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GERD and chest aches - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2407 Questions
User :   After or during exercise mild dull ache in chest and right arm from elbow to wrist...coupled with abiding indigestion. Symptoms for about 10 days. Treadmill EKG was normal. 62 male.
User :   Hi
User :   Dr XXXX here
User :   hello
User :   Ok
User :   I have researched your service and see that 90% of your customers are from India
User :   interesting
User :   Are the symptoms releived after food
User :   Anyway... I am worried about my heart
User :   Location of pain in chest is it the centre/ side / axillary region?
User :   center
User :   Ok
User :   not pain
User :   an ache
User :   ok
User :   This probably due to Gerd
User :   Gastro oesophgeal reflux disesase
User :   But the things i am concerned is pain spreading in elbow to wrist
User :   That signifies angina
User :   that is sure the way it feels... but I can not understand the right arm hurting
User :   Do you have associted breathlessness when there is pain
User :   yes
User :   no... or not noticiable
User :   when was the EKG and treadmill done
User :   4 days ago
User :   Ok
User :   Are you Hypertensive?
User :   define please
User :   Increased blood pressure
User :   no
User :   Ok
User :   I would suggest you to have an second opinion from a different cardiologist
User :   As the symptoms are related to both GERD and angina
User :   I would rather advise for reading the EKG from a different Doctor
User :   ok... is there some non invasive test to have done that may shed light on the problem?
User :   At your age pain referred from heart to elbows and wrist associated with breathlessness needs medical attention
User :   You can opt for ECHOCARDIOGRAM
User :   What might that indicate?
User :   IF there is anykind of damge to walls of the heart or valves
User :   When was your last annuals done, were the cholesterol values normal
User :   There are two types 2d and 3d and also transesophageal echo
User :   I am not sure
User :   Plz also get your lipid profile done to rule out the risk of angina
User :   will the ECHOCARDIOGRAM show possible blockage?
User :   Yes
User :   Great!
User :   To an extent but we can distinguish any abnormality which is missed by EKG
User :   So between the two there will be a better understanding
User :   EKG is the electrical activity of heart, some time inspite of damge to walls EKG turns normal
User :   Yes
User :   I see
User :   I ran really hard... really hard
User :   Treadmill will show any difficulty caused due workload to heart not the underlying pathology
User :   oh... at the end, my heart fluttered... like a moth in a bottle
User :   Ok
User :   but during the run... nothing
User :   As said treadmill will produce abnormal results when there is considerable damage to heart
User :   Otherwise normal results
User :   I understand now
User :   Is there aqnything else ican help you with?
User :   if no damage "yet" then it will not show a problem'
User :   Yes
User :   oh
User :   I didn't know that
User :   thats why i ask you to be early to diagnose heart issues
User :   So that we can prevent damage to heart
User :   (I will re-charge the time... I have a few more questions)
User :   Ok
User :   i will be online
User :   wow
Doctor :   hi
User :   that was interesting to find my way back
User :   different fellow
User :   do you see the previous conversation?
Doctor :   I have gone through your previous chat conversation and know about your query
User :   thanks
User :   is an ECHOCARDIOGRAM common proceedure
Doctor :   ok
Doctor :   may i know your age ?
User :   62
Doctor :   yes Echo is a very common procedure done in most cardiac cases
Doctor :   also can you tell me your weight, height ?
Doctor :   i have got to know that from your previous chat
Doctor :   good to know that too
User :   182.5 cm and about 97 kilos
Doctor :   ok
User :   what about an angeoplasty
User :   my spelling is poor
Doctor :   angioplasty - commonly done in cases of block in coronary arterys (supply blood to heart)
User :   the XXXX doctor wants to do that
Doctor :   if u are thinking about angiogram ( it is a invasive test done to detect the blockage in heart)
User :   yes
User :   go in through the leg
Doctor :   were your EKG & TREAD MILL TEST NORMAL ?
User :   yes
User :   normal
Doctor :   ok
User :   I ran very hard
Doctor :   do u have pain while at rest or only while on exertion?
Doctor :   can u describe the pain u had ?
User :   no pain at rest... exertion a dull ache in the center of my chest with some pain ache in my right arm from elbow to wrist
User :   but I have had strong indigestion prior to this
Doctor :   the pain you have described initially here does not indicate cardiac origin as it is in the right side
Doctor :   probably that was due to musculoskeletal reasons
User :   in xxx there are no antiacids
Doctor :   But as u have the age related risk factor, your doc is correct in going ahead and testing u for possible bloacks in the arteries
Doctor :   by an angiogram
Doctor :   you can try omeprazole 20 mg for your acidity
User :   so you suggest to follow through with the angiogram?
Doctor :   If you dont have any apprehension , you can definitely go ahead with that
User :   no apprehension.. haha... I am chatting with you... so I must have apprehension...
Doctor :   but prior a ECHO, with estimation of your heart function with a nuclear thallium imaging scan will be better to be done
User :   I am going to try to recharge the time... you may lose me
Doctor :   i would advice you to get a ECHO and then a thallium cardiac scan before you get any invasive test like angiogram done
User :   ok
User :   the re-charge didn't appear to take
Doctor :   u can use a discount code given by an email sent from us
User :   ok
Doctor :   u will recieve it in a short time
User :   I have another important question
Doctor :   in your email account
Doctor :   sure go ahead
User :   I have hep C
Doctor :   ok
Doctor :   what do u want to know?
User :   for long time
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