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Suggest Treatment For Back Pain In A Hypertensive Person

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Posted on Thu, 4 May 2017
Question: I have been experiencing pain in left upper back and sometimes in chest. Weaknesss as well. Currently i am on clonezapam and mistroprolol from last few days. I am 24, M.
Height- 168 cm, Weight - 65 kg. One month back i was admitted due to high bp and viral. Left bicep. Some times on right chest n back as well. I was pretty stressed when i got admitted. My tsh keep varying. From 1 to 5 as per stress.

Is this pain due to heart problem/clots? I am attaching echo n ecg report of 35 days back. Sugar levels is normal. My bp since then has been 140/90 in first week then 130/90 then 120/80 last week. Heart rate: 85. I have worked hard in losing 4 kgs till now.

doctor
Answered by Dr. Bhanu Partap (37 minutes later)
Brief Answer:
Highly unlikely to be a heart issue

Detailed Answer:
Hello XXXXXXX

After going through your medical details as well as reports attached by you, heart problem seems highly unlikely.

Your Age, normal ECG, Normal ECHO gives the evidence of not having an heart issue. However to be more sure you can go a TMT test which is basically a stress evaluation of your heart function i.e how well your heart performs during physical activity.

Your BP and heart rate levels are well within normal recommended limits. This pain is highly unlikely to be a cardiac pain. I would like to advise you to take simple pain killers like paracetamol twice daily for 3 days, probably that will help you.

Only issue which i could see in your case is your high stress levels which are making you feel sick. You are already taking clonazepam so its highly advisable that you should consult your psychiatrist personally for opinion.

If possible join some meditation or yoga centre at your place as that will help you in combating your anxiety or stress levels.

If hope this information will make you feel relaxed and guide you properly. If you have any more doubts you can ask me or else close the discussion and kindly rate the answer.

Wish you good health

Dr Bhanu Partap
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Bhanu Partap (19 minutes later)
Thanks..Is it there a chance that i would have developed some clot or damage in after this report was done which was in one month back. Does echo n ecg of that time still applicable now? What is the cause of pain if not heart. I have attached recent x ray as well. It's been over two weeks. It comes n goes not regular. Weakness cause?
doctor
Answered by Dr. Bhanu Partap (6 minutes later)
Brief Answer:
There is NO chance of developing any clot

Detailed Answer:
hello again

I have seen your X Ray film which is looking quite normal in the picture. Yes the ECG and ECHO is still acceptable because the symptoms are not specific to cardiac issue. Your pain seems most likely to be muscular not cardiac.

Weakness could be due to many reasons most importantly due to your dietary habits like how healthy food stuff you eat, do you take your food on time or not, could also be medicine induced.

So eat on proper time, small and frequent meals are best. And consult your psychiatrist for clonazepam review.

If hope this information will make you feel relaxed and guide you properly. If you have any more doubts you can ask me or else close the discussion and kindly rate the answer.


Wish you good health

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 4758 Questions

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Suggest Treatment For Back Pain In A Hypertensive Person

Brief Answer: Highly unlikely to be a heart issue Detailed Answer: Hello XXXXXXX After going through your medical details as well as reports attached by you, heart problem seems highly unlikely. Your Age, normal ECG, Normal ECHO gives the evidence of not having an heart issue. However to be more sure you can go a TMT test which is basically a stress evaluation of your heart function i.e how well your heart performs during physical activity. Your BP and heart rate levels are well within normal recommended limits. This pain is highly unlikely to be a cardiac pain. I would like to advise you to take simple pain killers like paracetamol twice daily for 3 days, probably that will help you. Only issue which i could see in your case is your high stress levels which are making you feel sick. You are already taking clonazepam so its highly advisable that you should consult your psychiatrist personally for opinion. If possible join some meditation or yoga centre at your place as that will help you in combating your anxiety or stress levels. If hope this information will make you feel relaxed and guide you properly. If you have any more doubts you can ask me or else close the discussion and kindly rate the answer. Wish you good health Dr Bhanu Partap