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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I've been having chest pains and I'm super worried it might be related to my heart even though all my tests like ECG, echo, TMT, and chest X-ray came back normal. The fear started after the pandemic and now I'm constantly thinking about "what if" something's wrong. I've had heart palpitations about 10-15 times and even small muscle pains make me anxious about having a heart attack. What can I do about this constant fear? Do you think there's a chance I might really have heart issues? My last echo and TMT were 10 months ago and the most recent ECG was 20 days ago, all normal. Would love any advice or insight.

It sounds like you are experiencing a lot of anxiety and fear related to your heart health, especially since the COVID-19 pandemic. Despite multiple tests showing normal results, you are still worried about having a heart attack. It is important to address your anxiety and stress levels in order to overcome these persistent fears. One approach to consider is seeking therapy or counseling to help manage your anxiety and fears related to your heart health. Additionally, practicing relaxation techniques such as deep breathing, meditation, or yoga may also be beneficial in reducing stress and anxiety. In terms of medication, you can consider taking an anxiolytic medication such as lorazepam (Ativan) as needed for acute episodes of anxiety or panic attacks. The usual dosage is 0.5-2 mg taken orally 2-3 times a day as needed. It is also important to maintain a healthy lifestyle by eating a balanced diet, engaging in regular physical activity, and getting an adequate amount of sleep. These lifestyle changes can contribute to overall well-being and may help alleviate some of your anxiety symptoms. Remember, it is essential to address your mental health concerns in addition to your physical health. If you continue to experience persistent anxiety and fear despite normal test results, consider consulting with a mental health professional for further evaluation and support.

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I've recently had an echo done, and it showed grade 1 diastolic dysfunction. I'm a bit concerned and wondering if this is something serious. Should I see a cardiologist about it, or is it a common finding that's usually not a big deal?

It is important to follow up with a cardiologist for further evaluation and management. Treatment may include lifestyle modifications and medications such as ACE inhibitors like Enalapril (5-20mg once daily) or ARBs like Losartan (25-100mg once daily) to help improve heart function and symptoms. Regular follow-up with a cardiologist is recommended to monitor your condition.

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I'm really worried about this ongoing pain I've been having. I've had pain in my left chest, shoulder, arm, and leg for about 56 months now. I got all the tests done like ECG, 2D echo, and a chest X-ray, and they were all fine, but that was 34 months ago. However, they did find a vitamin D deficiency, and there was something about my cervical spine in the X-ray. Now, for the past 34 days, I've been experiencing pain in my left jaw too. Should I be concerned that this is related to my heart or do you think there's something else I need to look into? What would be your advice on what to do next?

Given your symptoms and previous tests, it is important to consider the possibility of angina or heart-related chest pain. Since you are experiencing left jaw pain along with other symptoms, it is advisable to consult a cardiologist for further evaluation. In the meantime, you can take a low dose of aspirin (75-100mg) as a precautionary measure. Additionally, continue to address your vitamin D deficiency with supplements and follow up on your cervical issue with appropriate treatment.

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