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?

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Dr Ibrahim Salah

General Practitioner

MBBS
2+ Yrs

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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:

Gastroesophageal reflux disease (GERD): Stomach acid can cause bleeding in the esophagus or stomach.

Peptic ulcers: Open sores in the stomach or duodenum can bleed.

Gastritis: Inflammation of the stomach lining can lead to bleeding.

Esophageal varices: Enlarged veins in the esophagus can bleed.

Inflammatory bowel disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause bleeding.

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

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Answered 04/07/2025

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Slight ST depression in V5 on ECG can sometimes be seen in patients with anxiety and gastric issues. Since your previous ECG, treadmill test, and troponin I levels were normal, it is less likely to be related to a heart condition. However, it is important to continue monitoring your symptoms and follow up with your healthcare provider for further evaluation. In the meantime, you can consider taking medications like Pantoprazole 40mg once a day for gastric issues and medications like Lorazepam 0.5mg as needed for anxiety.

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