apollo
  • Male
  • 38 Years
  • 22/01/2025

I've been having pain on the left side of my neck and shoulder for the past couple of weeks, and sometimes I feel some chest pain too. I went to the doctor and got an ECG, but it came back normal. I'm not sure what to do next. Should I see a cardiologist or maybe an orthopedic doctor? It's really starting to worry me, and I'd appreciate some advice on the next steps.

Doctor 1

Answered by 1 Apollo Doctors

orthopaedic opinion is required

Dr. Ibrahim Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've been experiencing some discomfort and I'm really concerned. I'm a 23-year-old male and since January, I've had some pain in my right and left chest, as well as below my ribs. I tried taking medication for acidity at first. I noticed my heart rate is around 65 bpm while sitting but jumps to 90-100 bpm when I stand. This got me worried so I went to the hospital where my BP was 11090. The ECG came back normal, but the doctor suggested a 2D echo test. I've attached the results. I was on esomacD 40mg and etizola beta 0.25mg until the end of February, which seemed to help reduce the chest pain and occasional racing heartbeats. Today though, while resting, I felt a brief pain for about 3 seconds in the middle of my ribs on the left bottom side. My pulse was normal then. Could this be a sign of a heart attack or is there any risk involved?

Based on the information provided, it is unlikely that the symptoms you are experiencing are indicative of a heart attack. The normal ECG results and the improvement in chest pains and heart rate with the medications you were prescribed suggest that your symptoms may be related to other factors such as acid reflux or anxiety. Since you have already undergone medical evaluation including an ECG and 2D echo test, it is important to continue following up with your healthcare provider for further assessment and management. To address the occasional racing heart rate, you can consider taking Metoprolol 25mg once daily as prescribed by your doctor. Additionally, for acid reflux symptoms, you can continue using Esomac-D 40mg once daily before breakfast. If you experience any new or worsening symptoms, especially chest pain that radiates to your arm, jaw, or back, along with shortness of breath, dizziness, or nausea, seek immediate medical attention. Regular follow-up with your healthcare provider is essential to monitor your condition and adjust your treatment plan as needed.

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I'm trying to figure out which medication I should take to get my blood pressure under control. I'm 105 kgs and 6 feet tall. My blood pressure reading is 140 over 80, and I'm wondering if that's considered severe. Could you recommend something for immediate relief?

To get your blood pressure under control, considering your weight and height, you can start with a low dose of Amlodipine (brand name: Norvasc) 5mg once daily. This medication helps to relax the blood vessels, making it easier for the heart to pump blood. It is important to monitor your blood pressure regularly and make lifestyle changes such as reducing salt intake, exercising regularly, and maintaining a healthy weight. A blood pressure reading of 14080 is considered prehypertension, and it is important to take steps to lower it to prevent it from becoming high blood pressure.

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I'm concerned about my husband's ECG report. It mentions something called Early Repolarization, and he's only 28. Could this be something serious, or should we be worried about it? I'd really love to get some advice on what this means and if we need to do anything about it.

In ECG report, "Early Repolarization" is a common finding and usually not a cause for concern, especially in young individuals like your husband who is only 28 years old. It is often considered a benign variant and does not typically require any specific treatment. However, it is important to consider other factors such as symptoms, medical history, and overall health status. If your husband is not experiencing any symptoms such as chest pain, shortness of breath, dizziness, or fainting episodes, and if he has no other significant medical conditions, then no specific treatment may be necessary. It is advisable to follow up with a healthcare provider for further evaluation and to rule out any other potential cardiac issues. In the meantime, it is important for your husband to maintain a healthy lifestyle, including regular exercise, a balanced diet, and avoiding smoking and excessive alcohol consumption. If there are any concerns or new symptoms arise, it is recommended to seek medical attention for further assessment and guidance.

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