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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I'm really worried because a couple of months ago, I had some chest pain and when they did an ECG, it showed slight ST elevation in V3 and V4. The cardiologist I saw said it wasnt heart-related, but just to be sure, he had me do a TMT, and that turned out negative. Now, I had chest pain again and went to the hospital. They did another ECG that showed sinus rhythm with sinus arrhythmia and ST elevation, possibly early repolarization with normally inflected T wave, and called it a borderline ECG. Should I be concerned about something serious going on here?

"Based on your description, it seems like you are experiencing chest pain with some concerning ECG findings. The ST elevation in V3 and V4 from the previous ECG, along with the ST elevation and early repolarization in the recent ECG, can be worrisome. However, since your cardiologist has already ruled out any significant heart issues with a negative TMT, it is less likely to be related to your heart. The presence of sinus rhythm with sinus arrhythmia indicates normal heart rhythm variation, which is usually not concerning. Early repolarization with borderline ECG findings can sometimes be a normal variant in young, healthy individuals. To address your chest pain and ECG findings, your doctor may consider monitoring your symptoms, lifestyle modifications, and possibly medication. In case of persistent or worsening symptoms, further evaluation or consultation with a cardiologist may be necessary. For symptomatic relief of chest pain, you can consider taking over-the-counter pain relievers like acetaminophen. However, it is important to follow up with your healthcare provider for a proper evaluation and management plan."

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I've been feeling some heaviness in my chest, not so much pain but more like there's something pressed against it. It's also affecting my sleep. My left shoulder and fingers feel a bit numb too, but it's more discomfort than pain. I used to smoke occasionally, like one or two cigarettes every few months, and I drink less than three days a month. All these chest discomforts have been around for about two years now. I saw a doctor back then and they said everything was fine, but it got worse with numbness and lightheadedness, and they said I had spondylosis. I've also had a shoulder injury since 2009, which I didn't really take care of. I'm trying to figure out if this is heart-related, gastric problems, or something due to my shoulder injury. It's really starting to affect me a lot. What could be causing these issues?

Visit your Physician for evaluation and appropriate management

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I'm getting really tired when I dance or do even small heavy tasks, and I'm not sure why. I already had an ECG, and it came back normal. I'm just wondering if there's something else that could be causing this?

Feeling tired during physical activity could be due to various reasons, even if your ECG results are normal. One common reason for this could be iron deficiency anemia. I recommend you to take iron supplements like Ferrous Sulfate 325mg once daily after meals for a few months. Additionally, make sure you are staying hydrated and eating a balanced diet rich in iron and other essential nutrients. If the symptoms persist, further evaluation may be needed.

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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.