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

Dr Shubham Chauhan

General Practitioner

MBBS
4+ Yrs

Consult Now

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...

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Answered 04/07/2025

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My final diagnosis shows mitral annular calcification with concentric LVH and RWMA in the LCX territory. There's mild LV dysfunction with an LVEF of 49%, trivial MR, and grade 1 diastolic dysfunction. No TR or PE was noted. Do I need surgery for this, or what treatment options should I consider? I'm 65 and a bit worried about the next steps.

Given your diagnosis of mitral annular calcification, concentric LVH, RWMA in the LCX territory, mild LV dysfunction (LVEF 49%), trivial MR, and grade 1 diastolic dysfunction, you don't necessarily need surgery for the mitral annular calcification itself. The focus should be on managing the LV dysfunction, coronary artery disease (CAD), and potential issues related to the RWMA.

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I'm having this tender chest pain right in the middle of my chest, and it's getting me worried. I did an ECG, and everything seemed fine. My TMT test was negative too, which was a relief at first. But now, I'm sometimes feeling short of breath and there's a pain in my left hand. I even had a CT Coronary Angiography last year that showed normal results. What could be going on? Could you help me figure this out?

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