HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Chest Pain In Elderly

in short-My Grandmother age-more 70 has suffering from chest pain from last 10-15days,we have done-x-ray,ecg and eco, from s s k m hospital and aft that doctor gave some medicines to get relief from pain,but she doesn t feel any relief after taking the medicines from last 3days,now the doctor is saying there will b some other problem like it may b some lunge infection or something like that, now i can t understand what to do for her, can u give me some suggestion?.
Thu, 19 May 2016
Report Abuse
General & Family Physician,  's  Response
Hello, Thanks for using Healthcaremagic. i had gone through the data you have posted.
chest pain in 70 yr female the differential diagnosis would be

1)GERD: gastro esophangeal refulx disease: here chest pain would be burming sensation, may be more at night.
treatment would be to avoid spicy foods, keep head end raised and use PPI
like tab. pantocid L which is a combination of PPI with prokinetic.

2) chestpain localised to one sid and increases with cough and deep breathing i suggestive of pleuritic pain seen with lung infection like pneumonia.
CXR may be necessary and treatment would be antibiotics

3)chestpain more central, associated with breathlessness, swelling of legs
suggesive of cardiac

4)Muscuoskeletal: pain during some positions. take combination pain killer for 2 days like aceclofenac+thiocolchiside if renal parameters are normal..

as you have said cxr, ecg and 2decho are normal take a pain killer along with pantocid L.
hope this helps..
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Electrocardiography


Loading Online Doctors....
Suggest Treatment For Chest Pain In Elderly

Hello, Thanks for using Healthcaremagic. i had gone through the data you have posted. chest pain in 70 yr female the differential diagnosis would be 1)GERD: gastro esophangeal refulx disease: here chest pain would be burming sensation, may be more at night. treatment would be to avoid spicy foods, keep head end raised and use PPI like tab. pantocid L which is a combination of PPI with prokinetic. 2) chestpain localised to one sid and increases with cough and deep breathing i suggestive of pleuritic pain seen with lung infection like pneumonia. CXR may be necessary and treatment would be antibiotics 3)chestpain more central, associated with breathlessness, swelling of legs suggesive of cardiac 4)Muscuoskeletal: pain during some positions. take combination pain killer for 2 days like aceclofenac+thiocolchiside if renal parameters are normal.. as you have said cxr, ecg and 2decho are normal take a pain killer along with pantocid L. hope this helps..