Question 1

I'm really worried because I started with heart pain, and then the next day, I got this really bad pain in my left upper abdomen. I had an ECG done, and they didn't find anything unusual, and my stomach scan was clear too. But I keep getting these chest pains, mostly at night, and sometimes there's this pain in my shoulder blade that only lasts a few minutes. I'm too scared to tell my parents about all this. Can you tell me what's going on?

Accepted Answer

based on your symptoms of chest pain, left upper abdominal pain, and shoulder blade pain, along with normal ECG and abdominal scan results, it is important to consider the possibility of acid reflux or gastroesophageal reflux disease (GERD) as a potential cause of your symptoms. I recommend taking a proton pump inhibitor such as Esomeprazole (brand name Nexium) 40mg once daily before breakfast for at least 2 weeks to see if it helps alleviate your symptoms. Additionally, you can take antacids like Tums as needed for immediate relief of chest pain. It is also important to avoid spicy, fatty, and acidic foods, as well as eating at least 2-3 hours before bedtime to help reduce acid reflux symptoms. If your symptoms persist or worsen, please follow up with a doctor for further evaluation and management.

Question 2

I'm just a bit worried about my dad. He's 73 and back in November, he was getting these palpitations which led to an angiogram. They found some mild lesions and myocardial bridging, nothing major though. Before all this, he was on a 10 mg dose of Aztor. In December, he had a left hepatectomy because of a cyst, but that's all sorted now. So, in January, the doctor switched things up and put him on Ecosprin 7520 and Prolimet 12.5, and he's been on those for about three months. The thing is, our doctor isn't available right now and my dads next checkup isn't until April. I'm just wondering if it's okay for him to keep taking this medication for another two months or should we be doing something different?

Accepted Answer

Yes, the same medications can be continued for another two months. Aztor 10 mg can be continued for his cholesterol management. Ecosprin 7520 is important for antiplatelet effects to prevent blood clots, and Prolimet 12.5 is likely prescribed for blood pressure control. It is important to continue these medications as prescribed until his next checkup in April.

Question 3

I've been experiencing some chest pain on the left side, right above my heart. It happened for a few minutes, but then it went back to normal. The same thing occurred about six months ago. I'm a bit concerned and would love to get your suggestions on what might be going on and how I can deal with this issue.

Accepted Answer

Based on your description of chest pain above the heart that comes and goes, it is important to rule out any cardiac issues. However, considering the pain is brief and has occurred before, it could be due to muscle strain or inflammation in the chest wall. I recommend taking a pain reliever such as Acetaminophen 500mg as needed for pain relief. Additionally, applying a warm compress to the area may help relax the muscles. If the pain persists or worsens, further evaluation by a healthcare professional is advised.

I've been feeling really worn out and having a hard time sleeping because of my breathing troubles. I recently found out my ejection fraction is at 40. I'm super worried about it and want to know what I can do to feel better and improve my situation. Any advice on how to handle this?

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