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Heart burn, pain - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   Hi, may I answer your health queries ri
Doctor :   Hi
Doctor :   Dr karthik here
Doctor :   How may i help you?
User :   I am 37 and 2 weeks ago experienced mild chest burning and pain. I went to my doctor and they did an EKG and chest xray and they both were fine. I have not had any acid reflux or anything. I have had some pain on one of my vertibrea and some numbness in 2 of my fingers that comes and goes. The back pain was worse with lifting. I also have mucscle soreness in my chest and still some burning, but it feels more like muscle burnng then heart burn. It feels better when I rub it. I guess my question is...if I had a EKG and it was normal is there still a chance this could be a heart attack or could this be a pinched nerve possibly radiating to the chest?
User :   I have had some vertigo as well, but I do notice that this is worse when I am thinking about it which makes me think this is anxiety
Doctor :   to begin with if there was any heart problem .. it would have come up in the EKG .
User :   so there is really no chance this is my heart
Doctor :   as for the pain you are experiencing in your chest . the correct protocol would be to first put you on a antacid for 14 days
Doctor :   so you should take PRILOSEC 20 MG for 14 days
Doctor :   yes the EKG is very sensitive test
Doctor :   and any abnormality will show
User :   they put me on nexium but I had terrible dizziness so not a big fan of it
Doctor :   take PRILOSEC its milder and better
Doctor :   your body will respond better
User :   What about the pain on the vertibrea and numbness in my fingers. Could that be a pinched nerve. I have never had a back problem so this is all new to me.
Doctor :   a very classic presentation of a back pain due to nerve compression can come across as numbness in your fingers
Doctor :   for that the diagnostic test would be to get an MRI done
User :   I had a bad reaction to medicine last spring and they put me on famotidine 20mg. I am thinking they said that was prilosec. I have lots left.
Doctor :   pepcid or FAMOTIDINE is a different class of drug
Doctor :   and PRILOSEC is a different, different patients react differently to doff medications
User :   so I should get prilosec. Should i not worry about the vertigo unless it doesn't go away? I have to be honest that I have had anxiety thinking this was my heart not knowing an EKG was a good test for this. they anxiety may be causing the vertigo
Doctor :   EKG is considered a gold standard for any heart related issues, so you dont worry about it
Doctor :   and yes i would recommend PROLOSEC to you
Doctor :   intact any further tests of the heart are ONLY recommended if the EKG is abnormal
User :   we wanted to make sure I shouldn't go to the emergency room. I am having blood work done tomorrow so that is good. is there a chance a pinched nerve could cause chest pain. The vertebrea where the pain is, is directly behind where I feel the pain in my chest
Doctor :   Yes there are chances of a nerve compression
Doctor :   that might relate to your back pain
Doctor :   and numbness
User :   Thank you for your time. I feel better that it is most likely not my heart. That was my concern. I had no idea about an EKG.
Doctor :   Well thank you for consulting me, take care of your self
User :   thanks and we will use this website again. Take care and I am off to try prilosec
Doctor :   Bye
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