Question 1

I've recently had a stress echo and it came back negative. Ten years ago, in 2011, I had an angiogram and it looked fine then too. In 2015, I went through a nuclear test, treadmill test, and some other checks, and they all turned out normal. Lately, Ive been having this dull pain in my neck that sometimes reaches up to my ear and jaw, and it also bothers my shoulder. My neck and upper back always feel stiff. My physiotherapist says my posture is pretty poor, mentions scoliosis, and thinks that might be causing this pain. I don't have issues when I'm walking and I can climb up to 12 floors without a problem but the neck and back pain, especially on the left side, really gets to me. Occasionally, I feel a sharp pain on the left side of my chest, but it fades away quickly. My chest is tender, and some spots are really sore to touch. Do you think it's safe to rule out any cardiac causes? Is there any other test I should consider doing?

Accepted Answer

Based on your history of negative stress echo, normal angio in 2011, and normal nuclear test and TMT in 2015, it is less likely that your current symptoms are related to cardiac issues. However, it is important to consider other potential causes for your neck, ear, jaw, shoulder, and chest pain. Given your description of neck stiffness and pain, along with the presence of scoliosis affecting your posture, it is possible that your symptoms are musculoskeletal in nature. To address your current symptoms, you may benefit from a muscle relaxant such as **Cyclobenzaprine** 10mg to help with the neck and back stiffness. Additionally, you can consider taking **Ibuprofen** 400mg for pain relief. Since you mentioned tenderness in your chest and certain points, it may be helpful to rule out any musculoskeletal chest wall pain. However, considering your history and current symptoms, further cardiac testing may not be necessary at this point. To improve your posture and alleviate the neck and back pain, regular physiotherapy sessions focusing on postural correction and strengthening exercises may be beneficial. It is important to continue working with your physiotherapist to address the underlying cause of your symptoms. If your symptoms persist or worsen, it is advisable to follow up with your healthcare provider for further evaluation and management.

Question 2

I'm having these weird experiences when I'm about to fall asleep, like when I'm in that transition phase. It's like I feel this single, really strong heartbeat that kind of moves my whole body. Its kind of freaking me out. Ive attached my ECG  can you help me figure out whats going on with this?

Accepted Answer

it could be due to a premature ventricular contraction (PVC). This is when the heart's lower chambers (ventricles) contract earlier than normal, causing an extra, abnormal heartbeat. It may feel like a strong thump in your chest. Based on the ECG you provided, it confirms the presence of PVCs. To manage this condition, you can take a beta-blocker medication such as Metoprolol (25-50mg) to help regulate your heart rhythm and reduce the occurrence of PVCs. It is important to follow up with your healthcare provider for further evaluation and monitoring.

Question 3

I'm experiencing some issues and I'm really worried. Whenever I masturbate during the day, my heart starts pounding really loudly afterwards. And then at night, I feel this burning sensation in my chest and it's so hard to breathe. It's okay during the day but when night comes, it feels really difficult to breathe. I just want to feel healthy and I'm scared something might be really wrong. Can you help me figure out what's going on?

Accepted Answer

CONSULT psychiatrist

sometimes blood pressure increases because of pain also. repeat your blood pressure,and monitor it

More Cardiology Health Queries

I'm having these weird experiences when I'm about to fall asleep, like when I'm in that transition phase. It's like I feel this single, really strong heartbeat that kind of moves my whole body. Its kind of freaking me out. Ive attached my ECG can you help me figure out whats going on with this?

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