Could the pain in my lower rib area be due to a heart problem?

Hello,

Welcome to icliniq.com.

I have gone through your reports (attachment removed to protect the patient's identity) very carefully. Your heart looks fine, and your blood tests are also fine, only your cholesterol is elevated. Your ECGs are also normal, so the likelihood of this pain being cardiac is less. This is most likely a pain due to gastritis and reflux disease, which also responds to Nitroglycerin. Also, any spasmodic pain in the abdomen can respond to Nitroglycerin, so it is not a sign of heart disease. For gastritis and reflux disease, I suggest you try the following. Avoid fatty, oily, and spicy diet. Go for a walk after having food instead of taking rest. Have multiple small meals instead of a heavy meal. Have regular sleep habit and avoid stress. Eat a lot of green leafy vegetables and fruits. Try taking tablet Pan DSR (combination of Pantoprazole and Domperidone) before breakfast, once a day for two weeks. You can also add syrup Sucral O (Sucralfate) or Gelusil (combination of Aluminium and Magnesium hydroxide and Simethicone), two teaspoons, three times a day for a week. For cholesterol, I suggest you try the following. You should have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. Have low salt diet and monitor blood pressure regularly. Do Regular exercises like brisk walking and jogging, according to your capacity for at least 30 min a day and five days a week. Eat a lot of green leafy vegetables, fruits, fish once or twice a week and avoid meat. Avoid smoking and alcohol, if any. You need to reduce your weight. If this does not respond in 3 to 6 months, then you should try taking cholesterol medicine like tablet Atorvastatin 10 mg at bedtime. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. For your hemangiomas, you need to visit gastroenterologist for further management. Usually, they are benign and harmless.