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question:Hi Dr Rynne I was wondering what should I do about my (now) frequent chest pain? This has been happening for some time now and when I talk to my doctor she doesn t really help me. I noticed this pain started happening when I ate greasy foods. I know I have a poor diet which is why when this first started happening I tried changing my habits, but no change. The people I have spoken to about it suggested it is a problem with my gallbladder? When I brought this up to my doctor she asked my to write down foods it happened with. And I don t feel like Ive been getting help. In fact I am having chest pain now and it has advanced to sometimes hurting with every beat, palpitations and at times I can sleep at night, discomfort in my neck, back, arm. Trouble breathing sometimes. I also have experienced sharp pains in my side I do not know what to do
answer:Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, you are mostly having GERD (gastroesophageal reflux disease) due to your poor eating habits and stress. But better to rule out heart diseases first. So get done ecg. If ecg is normal then no need to worry for heart diseases. Stress, anxiety can cause GERD. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of chest pain, burning type. Stress causes palpitations. So better to avoid stress and tension. Be relax and calm. Avoid hot and spicy food. Avoid junk food. Take proton pump inhibitors and prokinetic drugs. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
question:I started having gas pains in the middle of my chest about a month ago. I started eating more slowly and only ate half of what I had been eating as I am obese. However, the chest pain continues and often is 2-3 hours after I eat or before I have eaten anything, such as in the morning. So my question is how to tell if it's gas or a heart condition such as angina?
answer:Thanks for your question on Health Care Magic. I can understand your concern. Honestly speaking, it is very difficult to differentiate between gas pain and heart pain. But heart pain is more severe kind of pain as compare to gas pain. It is basically excruciating type of pain with perspiration, sweating, chest heaviness. Heart pain is also radiating to left jaw, left shoulder and arm. But these classical differences may not seen all the time. Many times, heart patients are complaining of gas pain and it is actually found out to be of heart pain. So better to get done heart work up like ecg, 2d echo and stress test to rule out heart pain. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
question:My husband is a binge drinker, and now addicted to cocaine. He has high blood pressure and is taking propranolol. He has been in 3 detox centers in the last 6 months. I know mixing these together are harmful but how harmful? I am just waiting for him to get to his low so he will accept treatment.
answer:Thanks for your question on Health Care Magic. I can understand your concern. Propranolol is beta blocker. It will cause reduction in blood pressure and heart rate. Alcohol and cocaine, both are CNS depressants (they suppress brain and it's functions). So alcohol and cocaine will also cause hypotension and low pulse rate. So if patient is on propranolol and alcohol and cocaine, chances of hypotension, bradycardia (low pulse rate) and cardiac arrest is more. So better not to take alcohol or cocaine if you are taking propranolol. So counsel your husband to quit alcohol and cocaine because he is taking propranolol. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.
question:Hi, i just got my x ray result, it says there is a suspicious nodulocalcific density in the left clavicle. The heart is not enlarges. The trachea is midline. The hemidiaphragms and costophrenic sulci are intact. Impression: Suspicious density, left, Apico-lordotic view is suggested. What does this mean? :(
answer:Thanks for your question on Health Care Magic. I can understand your concern. Normally, chest x ray is taken in PA (posteroanterior) view. In this view, many structures in lung apex overlap. Structures like lung tissue, clavicle, ribs etc overlap with each other. So any lesion in lung apex can not be visualized clearly and hence accurate diagnosis can not be made. To overcome this overlapping issue, apico lordotic view is done. In this view, chest x ray is taken in such a way that overlapping of structures can be avoided and hence lesion in apex can be visualized properly. So get done Apico lordotic view topic diagnose suspicious opacity in your x ray. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
question:hi my boyfriend has been having right shoulder and arm pain, his fingers feel numb shortness of breath, when he satnds up he gets lightheaded, lower back pain, and has been more tireed theen not lately. He told me the armm pain started last week is he having a heart attact?
answer:Thanks for your question on Health Care Magic. I can understand your concern. Possibility of heart attack is less because he is having right sided shoulder pain while heart related pain is commonly seen in left shoulder. But better to get done ecg and 2d echo. If both are normal then no need to worry for heart attack. Possibility of lung related pain is more because he is having breathlessness also. So get done chest x ray and PFT (Pulmonary Function Test). Chest x ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. Both, lung infection and bronchitis, can cause similar symptoms. So consult pulmonologist and discuss all these. Chances of heart attack is very less. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
question:I have severe mitral valve regurge with mild stenosis. Sclerotic aorta with trace regurge. I had open heart in 2005 for a mitral repair. I was diagnosed with myoxmatous disease. I also have pulmonary vein reversal with blunting. What does the latter term mean??? Does this mean beginning heart failure. EF is 60%. Thanks
answer:Hello sir , pulmonary flow reversal confirms that mitral regurgitation is severe enough that the regurgitation blood is reaching till pulmonary veins ( indirect means suggestive of severe disease on echocardiography ) . Hereby I would suggest that you don't wait for heart failure to set it , if you have symptoms like breathlessness while you exert , angina and palpitation. It's better you plan for a elective mitral valve replacement. Though not urgent would be a good option in view of long term quality of life . Regards Dr Priyank Mody