- Male
- 29 Years
- 07/02/2025
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?
Answered by 1 Apollo Doctors
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.
Dr. Shubham Suggests...
Consult a Cardiologist
Answered 04/07/2025
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I'm feeling a bit worried because I've been having a lot of symptoms since I recovered from COVID back in July. I still don't feel completely better. Lately, I've been having chest pain on the left side and near my shoulder blade, and my left hand feels heavy, with some pain in my armpit. There's this weird pressure in the center of my upper chest, but it doesn't hurt. Bending or moving around makes my chest hurt too, but it's sort of bearable. Plus, I often get this numb feeling in my head, like pins and needles, though it doesn't really hurt. Sometimes I get headaches as well. I did an ECG and a 2D echo three months ago and everything was normal, but I'm attaching the latest ECG I just had done today. Can you help me figure out what's going on?
Based on your symptoms and history of Covid-19, it is important to consider the possibility of post-Covid complications such as myocarditis or pericarditis. The chest pain, left shoulder blade pain, heaviness in the left hand, and pressure in the upper chest could be indicative of cardiac issues. Since your recent ECG is available, it would be important to review it for any acute changes. I recommend starting a course of aspirin to help with any potential inflammation and to prevent blood clots. Additionally, you can take a proton pump inhibitor like omeprazole to protect your stomach while on aspirin. It is important to follow up with a cardiologist for further evaluation and possible additional tests such as a cardiac MRI. Medication: - Aspirin 75mg once daily - Omeprazole 20mg once daily
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I'm feeling worried because I've been having arm pain alongside chest pain. I've already had an EKG, some blood work, and an X-ray, and all the results were normal except the EKG, which showed some abnormalities. What might be causing this?
Given your symptoms of arm and chest pain, and abnormal EKG results despite normal blood work and X-ray, possible causes could include: musculoskeletal strain, costochondritis, pericarditis, or gastroesophageal reflux disease (GERD); however, the abnormal EKG result warrants further evaluation, so consider consulting a cardiologist to rule out underlying cardiac conditions, such as myocardial bridging, coronary artery spasms, or cardiac syndrome X.
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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.