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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chest Pain, Normal ECG, ECO, TMT, Troponin 1 Blood Test

Hello Dear Dr Am 48 years old and pure vegetarian and no smoking and alchohol habits. I have pain in centre of the Chest and some time i feel something struck just below my neck. I have under gone ECG , ECO AND TMT Tests. Also Blood Test of Tripolin I and report is Normal. Am really un-easy and my productivity has come down as am afraid. Kindly help and suggest me some good medicine and how to overcome this problem. Thank You Sir.
Sun, 13 May 2012
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Ophthalmologist 's  Response
GI problems are more likely than cardiac problems given your age and symptoms

Upper endoscopy and a barium swallow would elucidate the structure and function of your esophagus which is the likely source of your symptoms.

If you cant make it to the doctor, consider a trial of H2 blockers such as:
• Tagamet (cimetidine)
• Pepcid (famotidine)
• Axid (nizatidine)
• Zantac (ranitidine)

if available over the counter. These medications neutalize acid. Depending on the medication, begin taking the medicineat bedtime then twice daily to see if these alleviate your symptoms. Avoid foods known to upset your stomach as these will make matters worse

In countries with high consumption or hot tea or in patients with a prior history of caustic injection, the unusual possibility of esophageal cancer needs to be considered, hence my recommendation above for endoscopy.
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Chest Pain, Normal ECG, ECO, TMT, Troponin 1 Blood Test

GI problems are more likely than cardiac problems given your age and symptoms Upper endoscopy and a barium swallow would elucidate the structure and function of your esophagus which is the likely source of your symptoms. If you cant make it to the doctor, consider a trial of H2 blockers such as: • Tagamet (cimetidine) • Pepcid (famotidine) • Axid (nizatidine) • Zantac (ranitidine) if available over the counter. These medications neutalize acid. Depending on the medication, begin taking the medicineat bedtime then twice daily to see if these alleviate your symptoms. Avoid foods known to upset your stomach as these will make matters worse In countries with high consumption or hot tea or in patients with a prior history of caustic injection, the unusual possibility of esophageal cancer needs to be considered, hence my recommendation above for endoscopy.