- female
- 45 Years
- 07/02/2025
I've been having this really awful chest pain for about a month now, and it sometimes feels like my heartbeat is a bit off. After doing a bunch of research, I think it might be esophageal spasms. I went to the ER twice, and they said my EKG and heart monitor were fine. My doctor gave me muscle relaxers, which help with the spasms, but I still cant shake this terrible feeling in my chest. My blood pressure seems okay, it's usually around 120 over 86. I keep feeling my pulse all down my chest and arms, and its been really hard to get any sleep. Could there be something else going on that Im missing?
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View allI'm feeling a heaviness in my chest that seems to come from where the heart is, but it's only happening in the winter. During the summer, I don't experience this at all. Is it something normal or could it be a heart-related issue?
This could be due to a condition known as stable angina, where chest discomfort or pain occurs when the heart muscle doesn't get enough oxygen-rich blood flow, often triggered by cold weather. To alleviate symptoms, you can take a medication like Nitroglycerin sublingual tablets as needed for chest pain relief. The usual dosage is 0.3 to 0.6 mg sublingually every 5 minutes as necessary, up to 3 doses. However, it is important to consult with a healthcare provider for proper evaluation and management.
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Symptoms and Possible Causes* 1. *Heaviness in the right cheek*: Possible causes include: 1. Dental issues (e.g., toothache, abscess) 2. Sinus pressure or infection 3. Facial nerve issues (e.g., trigeminal neuralgia) 4. Temporomandibular joint (TMJ) disorders 2. *Neck pain*: Possible causes include: 1. Muscle strain or tension 2. Poor posture 3. Herniated disk or spinal issues 4. Stress or anxiety 3. *Headaches*: Possible causes include: 1. Tension headaches 2. Migraines 3. Sinus headaches 4. Cervicogenic headaches (related to neck issues) 4. *Palpitations on the lips*: Possible causes include: 1. Anxiety or stress 2. Nerve issues (e.g., trigeminal neuralgia) 3. Vasovagal syncope (a condition that affects blood flow) *Recommendations* 1. *Consult a primary care physician*: Start by consulting your primary care physician to discuss your symptoms and determine the best course of action. 2. *Specialist referral*: Based on your symptoms, your primary care physician may refer you to a specialist, such as: 1. Dentist or oral surgeon (for dental issues) 2. ENT specialist (for sinus or ear issues) 3. Neurologist (for nerve-related issues) 4. Orthopedic specialist or physical therapist (for neck or spinal issues) 3. *Diagnostic tests*: Your healthcare provider may order diagnostic tests, such as: 1. Imaging studies (e.g., X-rays, CT scans, MRI) 2. Blood tests 3. Nerve conduction studies 4. *Lifestyle modifications*: In the meantime, consider: 1. Practicing stress-reducing techniques (e.g., meditation, deep breathing) 2. Maintaining good posture 3. Engaging in regular exercise 4. Avoiding triggers that exacerbate your symptoms
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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.






