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Hello This Is A Returning Question For Dr Sharka I
Question: Hello
This is a returning question for dr Sharka I have update pain inner right side of sturnum comes and goes lower middle sturnum pain comes and goes wondering if I should be concerned a little neaseated but oxygen 98 blood pressure 97/71 heart rate 88 I am a bit anxious just started this morning
This is a returning question for dr Sharka I have update pain inner right side of sturnum comes and goes lower middle sturnum pain comes and goes wondering if I should be concerned a little neaseated but oxygen 98 blood pressure 97/71 heart rate 88 I am a bit anxious just started this morning
Brief Answer:
I would exclude any cardiac issues.
Detailed Answer:
Dear XXXXXXX
Welcome back on Ask a Doctor service!
Regarding your concern, I would like to reassure you that this kind of pain is not characteristic of any cardiac disorders.
As you have no shortness of breath, no typical cardiac chest pain and your vital parameters are within the normal ranges, I would exclude any cardiac issues.
The nausea could be indicative of acid reflux or gastritis. For this reason, I recommend taking an antiacid or PPI (omeprazole, pantoprazole, etc.).
If this does not help improve the pain, I recommend taking acetaminophen for the pain, in case of costo. It does not exacerbate acid reflux and can help relieve musculo-skeletal pain.
Anyway, there is no reason to panic as nothing serious is going on.
Hope you will find this information helpful!
Let me know about anything!
Wishing all the best,
Dr. Iliri
I would exclude any cardiac issues.
Detailed Answer:
Dear XXXXXXX
Welcome back on Ask a Doctor service!
Regarding your concern, I would like to reassure you that this kind of pain is not characteristic of any cardiac disorders.
As you have no shortness of breath, no typical cardiac chest pain and your vital parameters are within the normal ranges, I would exclude any cardiac issues.
The nausea could be indicative of acid reflux or gastritis. For this reason, I recommend taking an antiacid or PPI (omeprazole, pantoprazole, etc.).
If this does not help improve the pain, I recommend taking acetaminophen for the pain, in case of costo. It does not exacerbate acid reflux and can help relieve musculo-skeletal pain.
Anyway, there is no reason to panic as nothing serious is going on.
Hope you will find this information helpful!
Let me know about anything!
Wishing all the best,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello question I have taken one 500 ml vitamin c but I ate my cereal and milk with it tonight is that ok ti eat with ur as I have a sensitive stomach
Brief Answer:
My answer as follows:
Detailed Answer:
Dear XXXXXXX
Milk contains calcium, which can decrease the absorption of vitamin C. That is why it is necessary to take it separately from milk.
You can take it with bread and butter instead.
Hope to have been helpful!
Kind regards,
Dr. Iliri
My answer as follows:
Detailed Answer:
Dear XXXXXXX
Milk contains calcium, which can decrease the absorption of vitamin C. That is why it is necessary to take it separately from milk.
You can take it with bread and butter instead.
Hope to have been helpful!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi there thank you me last question I have been havjng right and left rib pain that comes and goes on both left and right side under breast as well as upper chest pain my oxygen is good blood pressure is good but heart rate at one point while resting was at 100 took agin a min later 88 not sure what to make of this also should I see a dr and if not can I still work out
Also how often should I get checked out in terms of work up
Ecg
Echo stress
Blood work
Collateral test how fast does colesterol change
Ecg
Echo stress
Blood work
Collateral test how fast does colesterol change
Brief Answer:
I would recommend as follows:
Detailed Answer:
Dear XXXXXXX
Regarding your concern, I would explain that the pain that you describe is not related to the heart.
I think that it is related to costochondritis. Fibromyalgia can not be excluded either.
Anyway, these heart rate fluctuations are quite normal, as a physiological reaction to the pain or anxiety.
So, you can work out normally.
Regarding the tests, I would recommend performing a resting ECG, echo stress test every 12 months. The echo stress test can be performed even more rarely (every 18-24 months).
While the complete blood count can be performed every 6 months. You can perform it earlier if you are feeling fever (in case of infection) or when suspicions of anemia or any other blood disorders are raised.
Hope you will find this information helpful!
Let me know about anything!
Wishing good health,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Dear XXXXXXX
Regarding your concern, I would explain that the pain that you describe is not related to the heart.
I think that it is related to costochondritis. Fibromyalgia can not be excluded either.
Anyway, these heart rate fluctuations are quite normal, as a physiological reaction to the pain or anxiety.
So, you can work out normally.
Regarding the tests, I would recommend performing a resting ECG, echo stress test every 12 months. The echo stress test can be performed even more rarely (every 18-24 months).
While the complete blood count can be performed every 6 months. You can perform it earlier if you are feeling fever (in case of infection) or when suspicions of anemia or any other blood disorders are raised.
Hope you will find this information helpful!
Let me know about anything!
Wishing good health,
Dr. Iliri
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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