apollo
  • male
  • 45 Years
  • 23/01/2025

Sure, here's a rephrased version of the user's query: I've been having chest pains off and on for a couple of days and got an ECG done. Here's what the results say: Vent rate is 73 bpm, PR interval is 114 ms, QRS duration is 94 ms, QTQTc is 388427 ms, and the PRT axes are 64, 52, and 25. I'm really not sure if these numbers are normal. Should I be taking any special precautions, especially since the pain keeps showing up in different parts of my body at different times?

Doctor 1

Answered by 1 Apollo Doctors

Blood Vomiting and Blood in Stool: Potential Causes

Blood vomiting (hematemesis) and blood in stool (hematochezia) can be symptoms of various conditions. Given your friend's experience, possible causes include:

  1. Gastroesophageal reflux disease (GERD): Stomach acid can cause bleeding in the esophagus or stomach.
  2. Peptic ulcers: Open sores in the stomach or duodenum can bleed.
  3. Gastritis: Inflammation of the stomach lining can lead to bleeding.
  4. Esophageal varices: Enlarged veins in the esophagus can bleed.
  5. Inflammatory bowel disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause bleeding.
  6. Infections: Bacterial or viral infections, such as food poisoning, can cause bleeding.

Urgent Medical Attention Needed

Encourage your friend to seek immediate medical attention to determine the underlying cause and receive proper treatment.

Dr. Ibrahim Suggests...

Consult a Cardiologist

Answered 04/07/2025

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Hey, I had a heart attack three months ago and I initially thought it was just a gastric issue, so I didn't go to the hospital right away. I was working normally until I went in for a routine check-up a few days later and they told me I had a heart attack. They did an angioplasty and put a stent in my LAD, and everything seemed to go well. Now, I'm doing a morning walk every day, around 6 km in an hour. I'm a 47-year-old guy and I'm just wondering, when would be a good time for me to go for a stress echo?

Given that you had a heart attack three months ago and have since undergone successful angioplasty with stent placement, its important to follow your cardiologist's advice for follow-up care. Typically, a stress echo is recommended several months after the procedure to evaluate how well your heart is functioning under stress and to ensure that the stent is working effectively. You should consult with your cardiologist to determine the best timing for this test based on your individual recovery and health status. Its great that you are walking daily; continue following your doctor's guidance on physical activity and medication.

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I'm reviewing my angiogram results, and it's making me pretty anxious. It mentions a "20% stenosis" in the distal left main, and a "90% stenosis" in the proximal left anterior descending artery, plus a "60% stenosis" in the mid LAD. The distal LAD is stated as normal, but there's a "40% stenosis" in the diagonal. Also, it says my right coronary artery has a "90% eccentric stenosis" in the distal part, though the rest is fine, as well as the PDA and minimal disease in PLV. Could you help me understand what all this means, and what should be done? I'm feeling really lost here.

"Based on the findings of your coronary angiogram, it appears that you have significant blockages in your left anterior descending artery (LAD) and right coronary artery (RCA). To address the blockages and improve blood flow to your heart, a treatment plan may include the following: - For the 90% stenosis in the proximal LAD, a coronary artery bypass grafting (CABG) surgery may be recommended. - For the 90% eccentric stenosis in the distal RCA, a percutaneous coronary intervention (PCI) with stent placement could be considered. - Medications such as aspirin, clopidogrel, beta-blockers, ACE inhibitors, and statins may also be prescribed to manage your condition and reduce the risk of further complications. Please consult with your cardiologist to discuss these treatment options and determine the best course of action for your specific case."

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I've been having some chest pain that moves around a bit - sometimes it's on the left side, other times in the middle. I walk 5 km every day and I don't feel any pain when I walk, which is odd. About a year and a half ago, I had a TMT, Echo, and ECG done, and everything came back normal. Since then, I've had four more ECGs, and they're all normal too. I attached my latest ECG here. I'm just wondering, is there anything else I can do to really make sure this isn't a heart-related issue? The pain mostly hits when I'm sitting, so I can't figure out what's going on. Could it really be non-cardiac?

"Hello, based on your description and the normal results of your TMT, Echo, and multiple ECG tests, it is less likely that the chest pain is related to a cardiac issue. Since the pain occurs mostly when you are sitting, it could be musculoskeletal or related to gastric issues. I recommend trying over-the-counter antacids like **Ranitidine** 150mg twice daily before meals to see if it helps with the pain. Additionally, you can take **Acetaminophen** 500mg as needed for pain relief. If the pain persists or worsens, further evaluation by a healthcare provider may be necessary."

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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.