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I have upper left back pain, and my ECG was abnormal. Is it a heart problem?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have pain in my upper left back region. My ECG was abnormal, but my echo was normal. My BP is 130/80 mmHg, random blood sugar is 184, total cholesterol is 124, and triglyceride is 463. I have panic disorder, and I am taking regular medicine.

Answered by Dr. Settipalli Saravan Pramod

Hi,

Welcome to icliniq.com.

  • The symptoms are suggestive of acute gastritis, which might be present as similar complaints as you mentioned. But to rule out heart conditions like angina, as ECG shows abnormal changes, kindly upload your reports to have proper information.
  • I suggest you try taking tablet Pantop 40 (Pantoprazole), once daily morning before food for 15 days. Try to control the intake of spicy food, have bland food, and try to avoid food at irregular timings.

Thank you.

Patient's Query

Hello doctor,

Thank you very much. I do have dry mouth and irregular motion. My 2D echo is normal, then what could be the reason for the pain? If ECG is abnormal, then is there any heart problem? I am worried.

Answered by Dr. Settipalli Saravan Pramod

Hi,

Welcome back to icliniq.com.

  • Your case is mostly suggestive of acute gastritis, which could be the reason of all the symptoms that you are having.
  • The abnormalities in the ECG might be due to anxiety, and it is seen in few people. Kindly furnish your ECG and other investigations, which were done. As your echo was normal, it does not rule out all cardiac problems. So, the next step will be to get a TMT (treadmill test) done.

Patient's Query

Hi doctor,

Thank you for replying. The pain is not constant, but it comes and goes. My BP is also normal.

Answered by Dr. Settipalli Saravan Pramod

Hi,

Welcome back to icliniq.com.

  • Can you describe the pain? Is it radiating type? Do you have any burning sensation in the throat? Could you please elaborate? As echo was quite normal, there is no need to be tensed.

Answered byDr. Settipalli Saravan Pramod

Medically reviewed byiCliniq medical review team

Published At July 31, 2017
Reviewed AtApril 17, 2025

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

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Dr. Settipalli Saravan Pramod

Internal Medicine

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