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Chest pain and ECG test - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
User :   hi
Doctor :   How can I help you?
User :   day before yesterday i
User :   did ECG
User :   and report was normal
User :   i am feeling some chest pain
User :   and blood pressure was also normal at that day
User :   can you tell me whats the problem?
Doctor :   ok
Doctor :   Did you see the doctor then
User :   yes
Doctor :   What was his diagnosis
User :   he told me everything is normal
Doctor :   Ok
User :   even he did not give me any medicine
Doctor :   For Administrative and health purposes, Please provide these details -Age: Gender: Occupation: Location: Marital Status: Dependants: Yes/No
User :   i am 27 year old male
User :   i am single
Doctor :   Do you smoke or chew tobacco/drink alcohol/Any illicit drugs/ betel nut chewing? If yes how much/how often?
User :   yes i do smoke

User :   15-16 cigrete in a day

Doctor :   Do you have any other health problems? Diabetes, Hypertension, Asthma, Allergies?
User :   i have urinal infection

Doctor :   now
User :   yes
Doctor :   Ok
Doctor :   are you getting treated for that
User :   yes
Doctor :   ok
Doctor :   are you taking medicine with food
Doctor :   or before it
User :   after food

Doctor :   good
Doctor :   Do you have any indigestion or other stomach problems
User :   sometimes i feel pain in stomach
User :   dont mind may i ask one question to you?
Doctor :   yes
User :   i did ECG 1 day back

User :   and report was normal,so it mean i dont have any heart disease?
User :   am i right?
Doctor :   That doesnt mean so
Doctor :   you have a huge risk fafctor of smoking
Doctor :   which is strongly dealt
Doctor :   So please dont neglect at this stage
Doctor :   you may need a TMT
Doctor :   and complete healthcheck up
Doctor :   ECG i would say is the non sensitive
Doctor :   are youthere
User :   but i dont have chance of heart attack right now?

Doctor :   There is always a chance with your high risk factor
Doctor :   to rule out that you need to take the test
User :   which one?
Doctor :   and complete health check up
Doctor :   with TMT, Lipid profile, CBC
Doctor :   If you wish, we can fix up your appointment with a doctor in your area.
User :   what is ECG

Doctor :   is ECG is echocardiography
Doctor :   TMT is Treadmill test
Doctor :   where you will be assessed during exercise and stress
User :   which one is good?

Doctor :   TMT is better to
Doctor :   and sensitive to TMT
Doctor :   and at the same time the cholesterol levels are to be assessed
User :   if TMt is normal then ?
Doctor :   along with physical examination
User :   if TMT report is normal

User :   then no heart disease?
Doctor :   If TMT is normal, the most effective way of detecting the coronory artery disease is negative
Doctor :   and if yoiu stop smoking that is well and good
User :   means no heart disease
User :   ?
Doctor :   Heart disease of different types
Doctor :   from various causes
Doctor :   this is evaluation of CAD
Doctor :   itself
Doctor :   which you are prone to
Doctor :   because of your smoking
Doctor :   Ok
User :   ok
Doctor :   I hope you are following
User :   ECG is not enough
User :   ?
Doctor :   ECG may not detect many conditions
Doctor :   all the times
User :   but it can detect the chance of heart attack?
Doctor :   no
User :   ok
User :   so what should i do?
Doctor :   it is the cheapest way of evaluation
Doctor :   as per protocol
Doctor :   You should get a complete health check up
Doctor :   atleast once a year till you smoke
Doctor :   or drink
Doctor :   Please fill this form I send, While I type the necessary information, and do Inform me when done.
User :   ok
User :   what should i do now?
Doctor :   See to any hospital and get the complete check up done, they are available as a package
User :   like?
Doctor :   for people with risk factors
Doctor :   Complete healthcheck up
Doctor :   You can say this word
User :   i did
User :   CT scan
User :   blood test
User :   ECG
Doctor :   CT scan is unnecessary for this
User :   routine urine test
Doctor :   When was that done
Doctor :   most imp are missing
Doctor :   Spirometry, Lipid profile
User :   which one?
Doctor :   Blood sugar
User :   whats the total cost?

Doctor :   That depends
Doctor :   on which hospital you choo

Doctor :   4500
Doctor :   around that
User :   rupees?

Doctor :   yes
User :   ok
User :   all test are related with heart?

Doctor :   yes
Doctor :   and Diabetes
Doctor :   and other risk factors
User :   there is no glucose in my urine test
User :   it means no diabetes
Doctor :   Diabetes is evaluated with Blood glucose
Doctor :   fasting and postprandial twice
Doctor :   if the values are normal twice then no diabetes
User :   can you tell me why is this happening?
User :   my chest pain
Doctor :   Could be angina, Gastritis, pleurisy
User :   i feel something like burning
Doctor :   Burning pain indicates Gastritis
Doctor :   but that alone doesnt say
User :   not heart attack?
Doctor :   That alone doesnt say that it is not heart attack
User :   tell me my ECG report is normal
User :   then any chance of heart attack whithin a couple of days?
User :   means 1 month?
Doctor :   one cannot say that
User :   so now what should i do?
Doctor :   Thats what i kept on saying till now
Doctor :   We have a long queue of patients waiting for our service. Do log in again after a few hours to clarify other medical doubts.
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