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Suggest Treatment For Palpitations And Chest Pains
Question: Hello
I have a history of palpitations and chest pains. My doctor assures me that my heart is fine but my symptoms keep getting progressively worse. Yesterday I had chest pain so bad I had to stop what I was doing and sit down. It was terrifying. It was the worst chest pain I ever felt. I wasn't even doing anything that physical. I was feeding my dogs. I went to ER and three hours after event my EKG was unchanged and triponin was zero. This morning I feel palpitations. Within the last year I have had nuclear stress test and stress echo. Both normal. Cardiologist feels she had cleared my heart yet it still feels as though I will die. What should I do?
Thank you
I have a history of palpitations and chest pains. My doctor assures me that my heart is fine but my symptoms keep getting progressively worse. Yesterday I had chest pain so bad I had to stop what I was doing and sit down. It was terrifying. It was the worst chest pain I ever felt. I wasn't even doing anything that physical. I was feeding my dogs. I went to ER and three hours after event my EKG was unchanged and triponin was zero. This morning I feel palpitations. Within the last year I have had nuclear stress test and stress echo. Both normal. Cardiologist feels she had cleared my heart yet it still feels as though I will die. What should I do?
Thank you
Brief Answer:
Arrhythmia and other problems should be excluded..
Detailed Answer:
Hi and thank you for asking to HCM!
I read your query and understood your concerns. It's a great thing that Ecg, and stress test (both nuclear and echo) were normal. However other problems, such as arrhythmia, gastrointestinal and pulmonary problems should be excluded.
If you were my patient I would suggest doing the following examinations for a proper diagnosis:
- Holter monitoring. This will help to find out the exact nature of palpitations.
- Chest x ray (to rule out pulmonary problems).
- Abdominal ultrasound
- Upper endoscopy ( to rule out gastrointestinal problems).
If all the examinations will be normal than your concerns may be related to musculoskeletal disorders or anxiety.
Hope you will find this suggestions helpful!
wish you health!
Dr. Benard
Arrhythmia and other problems should be excluded..
Detailed Answer:
Hi and thank you for asking to HCM!
I read your query and understood your concerns. It's a great thing that Ecg, and stress test (both nuclear and echo) were normal. However other problems, such as arrhythmia, gastrointestinal and pulmonary problems should be excluded.
If you were my patient I would suggest doing the following examinations for a proper diagnosis:
- Holter monitoring. This will help to find out the exact nature of palpitations.
- Chest x ray (to rule out pulmonary problems).
- Abdominal ultrasound
- Upper endoscopy ( to rule out gastrointestinal problems).
If all the examinations will be normal than your concerns may be related to musculoskeletal disorders or anxiety.
Hope you will find this suggestions helpful!
wish you health!
Dr. Benard
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Hello
I have had most of those tests you mentioned. My most recent outlet wad about two or three weeks ago. The same with chest xray. Last March I had endoscopy. I do have a history of acid reflux. This was not acid reflux pain. The only thing I haven't had was the ultrasound. Does it make sense that musculoskeletal pain could cause such agony one minute than a few hours later not even hurt to press?
And does it make sense for it to come on so suddenly?
I have had most of those tests you mentioned. My most recent outlet wad about two or three weeks ago. The same with chest xray. Last March I had endoscopy. I do have a history of acid reflux. This was not acid reflux pain. The only thing I haven't had was the ultrasound. Does it make sense that musculoskeletal pain could cause such agony one minute than a few hours later not even hurt to press?
And does it make sense for it to come on so suddenly?
Brief Answer:
By my opinion your symptoms are suggestive for GERD...
Detailed Answer:
Hi back,
If you have musculoskeletal pain it will persist for days not minutes so for me your pain isn't of musculoskeletal origin.
You are saying that you have a history for acid reflux and that your pain come on so suddenly. This is typical for patient with acid reflux.
By my opinion your symptoms are suggestive for acid reflux disease or better known as GERD (gastro esophageal reflux disease) and treating it will improve your symptoms.
To treat GERD I recommend:
- beginning treatment with antacids and pantoprasol
- avoid spicy food, alcohol, coffee, carbonated drinks ect.
- using two pillows when you are lay down on bed
- try to eat 3 hours before you lay down on bed
Moreover I strongly suggest to do abdominal ultrasound to exclude gallbladder stones (or other problems), which may be the cause of your pain to.
Wish you health!
Dr. Benard
By my opinion your symptoms are suggestive for GERD...
Detailed Answer:
Hi back,
If you have musculoskeletal pain it will persist for days not minutes so for me your pain isn't of musculoskeletal origin.
You are saying that you have a history for acid reflux and that your pain come on so suddenly. This is typical for patient with acid reflux.
By my opinion your symptoms are suggestive for acid reflux disease or better known as GERD (gastro esophageal reflux disease) and treating it will improve your symptoms.
To treat GERD I recommend:
- beginning treatment with antacids and pantoprasol
- avoid spicy food, alcohol, coffee, carbonated drinks ect.
- using two pillows when you are lay down on bed
- try to eat 3 hours before you lay down on bed
Moreover I strongly suggest to do abdominal ultrasound to exclude gallbladder stones (or other problems), which may be the cause of your pain to.
Wish you health!
Dr. Benard
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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