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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Alternative Medication For Chest Pain

Dear Doctor, I have had chest pain for the last six years. It is constant and ranges from tightness to unbearable pain. I am told it is anxiety but was wondering if I should see a neurologist for a second opinion. I have been using propanol (inderal) to help but it does not seem to do much. I alos suffer from bipolar disorder. Do you think the chest pain will ever go away or am I stuck with it for life?
Tue, 28 Apr 2020
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Ayurveda Specialist,  's  Response
Hi,

As I'm unable to examine you directly or take a proper history, I'm of the following opinion:

1. when a patient complains of chest pain, the following is my symptoms wise approach:

i. Is it related to heart [cardiac pain]?
ii. Is chest pain related to breathing [Pleural pathology]?
iii. Is chest pain related to Chest wall [any local rib/ intercostal tenderness]
iv. Is chest pain related to food [retrosternal pain & increases on swallowing or occur after meals]

2. If the pain is mild and air entry is normal then one can start with a short course of steroids with analgesic and anti-inflammatory tablets along with bed rest. However, if the pain is not relieved in 4-5 days, ask for an X-ray chest and/or Cardiologist Opinion.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Munish Sood, Ayurveda Specialist
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Suggest Alternative Medication For Chest Pain

Hi, As I m unable to examine you directly or take a proper history, I m of the following opinion: 1. when a patient complains of chest pain, the following is my symptoms wise approach: i. Is it related to heart [cardiac pain]? ii. Is chest pain related to breathing [Pleural pathology]? iii. Is chest pain related to Chest wall [any local rib/ intercostal tenderness] iv. Is chest pain related to food [retrosternal pain & increases on swallowing or occur after meals] 2. If the pain is mild and air entry is normal then one can start with a short course of steroids with analgesic and anti-inflammatory tablets along with bed rest. However, if the pain is not relieved in 4-5 days, ask for an X-ray chest and/or Cardiologist Opinion. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Munish Sood, Ayurveda Specialist