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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain When On Treatment For High Cholesterol?

46 years old, 5' 11" 210 lbs and on medication for high cholesterol. I am an active person and in pretty good pyhsical shape. I do have a very high stressful job (I own two businesses) and over the last few weeks have been feeling chest pain in the middle of my chest. It got worse last week while traveling in London. I got home yesterday and the pain has not gone away. on a scale of 1-10 the pain level is about a 3 or 4. More scary than painful.

Thu, 19 Jan 2017
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Cardiologist 's  Response
Hello,

There are two possibilities for chest pain, one is acidity and reflux disease, it's become more likely if you have upper abdominal pain, bloating, burping, nausea etc. Avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress.

Eat lots of green leafy vegetables, and fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pantoprazole 40 mg before breakfast once a day for 2 weeks. Secondly, it can be heart problem as well, it is more likely if you have associated sweating, left arm pain. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly.

Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. So in nutshell, you should get an ECG, echo done, if normal then tmt test or stress thallium if you are not able to run on treadmill. We should rule out heart disease before considering it as noncardiac.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Sagar Makode
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What Causes Chest Pain When On Treatment For High Cholesterol?

Hello, There are two possibilities for chest pain, one is acidity and reflux disease, it s become more likely if you have upper abdominal pain, bloating, burping, nausea etc. Avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Eat lots of green leafy vegetables, and fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pantoprazole 40 mg before breakfast once a day for 2 weeks. Secondly, it can be heart problem as well, it is more likely if you have associated sweating, left arm pain. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn t abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. So in nutshell, you should get an ECG, echo done, if normal then tmt test or stress thallium if you are not able to run on treadmill. We should rule out heart disease before considering it as noncardiac. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sagar Makode