HomeAnswersInternal MedicinegastritisHow to know whether my chest pain and heartburn are due to gastric or cardiac issue?

I have gastric problem with left arm and chest pain. Should I go for ECG?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At September 10, 2020
Reviewed AtSeptember 12, 2020

Patient's Query

Hi doctor,

I am 31 years old. I am a diabetic and on medication. I have a gastric problem for three years. Now I have left arm and chest pain. I did everything like TMT, echo, ECG, etc., but all reports are negative. No problem in the heart. Last month also I did an ECG and the report was normal. And I consulted a physician she told my ECG is completely normal. You do not have any heart problem and she prescribed some medication. But now, I am facing heartburn and vomiting. I also have arm pain, uneasiness, and stomach pain. Now should I take gastric medicine or go for ECG. I also take Cyclopam (Escitalopram) tablet. Can I take that medicine? Please reply.

Answered by Dr. Sugreev Singh

Hi,

Welcome to icliniq.com.

Yes, you can take gastric medicine and see if there is some relief because sometimes heartburn and those things can be caused by acidity or gastric reflux disease.

If it is due to that, then you can take tablet Omeprazole 40 mg once daily before a meal for three days, tablet Roxatidine 75 mg twice a day for three days after a meal for three days. Surely you will see improvement if it is due to acidity or reflux. Take Cyclopam when you have pain only if not no need.

Review after five days.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sugreev Singh
Dr. Sugreev Singh

Internal Medicine

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