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Chest pain occassionaly - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
Doctor :   Hi
User :   Hi Doctor
User :   I am getting momentary pain in my left chest part
Doctor :   ok
Doctor :   please proceed
User :   and sometimes slightest pain in my left arm ... last I had similar issue and one of the doctor mention that it's triglycerides problem and I have taken Stanlip for few days.
Doctor :   ok
User :   After that I got my lipid profile and everything looks normal
Doctor :   ok
Doctor :   may i ask you some questions?
User :   sure
Doctor :   may i know your age ?
User :   30
Doctor :   ok , since when are you having this pain?
User :   it's coming momentarily from the past 2 - 3 weeks
Doctor :   may i know if you have checked your blood pressures recently?
User :   I am taking tablets for BP and recently it's in normal range 120/80 - 130/90
Doctor :   ok , since when are you on medicines ?
User :   for the past six months
Doctor :   ok , apart from chest pain , do you have palpitations , shortness of breath , etc?
User :   palpitations - no; shortness of breath - how can I quantify this
Doctor :   shortness of breath as in difficulty in breathing, when you walk on flat surface or when you climb or even at rest ?
User :   when I climb 3 - 4 floors at a time I am observing; otherwise No
Doctor :   ok
Doctor :   how is the chest pain , is it like a constricting band or a shooting pain or just some discomfort
User :   some discomfort
Doctor :   ok , you said you feel it in your arm as well when it radiates, any where else you get pain ? as in pain in the jaws , etc?
User :   nope
Doctor :   any complaints of gastritis , belching ?
Doctor :   are you with me?
User :   yes
User :   slight inflammation in chest some times.
Doctor :   any such symptoms of belching , flatulence , burning feeling , like acidity ?
User :   no gastritis and belching symptoms otherwise
Doctor :   ok
Doctor :   may i know if you smoke or consume alcohol?
User :   nope
Doctor :   ok
Doctor :   have you checked for diabetes ?
User :   yes I am a diabetic as well
User :   forgot to tell :)
Doctor :   ok , how are your blood sugars ?
Doctor :   are you on medicines ?
User :   they are under control when I checked 2 weeks back
User :   yes
Doctor :   ok
User :   I am using Gemer1 1/2 tablet in the morning and evening
Doctor :   could you please tell me all the medicines your on , for diabetes and bp
User :   Gemer1 1/2 - 1/2 and ramister - 5 1 - 1
Doctor :   ok , may i know when was the last visit to the doctor for review on medicines ?
User :   2 weeks back
Doctor :   ok
Doctor :   do you get enough sleep ?
User :   yes
Doctor :   ok
User :   but I get lot of dreams and it doesn't seem complete
Doctor :   your height and weight ?
User :   5 feet 5 inches and 72 kgs is my weight
Doctor :   ok
Doctor :   your BMI is 26.4
User :   ok
Doctor :   which indicates over weight
User :   ok
Doctor :   since your a diabetic and bp as well
Doctor :   i would suggest you go for a general health check up and cardiologist review as well
User :   ok
Doctor :   you need to do an ecg
Doctor :   and then take a review on it
User :   ok
Doctor :   i feel there is nothing to worry,
Doctor :   but a check up may be needed since you say you have some discomfort
User :   are these symptoms of heart disease
Doctor :   no , i do not see any apart from the chest discomfort
Doctor :   since there is diabetes and bp and over weight , i just want you to be careful
Doctor :   from the beginning itself
User :   with regular excerscise can I get rid of this discomfort
Doctor :   i would suggest you to continue all medicines and concentrate on diet and exercise as well
Doctor :   yes , you can get rid , but before that we need to take a physician opinion
User :   ok
Doctor :   do not stop bp and diabetes medicine till then
Doctor :   cut down on cofee and tea intake as well
User :   sure
Doctor :   keep a track on the weight , cholesterol and sugar , bp as well
User :   ok ... even milk?
Doctor :   if everything is normal , and ecg is normal
Doctor :   we need not worry
Doctor :   no , replace milk with skimmed milk
User :   ok
Doctor :   after a review on the chest pain , follow these measures , cut down weight and good diabetic diet, this will help in controlling everything
Doctor :   did you follow my suggestions ?
Doctor :   I hope i answered all your questions ?
Doctor :   are you there with me ?
Doctor :   are there any questions for me to help you with ?
Doctor :   your not responding , i may have to close the chat window
Doctor :   please log in again to chat with us
Doctor :   thanks for consulting me
Doctor :   bye for now
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