- Male
- 25 Years
- 22/01/2025
I've been having this sudden sharp chest pain that comes and goes in about 3 minutes. It gets worse when I breathe deeply or move around. Sometimes it just goes away on its own, but other times drinking water or taking Omeprazole 20mg seems to help. What could be causing this, and should I be worried?
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View allI'm a 33-year-old guy, weighing 70 kg and standing at 5'10". I've noticed that my diastolic blood pressure has been consistently between 90 to 100 for the past few months. Do you think I should start taking medication for this? I'm really not sure what the best course of action is and could use some guidance.
Hello, as your diastolic blood pressure has been consistently between 90 to 100 mmHg for several months, it is recommended to start medication to help lower your blood pressure and reduce the risk of complications. You can start taking Amlodipine 5mg once daily to help lower your diastolic blood pressure. It is important to monitor your blood pressure regularly and make lifestyle changes such as reducing salt intake, exercising regularly, and maintaining a healthy weight.
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I'm feeling this weird chest pain mostly around my heart, and it happens a lot when I breathe. My heart rate's been really fast too, and I can't stop feeling jittery. Should I be worried about this? What's going on?
ecg and echo is advised..
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I'm having this persistent pain on the left side of my chest, and I've already seen a cardiologist about it. They had me do a bunch of tests like an ECG, 2D echo, TMT, CT coronary angiography, and even conventional angiography. Everything came back normal, which was a relief. But just a few days ago, the chest pain came back and the ECG now shows a T wave abnormality, possibly anterior ischemia. I'm really worried about what this could mean. Is this something I should be seriously concerned about, and what do you think my next steps should be?
Hello, based on your history and the recent ECG findings showing T wave abnormality suggesting anterior ischemia, it is important to further evaluate the cause of your chest pain. Since your cardiac tests have all come back normal, the T wave abnormality may be due to other factors such as coronary artery spasm, inflammation, or even non-cardiac causes. I recommend discussing with your doctor about starting medication like Nitroglycerin sublingual tablets for immediate relief during chest pain episodes. Additionally, you may benefit from medications like Beta-blockers (e.g. Metoprolol) and Calcium channel blockers (e.g. Amlodipine) to help prevent chest pain episodes. It would also be helpful to consider a referral to a gastroenterologist to rule out any gastrointestinal causes of chest pain, as well as a follow-up with a cardiologist for further evaluation and management. Remember to follow up with your healthcare provider for a personalized treatment plan.
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