Dr. Isaac Gana
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 41-year-old female. For the past week, I have had pain in the upper center of my back. It feels muscular or nerve-related, and I get a burning sensation at the base of my neck, but I am anxious and afraid if it is heart-related. I am taking Ursodiol, Symbiacort, and Montekulast. I do not have any other heart attack symptoms, but I am wondering if you could look at my EKG and see if I should make an appointment with a cardiologist. I am trying to avoid the ER as I can be very anxious. Kindly help.
Hello,
Welcome to icliniq.com.
Your ECG (electrocardiogram) is within normal limits (attachment removed to protect the patient's identity). It does not indicate anything to suspect heart disease. I would like to know a few details. Does your chest pain worsen with physical activity? Have you checked your cholesterol levels? Do you have a history of diabetes or high blood pressure? What are the things you do to relieve chest pain? These questions will help to figure out if you need further action. Thank you.
Patient's Query
Hello doctor,
I will see an endocrinologist next week as my fasting blood sugar is high. I have more back pain than chest pain. The back pain comes and goes at all times, usually with movement, and sometimes feels like it radiates to the chest. Last night I woke up with my sick son, and my chest was hurting with the beating of my heart, but it went away. That is rare. As I mentioned, I do have a lot of anxiety.
Hello,
Welcome back to icliniq.com.
Your chest pain is unlikely due to heart issues. Most likely, it might be your anxiety or other causes like costochondritis, inflammtion of the cartilage. In the meantime, I suggest you take over-the-counter pain medication when you get pain and avoid lifting heavy items. Make sure you follow up with the endocrinologist. If you are diabetic, it can predispose you to heart disease. I hope I have cleared all your doubts. Thank you.
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Cardiology
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