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Feeling discomfort and pain in chest, throbbing sensation in arms. Is this related to heart problem?

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Cardiologist
Practicing since : 1981
Answered : 922 Questions
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HI
Since last few weeks I am having discomfort in my whole chest and pain at a particular area in the chest.
I am also feeling slight out of breadth when I am talking loudly (at normal pace everything is fine).I am also having dry cough from about 2 months.
Also I am having throbbing (Fasdiculations) in the arms and chest area.
I was diagnosed with acid reflux and Cervical Spondlysis about 2 months back.
Can you please help is it a heart problem or something else..please suggest.
I had a ECG and a 2D doppler done in the month of April when I was diagnosed with acid reflux the results were:
ECG- 1-Sinus Rhythm 2-T wave Inversion at lead III

2D Doppler Cardiography- Trivial Tricuspid Regurgitation and Mild Pulmonary regurgitation PAEDP=7.26mmhg other things are normal.
The doctor that time said everything was normal with the heart..
Posted Thu, 23 Aug 2012 in Hypertension and Heart Disease
 
 
Answered by Dr. Anil Grover 2 hours later
Hi XXXXXXX
Thanks for writing in.
I am a qualified and certified cardiologist. I read your mail with diligence.
Chest pains are not related to heart because:
1. These do not fit into classical chest pain of heart coming on exertion relief with
rest (ANGINA) or one long episode of chest pain mainly reterosternal associated
with shortness of breath and increase in pulse rate, respiratory rate & sweating.
(HEART ATTACK).
2. Two months ago two objective tests EKG and echocardiography were absolutely
normal.

3. Not that it is impossible, 27 is not the age to develop heart disease of coronary
artery disease variety, therefore,threshold of diagnosis is high.
4. There were alternative explanation in the form of Gatro esophageal Reflux
Disease (GERD) and evidence of cervical sponylosis found in you.

Two months is too short a time for heart disease to develop, so try not be anxious about something which is not there.

You have fasciculations which suggest nerve irritation, in fact all the sensory nerves from chest and both arms to to cervical spine to join spinal cord which is nervous system extension of central nervous system.

You would have been advised:
1. Use of hard flat bed with thin flat mattress
2. Thin pillow
3 Neck exercises keeping your hand on face while turning it towards shoulder,
chest and back against the resistance offered by your hand. If still no relief
4. Use of cervical collar (available with any chemist) and at least wear it indoors as
as long as possible.

Take the medicines prescribed for reflux disease instead worrying about something which you do not have. Good Luck. If you have a supplementary query, I will be happy to answer it.
With Best Wishes
Dr Anil Grover,
Medical Specialist & Cardiologist
M.B.;B.S, M.D. (Internal Medicine) D.M.(Cardiology)
http://www/ WWW.WWWW.WW


Above answer was peer-reviewed by
 
Follow-up: Feeling discomfort and pain in chest, throbbing sensation in arms. Is this related to heart problem? 8 hours later
Thanks for the quick reply doctor..
I had a query I am having a tendency to burp since last few days...the burping is not effectively taking place and the burps are XXXXXXX in nature..
also I could not get the meaning of the following para in your reply

"These do not fit into classical chest pain of heart coming on exertion relief with
rest (ANGINA) or one long episode of chest pain mainly reterosternal associated
with shortness of breath and increase in pulse rate, respiratory rate & sweating.
(HEART ATTACK) XXXXXXX

Thank you in advacne
 
 
Answered by Dr. Anil Grover 1 hour later
Hi there,
Thanks for writing in.
Burping with sour taste is a sign of Gastroesophageal Reflux disease. I will suggest
over the counter available drugs like ULGEL or any antacid gel one and 3 hours
after meals.

Pain: I meant if there is temporary mismatch between demand of blood by heart
and supply by coronary arteries. You have pain on exertion and it is relieved by
rest. It is called ANGINA.
If the mismatch that is demand is more than supply is for longer duration it results
in squeezing pain, associated with shortness of breath and profuse sweating it can
lead to heart attack medical term for which is MYOCARDIAL INFARCTION. I hope
it is clear now. If I have not made my self clear yet. Please write to anilgrover055
@yahoo.in. I will try to elaborate again.


With Best Wishes
Dr Anil Grover,
Medical Specialist & Cardiologist
M.B.;B.S, M.D. (Internal Medicine) D.M.(Cardiology)
http://www/ WWW.WWWW.WW

Above answer was peer-reviewed by
 
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