Question 1

I've been having this sharp pain at the bottom of my chest and when I talked to a doctor about it, they mentioned it might be due to gas. They advised getting an ECG, which I did, and I've attached the results here. I smoke about 3 to 4 cigarettes a day and have been eating out quite a bit recently because of work travel. I'm 75kgs and 5 feet 7 inches tall. What should I do next?

Accepted Answer

The sharp pain in the bottom of your chest could be due to gastritis caused by excess gas. Based on your ECG report, there are no significant abnormalities detected. However, smoking and consuming hotel food frequently can exacerbate your symptoms. To alleviate the gas and chest pain, you can take an over-the-counter antacid like **Ranitidine** 150mg twice daily before meals. Additionally, you should try to quit smoking or at least reduce the number of cigarettes per day. It is also advisable to avoid spicy and oily foods, and opt for a more balanced diet with plenty of fruits and vegetables. Regular exercise and maintaining a healthy weight can also help improve your symptoms.

Question 2

I'm a little concerned about my ECG results. I did one using a portable ECG device and it says "Sinus Rhythm," but Im not sure if that means everything is actually okay. Is this considered clinically normal or should I be worried about something else?

Accepted Answer

Sinus Rhythm on ECG indicates normal heart rhythm. However, to determine if the ECG is clinically normal, other factors need to be considered such as symptoms, medical history, and physical examination. If there are no other concerning findings, the ECG can be considered normal.

Question 3

I've been feeling this needle-like pain in my left chest that started a couple of nights ago while I was asleep and it lasted about 10 minutes. Afterward, I started getting these intermittent pin-pricking pains on both sides of my chest. Now I'm even...

Accepted Answer

Neurologist opinion.

Question 4

I've been experiencing a burning sensation across my chest, including the areas near my armpits on both sides. I'm worried it might be related to a heart issue. Could this be the case?

Accepted Answer

The presence of a burning sensation in the chest, particularly given your history and recent exercise, could indeed be related to a cardiac issue, particularly if accompanied by other symptoms like shortness of breath, sweating, or radiating pain. It's essential to seek immediate medical attention to rule out any serious conditions such as angina or a heart attack. In the meantime, avoid any further physical exertion and try to stay calm. Getting evaluated by a healthcare provider will allow for necessary tests, such as an electrocardiogram (ECG) and blood tests, to determine the cause of your symptoms and provide appropriate treatment.

Question 5

My brothers been really dizzy and sweating a lot after getting up from bed. Its pretty bad  he cant even open his eyes. Could you let me know what might be happening and what should we do?

Accepted Answer

Probable differential diagnosis include hypoglycaemia, heat stroke and yocardial ifarction.. Ecg and cardiac markers advised and cardiac opinion..

Question 6

I'm a bit worried about my recent ECG results showing sinus bradycardia and incomplete RBBB. Can you help me understand what these terms mean? I've been feeling a bit more tired than usual lately; could this have anything to do with it? Should I be l...

Accepted Answer

Sinus bradycardia is a condition where the heart beats at a slower rate than normal, typically less than 60 beats per minute. It is caused by the sinus node in the heart sending electrical signals at a slower pace. Incomplete right bundle branch block (RBBB) is a condition where there is a delay in the electrical signal conduction in the right bundle branch of the heart. Symptoms of sinus bradycardia may include dizziness, fatigue, lightheadedness, confusion, shortness of breath, and chest pain. Incomplete RBBB may not cause any symptoms on its own, but it can be associated with underlying heart conditions. Further tests that may be required for sinus bradycardia and incomplete RBBB include an electrocardiogram (ECG) to confirm the diagnosis, a Holter monitor to monitor the heart's electrical activity over a period of time, an echocardiogram to assess the heart's structure and function, and possibly a stress test to evaluate the heart's response to physical activity. For sinus bradycardia, if symptoms are severe or if the heart rate drops too low, a medication like Atropine or Isoproterenol may be prescribed. In cases where bradycardia is persistent and symptomatic, a pacemaker implantation may be necessary. For incomplete RBBB, treatment is usually focused on managing any underlying heart conditions that may be causing the conduction delay. Medications like beta-blockers or calcium channel blockers may be prescribed to help regulate the heart's electrical activity. Remember, it is important to follow up with a healthcare provider for proper evaluation and management of these conditions.

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Related Questions

I'm a little concerned about my ECG results. I did one using a portable ECG device and it says "Sinus Rhythm," but Im not sure if that means everything is actually okay. Is this considered clinically normal or should I be worried about something else?

I've been feeling this needle-like pain in my left chest that started a couple of nights ago while I was asleep and it lasted about 10 minutes. Afterward, I started getting these intermittent pin-pricking pains on both sides of my chest. Now I'm even...

I've been experiencing a burning sensation across my chest, including the areas near my armpits on both sides. I'm worried it might be related to a heart issue. Could this be the case?

My brothers been really dizzy and sweating a lot after getting up from bed. Its pretty bad he cant even open his eyes. Could you let me know what might be happening and what should we do?

I'm a bit worried about my recent ECG results showing sinus bradycardia and incomplete RBBB. Can you help me understand what these terms mean? I've been feeling a bit more tired than usual lately; could this have anything to do with it? Should I be l...

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