Dr. Amiya Kumar Chattopadhyay
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 36 year old man. Of late, I am feeling a discomfort on the left side of my chest since the last six to seven months. I visited a doctor who took an ECG which was normal. But again after a month or two, I started feeling the same. I used to get up early in the morning at 4 AM and feel a discomfort with no sleep thereafter. My doctor took a 2D echo which was normal and suggested CT angio which was normal as well. But again after seven to 10 days, I get the same feeling. I have done an ECG thrice, a 2D echo twice and a TMT twice which were all normal. I am not sure if it really is a cardiac problem or some other. I quit smoking last year. Please suggest.
Hello,
Welcome to icliniq.com.
Your repeated tests relating to your cardiac problem are found to be normal as per your reports (attachment removed to protect patient identity). So, it is highly unlikely to be a cardiac problem. I suggest you do an upper GI (gastrointestinal) endoscopy to rule out GERD (gastroesophageal reflux disease) which may also cause a similar chest pain. Meanwhile, you can take capsule Pan-IT (a combination of Pantoprazole and Itopride) one capsule daily before breakfast for the next two months and see if you feel an improvement. Hope you get alright soon.
Patient's Query
Hello doctor,
Thanks a lot. But, more often I have a dry mouth, a slight feeling of nausea and exactly parallel backache, which creates a lot of disturbance and gets me into a worrisome stage. I just did my lipids two days back and the reports are 242 mg/dL of cholesterol. Also sometimes, I get very hyper due to work-related stress. I feel a deep pain on the left side of my chest and my left hand also gets numb. Please suggest on this.
Hello,
Welcome back to icliniq.com.
Your cholesterol is high. I suggest you take Atorva 10 (Atorvastatin) one capsule after dinner. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. Avoid junk food. Avoid spicy, fried and fatty food. Take plenty of green vegetables, fresh fruits, whole grains, and salads. You also have anxiety and stress. Control them by doing a breathing exercise for five minutes twice daily. Doing Yoga and brisk walking for 30 minutes each every day will also help you. For pain in the left chest and numbness of the left hand take tablet Trinerve LC (a combination of Methylcobalamin, Levocarnitine, and Folic acid) one tablet once daily for 10 days. Do an X-ray of the cervical spine in anteroposterior and lateral views. With the reports, we can discuss further course of action.
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Cardiology
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