors
It sounds like you are experiencing a combination of chest pain, back pain, left arm pain, headaches, and dizziness. Since your cardiac tests have come back negative and you are already being treated for high heart beats, it is important to consider other possible causes for your symptoms. The chest pain, back pain, and left arm pain could be related to musculoskeletal issues or nerve impingement. For your headache and dizziness, it may be helpful to explore the possibility of migraines or other neurological conditions. I recommend trying a medication like Acetaminophen for your headache and pain relief. For your ongoing chest pain, back pain, and left arm pain, you can try a muscle relaxant like Cyclobenzaprine. Additionally, for your high heart beats, you can continue with the medication prescribed by your doctor. However, it is important to follow up with your healthcare provider to discuss these new symptoms and explore further evaluation or treatment options.
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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View allDoes your body warn you before a heart attack?
Yes the warning signs can vary between Pressure, tightness, pain, or a squeezing or aching sensation in your chest or arms that may spread to your neck, jaw or back along with Nausea, indigestion, heartburn or abdominal pain, Shortness of breath,Cold sweat,Fatigue,Lightheadedness or sudden dizziness.
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I've been having chest pain when I walk or go up stairs, so I got a CT angiography done. The report shows I have myocardial bridging of the proximal LAD, about 1.8 cm long. The doctor said not to worry and that no treatment is needed, but the pain on my left side isn't going away. Can you help me understand what this all means and what I should do next?
Since you are experiencing persistent chest pain despite the reassurance from your doctor, it may be helpful to consider medication to help manage your symptoms. You can try taking a calcium channel blocker such as Diltiazem (Cardizem) at a low dose initially, under the guidance of your doctor. The usual starting dose for Diltiazem is 120 mg to 180 mg per day, taken in divided doses. This medication can help relax the smooth muscle in the walls of your coronary arteries and improve blood flow to the heart muscle, potentially reducing chest pain associated with your condition. However, please consult with your doctor before starting any new medication.
Answered by 1 Apollo Doctors
I'm Bryan Das, and I'm 23 years old. A few years back, I had issues with heart palpitations and anxiety. My doctor prescribed Ciplar LA 40 after doing a bunch of tests, and I've been on it ever since. I keep an eye on my blood pressure, and it's usually around 12080 or 11775, so that's all good. I feel fine, except for the occasional heaviness in my head when I get acidity problems, but it's not frequent. I've recently been selected as a commissioned officer in the Indian Army, and I'm aware that there's some intense training ahead. Should I be concerned about the military training affecting my heart, and before starting, I'm planning to get into the routine of running or jogging about 3-5 km every morning. Is that safe for me, or are there any risks I should know about? My blood sugar and lipid profile are normal. Would love to hear your thoughts on this!
It's great to hear that your blood pressure remains stable with CIPLAR LA 40 and that your blood sugar and lipid profile tests are normal. With your medical history of heart palpitation and anxiety, it is important to proceed with caution when starting a new exercise routine, especially one as rigorous as military training. Running or jogging for 3-5 km daily can be safe for you, but it is advisable to start slowly and gradually increase your intensity to assess your body's response. Given your stable blood pressure and normal test results, running can be beneficial for your overall health and fitness. However, it is essential to listen to your body and not push yourself too hard, especially if you experience any symptoms such as chest pain, dizziness, or shortness of breath. It would be advisable to consult with your doctor or a cardiologist before starting any new exercise routine to ensure it is safe for you. As for military training, it is important to inform your trainers about your medical history and current medication. They can provide guidance on how to safely participate in the training activities. Regular monitoring of your heart rate and blood pressure during training sessions is also recommended to ensure your safety. In conclusion, running or jogging for 3-5 km daily can be safe for you, but it is crucial to start gradually and listen to your body. Military training can also be safe with proper precautions and monitoring.
Answered by 1 Apollo Doctors
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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.