HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Hello, My Main Signs/symptoms Include Frequent Chest Pain(tightness), Upper Back

Posted on Sun, 2 Jun 2019

Question: Hello, my main signs/symptoms include frequent chest pain(tightness), upper back pain, shortness of while after a little exercise, nauseus which is common to me. Also, Fatigue and tiredness but those are common to me due to the nature of my job.

Answered by Dr. Ilir Sharka (1 hour later)

Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

I passed carefully through your question and would explain that it is important performing a comprehensive differential diagnosis between different possible causes that may lead to this clinical situation: a metabolic disorder, a lung disorder, gastro-esophageal reflux or a cardiac disorder.

I would like to know more about your age and your past medical history.

Coming to this point, I would recommend performing some tests in order to investigate for the possible underlying causes:

-a resting ECG and a cardiac ultrasound in order to examine your heart function and structure
-a chest X ray study and pulmonary function tests in order to investigate for a possible lung disorder
- complete blood count for anemia
- thyroid hormone levels for thyroid gland dysfunction
- ESR and PCR for possible inflammation
- a cervico-thoracic spine X ray study for possible chronic backbone degenerations.

You should discuss with your doctor on the above tests.

In the meantime, I would recommend taking an anti-acid or PPI (omeprazole, pantoprazole, etc..) and see if your situation improves. In such case, a fibrogastroscopy may be needed in order to rule in/out possible gastro-esophageal reflux.

Hope to have been helpful!

Wishing good health,

Dr. Ilir Sharka, Cardiologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (9 minutes later)

I do not really have a past medical history not even my family. And oh, I am 24years

Another question, is the Anti- acid OTC or do I need a prescription or it is for specific OTC

Answered by Dr. Ilir Sharka (4 hours later)

Brief Answer:
My opinion as follows:

Detailed Answer:
Hello again!

Thank you for the additional information!

Yes, the antiacid and PPI are OTC drugs. You can buy them without a medical prescription.

I would also encourage you to discuss with your doctor on the above tests.

Anyway, at your age, a cardiac issue would be really exceptional.

So, try to relax and don't worry too much about it!

Hope you will find this answer helpful!

I would be glad to review your performed tests, as soon as you will be able to upload them for a second opinion.

Wishing all the best,

Dr.Iliri

Above answer was peer-reviewed by : Dr. Raju A.T