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Left sided chest, back pain with raised TRIGLYCERIDES. ECG.

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Respected sir,
My name is ranjith, 30 years old. Non smoker, no drinking habits, no other bad habits. Maried and one kid, 2 years kid. Working in national insurance, administration work. I donnt have any work pressure, work tensions in office. Very happy with my family. I dont have any tensions in my house or at my home.
BP 130/80, cholestrol i.e triglycerides is littile high.
My main problem are as follows, I am frequently getting left side chest pain. Left side upper back pain. some times full back pain. Heard ache and ear pain also comes some times. But chest and upper back is continous. I also feel leg weekness, and light weight when i am walking, some time sleeping. I feel very dull and not able to concentrate on my work fully. Some times burning sensation in my chest and stomach, Mainly i feel very uncomfortable in my throat. After eating i feel very heavyness in my left side of chest and stomach.
With tis chest and upper back pain, my left hand also paining.
i am not able to understand what the problem exactly. From past one and half yearsi am suffering. I went to many doctors and underwent almost all test lice, ECG, TMT, ECHO, CT angiogram heart recently, ct chest, MRi brain, MRI clevical spine, all types of blood tests etc. Only diagnised is high tryglicerides aroun 403.
all the other tests are normal.
I am not able to sleep nights, i am getting sweating, feeling fast or slow heart beat, breathing problem while i am sleeping. After srtuglling for three to four hours i am able to sleep.
Kindly help me what are the tests i should undergo, what are the precautions i have to take, what should i do to overcome this..

Category: Internal Medicine Specialist

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Category: HIV- AIDS Specialist
 19 Doctors Online

Hello,
Thank you for your query at DoctorSpring.com
I understand your concern.
Since all the tests have been normal such as ECG, TMT, and ECHO, the chest pain and the back pain seems to be muscular in origin. If this was due to cardiac or pulmonary cause it would have showed up in the reports. Probably the posture at your work place is not proper, or the way you sleep, something is causing this muscular pain.
Have you tried any medicines for the pain?
You mentioned burning sensation. Other frequent cause of such unexplained chest pain is GERD, where often the only symptom is acid reflux. I will advise you a course of Cap. Omeprazole 20 mg twice daily for 2 weeks, once at morning before breakfast and once in the evening. Also, try to stick to a plain bland diet for the next 2 weeks,and avoid non vegetarian or spicy food. The TG levels have to come down, significantly or else the chances of stroke will increase.
Hope this was helpful,
Feel free to discuss further,
Regards.


Patient replied :

respected sir, i feel very tight in left side chest. and when i am walking i feel light weight and breathing problem. ayasam in telugu i.e Air hunger.. breathing problem exists. Sugest some medicine for this. kindly help me sir... and also advice for any other tests..as i feel very discomfort because of this...


I will advise you to get a chest x-ray if not done already.
And try Tab. Montelukast 10 mg once daily at bedtime along with Cap. Omeprazole 20 mg twice daily for 7 days.
Let me know in a weeks' time if there is improvement.
Regards.


Patient replied :

Sir yesterday I underwent medical tests I am attaching the same give me your valuable suggestions


Note from InHouse Physician : This consult is over a month old now, and will be closed.
However, the specialist did make an exception for you and replied.
' Your cholesterol levels are high. You need to bring it down by diet modification as advised before. Also, your vitamin d levels are low. So you can talk to your family physician and he can suggest a vitamin d course for you. Others are fine, nothing major to worry about. '
Regards.


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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