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Left sided chest pain, raised blood pressure - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hi
Doctor :  
how can i help you?
User :   hi
Doctor :  
please proceed with your health query
User :   where r u located ?
Doctor :  
we are located in Bangalore
User :   ok...I have hyper tension....for the last 6 months...ranging from 120 to 160
Doctor :  
ok
User :   consulted a doctor and he advised for one month treatment to reduce the pressure
User :   I feel little pain in the chest...not heart though
Doctor :  
ok
Doctor :  
are you taking any medications now?
User :   NO
Doctor :  
when did you last check your blood pressure?
User :   how do I determine whether its a heart problem or chest problem...am lil confused...
Doctor :  
what medications were prescribed to you?
User :   2 days back..I did check it..its around 140
Doctor :  
please provide your age, gender, location, occupation and marital status
Doctor :  
please provide your height and weight?
User :   3 medicines...1) DOLO 2) PANTODAC 3) RESTYL
Doctor :  
did you take these medicines? did you feel better?
User :   age 31, gender Male, location Hyderabad...Occupation engineer,,..martial-single
User :   ht..5'5" and wt..around 68
Doctor :   where in the chest is the pain located?
User :   No..i didn't take medicine yet...
User :   left side
User :   near the heart....
User :   its on the middle towards the left side
Doctor :  
ok
Doctor :  
is the pain radiating to the jaw or arms?
User :   wht do u infer frm the medicine that was prescribed ?
User :   no pain is not radiating towards jaws or arms
Doctor :  
is the pain like a pressure band across the chest? is the pain like crushing pain? or a tightening?
User :   NO
User :   its just light pain...as if the ribs are touching the muscle....
User :   I was lil over tensed over few personal issue..for the last few months
Doctor :  
Dolo is for pain, Pantodac is for acidity and Restyl for anxiety
Doctor :   since your blood pressure is on the higher side as per your age,
User :   strange..how does Restyl kill the anxiety or pressure ?
Doctor :  
the symptoms that you are feeling could probably be due to pressure on the heart
User :   wht is the expected pressure level and how to control without medication ?
Doctor :  
i would recommend you to get a physical examination, ECG and a repeat blood pressure examination done
Doctor :  
the recommended blood pressure will be 120/80 - 130/85 mmHg
Doctor :  
and to control it you wil need medications
Doctor :  
once it is controlled
Doctor :  
then slowly the dose should be adjusted along with dietary changes
Doctor :  
avoid high salt in food, avoid oily or fried food
User :   I was told that if I start medication, then it wud b life time to live with it....
User :   them
Doctor :  
that is if the pressure is too very high
Doctor :  
you need an ECG examination to see if it is afecting the heart
Doctor :  
and if there is load on the heart then you might need to continue the medications
Doctor :  
restyl was given to control anxiety and anxiety is one of the reasons that could elevate blood pressure
User :   how is mental pressure or anxiety related to heart ?
Doctor :  
anxirty resukts in uncresaed heart rate and palpitations
Doctor :  
if the blood pressure is also high then then the load becomes more making it risky for the herat to cope up
Doctor :  
and hence the symptom of chest pain
User :   isn't anxiety different from metal distress...?
User :   am more on the second one....not the first one
Doctor :  
anxiety can be caused due to mental distress
Doctor :  
or stress in day to day life
User :   I do regular YOGA and morning Walk for 30 mins...am very cautious abt food...esp oily food, salt and my diet is well balanced....
User :   but still am hit with this problem....am just worried tht I don't want to get onto medicines....is there any better way to solve it ?
Doctor :  
that is very good
Doctor :  
that you practice diet control
User :   the only pressure I have is little distress...not high though
Doctor :  
when there is acute rise in pressure you need to take medicines
Doctor :   once the other factors that are causing it is controlled, you can ask your doctor to slowly taper down the dose of the antihypertensives
Doctor :  
and practice diet control
User :   so u mean no choice other than medicine.....
Doctor :  
but right now since you are manifesting with chest pain it is recommended that treatment should be started for you
User :   in that case I would prefer to go with Ayurvedic rather than these alopathic
Doctor :   to avoid undue load on the heart

User :   ok
User :   which do you recommend ...ayurvedic or other methods ?>
Doctor :  
I am sorry, I practice allopathic medicine, and I do not have much knowledge on ayurvedic medicines so I would not be able to comment on thier efficacy
User :   OK...
User :   is there anything that I can do physically to control things other than which were discussed above ?
User :   Can back-ache result in this heart pain ...are they connected anyway ?
Doctor :   at this time, you need a repeat check for BP, get it measured morning and evening for a week, maintain the readings
User :   ok...
Doctor :   backpain can be manifested in some cases
User :   I did undergo TRACTION ....
User :   but I don't see much better ....am doing exercices to keep the pain in control
User :   just strenthening the back muscles...
Doctor :  
get an ECG done as soon as possible, and if blood pressure is still on higher side, you will need to start medications
User :   are there any exercises to strengthen the heart ?
Doctor :  
you need antihypertensives to get your blood pressure controlled,
Doctor :  
this will slowly lower the load on the heart
User :   I agree on tht...I wil follow the given medicine and then wil go back to doctor
Doctor :  
and your chest pain and back pain pain if it is due to the heart will be controlled
Doctor :  
i would recommend you to go to doctor and get these done
User :   ok...understood
Doctor :  
Repeat Blood pressure check, ECG
Doctor :  
and blood tests like BUN (blood urea nitroge), Lipid profile, serum creatinine
Doctor :  
and also continue to follow diet control with low salt and oil use.
Doctor :  
Is there any thing else I can help you with?
Doctor :   are you there?
Doctor :  
have you followed what i have said?
Doctor :  
are you there?
Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
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