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Periodic pain near the heart - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   hi i am having on and off pain in the area near my heart. it's been coming and going for a few weeks. i don't seem to have other symptoms.
Doctor :   Hello
User :   hi
Doctor :   I am Dr .XXX here
Doctor :   May i know your age and gender please ?
User :   33, female
Doctor :   Is there any relation to food ?
Doctor :   Does the pain increases or decreases with food
User :   i don't think so. i have been eating the same way for a long time.
User :   no, it doesn't seem to
Doctor :   IS the pain localized to the specific area or is it moving ?
User :   feels localized
Doctor :   And have you tried any medications ?
Doctor :   Are you there ?
User :   hi i'm here
User :   sorry about that
User :   no i haven't tried any medications
Doctor :   No problem
User :   also, i had a heart murmur as a child, and i don't know if i still have it as an adult, but this has caused me concern
Doctor :   Ok , now let me explain to you how we will go about in your situation
Doctor :   Any chest pain arising will be first treated by a dose of antacids for 14 days. for which you can take PRILODSEC 20 mg
Doctor :   If it persists then a ECG is the next step, to rule out ant cardiac cause
Doctor :   any **
Doctor :   Are you following me ?
User :   yes
Doctor :   Ok
Doctor :   and i also would like to suggest you some life style changes
User :   ok
Doctor :   1) Fruits like apple, watermelon and banana are recommended for you
User :   so you think this may have to do with my stomach somehow?
Doctor :   2) Avoid fried food, pickle, hot and spicy food
Doctor :   yes it does seems like that
User :   ok
Doctor :   as you just encountered from few weeks
Doctor :   3) Drink plenty of water. Avoid garlic, onion, pepper, radish and cabbage
Doctor :   4) Avoid unripe fruits.
Doctor :   5) Do not haste while eating, always chew your food properly.
Doctor :   6) Include plenty of green and leafy vegetables in your diet.
Doctor :   And please do take the medications i have told you
User :   they are available at regular drug stores?
Doctor :   Along with the following advice and i am sure you will be getting relief. and Yes like i also mention after 14 days is the pain is not gone then an ECG is must for you
Doctor :   yes these are non prescription medications
Doctor :   You can easily get them at your local pharmacy .
User :   ok. and the heart murmur, do you think that's an issue i should think about?
Doctor :   Usually an change in ECG will tell that
Doctor :   childhood murmurs are usually not a issue in adults
Doctor :   Do you have pain when you exert ?
Doctor :   Or do strenuous work ?
User :   no, not usually
Doctor :   Well do follow what i have told you and i am sure you will be fine
User :   ok, thank you so much for the consultation.
User :   have a wonderful evening
Doctor :   Your most welcome
Doctor :   you too take care
Doctor :   Bye
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