apollo
  • 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?

Doctor 1

Answered by 1 Apollo Doctors

That could be GERD avoid late night eating and consume bland diet and maintain healthy lifestyle.

Dr. Chandra Suggests...

Consult a Cardiologist

Answered 04/07/2025

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Greetings, doctors. I'm really worried about my heart. I'm 36, weigh 45 kg, and stand 5'4". I've been through countless tests like ECG, echo, TMT, and USG, and they all show I'm normal. Despite this, I'm terrified that I'll die of a heart attack. I witnessed my cousin's grandmother die from a heart issue right in front of me a couple of years ago, and ever since, Ive been living in fear. Because of this fear, my heart's always palpitating, I have difficulty breathing, feel dizzy, and get chest pains sometimes. Even when I had palpitations, my ECG showed normal at 116 bpm. My blood pressure is also steady, usually at 12080 or 70. It's scary, and I've even quit my job over this stress. All my tests like thyroid, KFT, lipid, vitamins, and LFT are also normal. Should I consider coronary angiography or maybe something else? I'm just feeling lost and need guidance, please.

It sounds like you are experiencing a lot of anxiety and fear related to your heart health. Given your age, weight, and the normal test results you have mentioned, it is less likely that you have a serious heart condition. The symptoms you are describing, such as palpitations, difficulty breathing, dizziness, and chest pain, could be related to anxiety and panic attacks. To help alleviate your fears and symptoms, I recommend trying a medication called **Propranolol**. It is a beta-blocker that can help with palpitations, chest pain, and anxiety. You can start with a low dose of **10mg** once a day and gradually increase it as needed under medical supervision. In addition to medication, it would be beneficial for you to seek counseling or therapy to address the underlying anxiety and fear you are experiencing. **Sertraline** is an antidepressant that can also help with anxiety. You can start with a dose of **25mg** daily and adjust as needed. Remember to practice relaxation techniques, such as deep breathing exercises and mindfulness, to help manage your anxiety symptoms. It is important to take care of your mental health as well as your physical health. If your symptoms persist or worsen, do not hesitate to follow up with a healthcare provider for further evaluation and support.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm a bit concerned because my blood pressure has been reading around 165 for the high and 95 for the low. I've also been experiencing this weird pain in my right hand that just comes and goes. Could this be related to my blood pressure, or is it something else I should be worried about?

Thats definitely Hypertension need to evaluate visit Physician for the same and appopriate management

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

My dad, who's 69, got really bad chest pains about five days ago and the ECG showed he had a heart attack. They did an angiography too and found there's blockage in three arteriesone's at 90 percent, another at 70, and the last one at 50 percent. The doctor said he needs surgery. I'm really worried and wanted to get your opinion on this. Is surgery the only option, and what kind of risks are we looking at? Are there any alternatives or additional things we should consider?

yes angiolasty is recommended to your father as there triple vessel disease and three arteries are blocked .

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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.