Dr. Ilir Sharka
Cardiology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am a 43-year-old. I have some not so mild pain in my right arm for the past two days. Since yesterday, I have some pain in my chest, towards the right. It pains when I cough or clear my throat. Pain is not unbearable but not mild also. Two days back, I felt a bit weak in my right arm, and it felt slightly less responsive when I tried to lift my arm. Now it feels normal, but the pain is still there. I do not have any problem with doing regular activities. I also exercise at least every alternate day. Heart pain could be gas, yes, but I am a bit worried. Three people from my department, one junior and two seniors had heart attacks in the past four to five months, and one passed away. I get echo and TMT tests done every year, and all is normal. I do not have BP or sugar or any other problem. But the colleagues who had attacks also had normal echo and TMT during their annual check-up before five months. So, should I go for checking whether my arteries have any clogging? Is it needed? If yes, how to get it done?
Hello,
Welcome on icliniq.com.
I passed carefully through your medical history and would like to explain that your clinical symptomatology does not seem to be cardiac-related. Pain modulated by coughing or body posture modulation goes in favor of an extra-cardiac cause, most likely a respiratory inflammation or infection. I would recommend discussing with your attending physician (GP or internist) on the possibility of performing a medical examination and additional tests (complete blood count, PCR for detecting possible inflammation, chest X-ray study and other tests if necessary). In case you have difficulty getting out sputum, an expectorant could help. Anti-Inflammatory medication and if the bacterial infection is confirmed, antibiotics medication would be required to solve your actual health issue. I hope to have been helpful to you. In case of any further questions, feel free to ask me again.
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Cardiology
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