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Pain in chest, upper abdomen with ECG. HEART ATTACK.

Resolved Question:

DEAR SIR,
NAME- LAXMAN AGE-38. WEIGHT-69KG HEIGHT-174CM
COMPLAINT DETAILS: -CHEST PAIN. MILD SHARP CHEST PAIN 10 TO 15 SECOND WITH NO. OF TIMES A DAY. PAIN IS UPSIDE OF ABDOMEN ON LEFT SIDE. SOME TIMES RIGHT SIDE CHEST PAIN ALSO.
BUT NOW PROBLEM BECOMES MORE WORST. WHEN THIS HAPPENS I BECOME MORE SCARY AND THINK LIKE HEART ATTACK.
HISTRY: AT THE AGE 30 I WAS DIAGNOSED HYPERTHYROID. BUT LAST TWO THREE years old patientITS NORMAL. AT THE TIME OF HYPERTHYRIOD I AM TAKING BETA BLOKER MATAPURE XL50 FOR CONTROL BP AND PULSE RATE.
NOW I AM NOT TAKING ANY THEYRIOD TABLET. STOPPED THIS TABLET TWO YEAR BEFORE WHEN MY BP IS 80-120.

NOW MY BP IS SOME TIMES 90-140 AND AND SOME TIME 80-120. SO LAST 4 MONTHS AGAIN I STARTED METEX XL 50 TABLET. NOW MY HEARTBEAT IS 72 AT NIGHT AND 62 AT MORNING.
I M LIVING TWO PROBLEMS FROM LAST 12 YEARS. 1) WHEN I EAT FOOD IT COMES AGAIN IN MOUTH. BUT NO BURNING SENSATIONS IN CHEST.
2) I GO TWO TO THREE TIMES FOR TOILET AT MORNING FROM LAST 10-12 YEARS. BUT I DONT HAVE ANY DISTURBANCE FOR TOILET.
I TESTED AROUND MORE THAN 20 TIMES ECG BUT ALL TIME NORMAL. I CARRIED THREE TIMES ECO ITS ALSO NORMAL.
ONE MONTH BEFORE I TESTED WHOLE BODY CHECK UP. FOUND ALL NORMAL.
I ATTACHED LATEST TMT ECO SONOGRAPHY THEYRIOD ALL REPORT FOR YOUR REFERENCE.
I DO REGULARLY WALKING 5 KM OR CYCLING 15 KM ALSO I DO SURYNAMSKAR YOGA AND PRANAYAM.
AT THE TIME OF EXERCISE I DONT FIND ANY CHEST PAIN. THIS PROBLEM NORMALY AT THE TIME OF REST PERIOD.
I ALSO COMPLETED 2 MONTHS DIFFERENT TABLETS OF GERD TABLET COURSE WHICH ATTACHED DOCTORS TABLET REPORT.
I DON’T HAVE ANY HABIITS LIKE SMOKE,TOBOCO OR ALKOHAL.
I ALSO STOPPED TEA FROM LAST ONE MONTH.
I AM WORKING IN COMPANY I DON’T HAVE ANY JOB PRESSURE. I COME UNDER PRESSURE DUE TO THIS CHEST PAIN ONLY.
I TAKE BREAK FAST MORING 8:30 PM 2PM LUNCH AND 8PM DINNER.
NOW I WANT TO KNOW WHAT IS PROBLEM AND IF I REQUIRED FURTHER TESTS AND SOLUTION.
WAITING FOR YOUR KIND SUPPORT TO COME OUT THIS TROUBLE.

BEST REGARDS
LAXMAN 8790900333


Category: Gastroenterologist, Medical

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Category: Hepatologist
Dr. Ratnakar Kini is online now

Expert:  Dr. Ratnakar Kini replied 4 Days.

Hello,
Thanks for posting your query at DoctorSpring.com
I am Dr.R.K and I am pleased to assist you.
You have signs of GERD. Since you are not responding to medications and lifestyle modifications, I would advice you to get a 24 hours pH monitoring done. You should also avoid eating full stomach and eat multiple smaller meals. You should avoid bedtime snacks and go to bed at least 2-3 hours after food. Take Sompraz-L once a day half and hour before breakfast.
The other symptom looks like that of irritable bowel syndrome. Since you have history of hyperthyroidism, you need to check your thyroid status also again. Also get the following tests done-
1. Stool analysis
2. Test for celiac disease - Tissue Transglutaminase antibody
Kindly get back to me with these test reports.
Regards,
Dr.R.K.


Patient replied :

Dear sir Sorry for other tests but I done endoscopy Report says herd with hites hernia Find attached report Kindly suggest accordingly treatment detail. Kindly also I need opinion for alternet treatment aurved and homeopathy.


Expert:  Dr. Ratnakar Kini replied 3 Days.

Hi,
Thanks for posting the endoscopy report.
In my previous post itself I mentioned about the treatment.
You can follow that only.
You should avoid eating full stomach and eat multiple smaller meals. You should avoid bedtime snacks and go to bed at least 2-3 hours after food. Take Sompraz-L once a day half and hour before breakfast.
Also I am sorry i am not aware of homeopathy or ayurvedic medicines because I am an allopathic doctor, and based on my expertise Sompraz-L is the treatment you need.
Let me know if I can assist you further.
Regards,
Dr.R.K.


Patient replied :

Dear Sir,
Thanks for reply. I already started Sompraz -L.
I am filling better. Kindly know me how long I continue this tablet.
Thanks and regards
Laxman Gurav


Expert:  Dr. Ratnakar Kini replied 2 Days.

Hi,
Thanks for getting back to me.
You can take Sompraz L for 4 weeks.
I hope that answers your question.
Let me know if I can assist you further.

Regards,
Dr.R.K.


Dr. Ratnakar Kini
Category: Hepatologist
Experience: 
Fellowship - DM - TN Dr.MGR Medical UniversityResidency - TN Dr.MGR Medical University Medical School - Stanely Medical College, TN Dr.MGR Medical University
Dr. Ratnakar Kini and 4 other Medical Specialists are ready to help you

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