What causes an itchy sensation in the chest?
Patient's Query
Hello doctor,
I am a 45-year-old male. For the past seven to ten days, I have occasionally felt uneasiness, an itching-type sensation in my left chest. I am not aware of whether it is heart muscle or any other issue. I have no chest pain but have breathlessness sometimes. Also, I have no chest pain, even during walking. Acidity occurs and feels the same in the chest area but not in the stomach. I am not a diabetic patient. My weight is 188 pounds, and my height is 167 cm. You suggested me for my hypertension issue. Thereafter, I did not feel any major concern.
Currently, taking Cilacar 5 gm after breakfast, Concor 2.5 gm after dinner, and Ecoasprin av 75 gm before sleeping. Kindly suggest fixing this health issue in line with my blood report and symptoms.
Thank you.
Hello,
Welcome to icliniq.com.
Most probably, this is gastritis and reflux disease. Do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in the throat, or chest burning? These are the other symptoms that may be associated. However, it is better if you get an ECG (echocardiogram) done, and if normal, then TMT (treadmill test), a screening test, as you have risk factors like hypertension and dyslipidemia. Regarding hypertension, eat a low salt diet and monitor blood pressure regularly, and it should not be more than 140/90 mmHg most of the time. You should avoid a fatty, oily, and spicy diet. Do some walks after eating food instead of resting.
Eat multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables and fruits increase the body's iron levels. Avoid smoking and alcohol, if any. Get a prescribed tablet of Pan DSR 40 mg or Esomeprazole and Domperidone combination before breakfast once a day for two weeks. Do regular exercises in order to achieve some weight loss as well. It is better if you switch yourself to the Tablet Rosuvastatin 75/ 10 mg instead of Aspirin due to elevated HsCRP (high-sensitivity C-reactive protein), so you may discuss this with your local doctor. There is a possibility that fatty liver and weight loss will help with it as well. You should get vitamin D levels done due to elevated alkaline phosphatase.
I hope I cleared all your doubts.
Please revert so I can assist you further.
Thank you.
Patient's Query
Hi doctor,
Thank you for your reply.
I do not have any symptoms of upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in my throat, or chest burning. I do not consume alcohol or do smoking. Yes, anxiety and stress are there due to emotional instability in life. I have poor posture due to prolonged sitting at the computer for work. Poor postures (computer syndrome) may have added some issues to present heart health. Sure, I will follow your suggestions for exercise and diet and will get back to you after my ECG and TMT reports. As I am traveling for a week, is there any serious issue that needs to be addressed immediately? Can I take my next test after a week? Should I start medicine tomorrow morning? Any other medicine would you like to suggest for ten days until the ECG and TMT report? Any other test you would suggest?
Thank you.
Hello,
Welcome back to icliniq.com.
No, it does not appear to be an emergency, but it is better if you can get at least electrocardiogram done prior to travel just to clear doubt and be on the safer side. Thank you.
Patient's Query
Hi doctor,
Thank you for your reply.
Please find attached the electrocardiogram report. Please advise if anything serious to attend to immediately or if any other medicine to fix my health issue.
Thank you.
Hello,
Welcome back to icliniq.com.
Kindly upload all the tracings. The machine-generated report, which is mentioned there, may not always be accurate. However, from the last few complexes and reports mentioned on the ECG, this appears to be fine with minor changes like left axis deviation, which is likely due to hypertension. QT (ventricular electrical systole) is fine in the complexes seen. It does not appear worrisome, and though there are hypertensive changes, if possible, please attach the picture of the actual ECG tracings.
I hope this helps.
Please revert so I can assist you further.
Thank you.
Patient's Query
Hi doctor,
Thank you for your reply.
I just took pictures from my mobile camera for two ECG traces. I hope this will work. Should I continue my present hypertension medicine Cilacar 5 mg and Concor 2.5 mg, or would you like to suggest some more effective one in line with ECG and blood report?
Thank you.
Hello,
Welcome back to icliniq.com.
Your ECG is fine; there are just some minor changes that are likely due to hypertension, and no need to worry about it. So get the treadmill test done at a later date just to screen yourself. For hypertension, I do not think there is any need for a tablet of Bisoprolol. It is a second-line drug nowadays, and we use it after other first-line medicines. Instead, I suggest you take the tablet Clinidipine 10 mg once a day and stop using Bisoprolol.
I hope I have answered all your questions.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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