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

160 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

33 years old. On medicine for hypertension. Having body pain. What could be causing this?

Answered by
Dr. Akhilesh Dubey

Internal Medicine Specialist

Practicing since :1986

Answered : 2094 Questions

Posted on Fri, 4 Jan 2013 in Hypertension and Heart Disease
Question: Hi my name is XXXXXXX and im 33 yrs old i am over weight but do not smoke or drink i do have hypertension and take medication for it but I have been having left arm and shoulder pain and a prickly sensation in different places on my chest also when i press on my chest and left arm it hurts really bad!!! i cant stand nobody to poke me at all and all this has been coming and going for over a year now. I have been to several doctor with this i have had EKG, Echocardiogram, chest X-rays and have been 3 times this year to the emergency room with same chest pain and every time they say its not my heart that I didn't have a heart attack cause all blood test came out fine what else could this be
Answered by Dr. Akhilesh Dubey 40 minutes later

Thanks for sharing your concern here.

I have gone through your history, and basically you have the following.
1) Hypertension for which you take Norvasc, hope your B.P. is well controlled.
2) Hyper acidity and heart burn and for which you take protonix.
3) Atypical chest pain with normal EKG and hurts when pressed (it is tender)
4) Low vitamin, which one? I presume it is Vitamin D.

Let me explain to you. Please understand that every chest pain is not related to heart. In your case as multiple EKG and other tests are normal, it should not be related to the heart.

Then what it could be? Pain may be arising from muscle, bone and cartilage or Joints in the ribs. Other possibility is hyper-acidity producing acid reflux and causing heart burn and pain. If there is anxiety, it can present as somatic symptoms like pain.

Please let me know if you have done a Stress test (Tread Mill Test).

You should not worry as this pain is not related to heart. Keep your blood pressure to normal levels and take less salt < 2.5 gms/day. You can also take up some yoga and meditation which will help you relax. Please remember not to take a lot of analgesic medications.

Hope this information helps you and let me know if you have any further query, I will be more than happy to answer.

With Regards.
Dr.Akhilesh Dubey M.D.

Above answer was peer-reviewed by : Dr. Mohammed Kappan
Follow up: Dr. Akhilesh Dubey 24 minutes later
Yes I have low vitamin D and no I haven't had a stress test done yet I went and saw a cardiac doctor and he said that he didn't feel my pain was from my heart so I didn't order a stress test since all my EKG are normal and I had a normal echocardiogram also I do have High inflammation when I had full blood work up cholesterol was 165 so that was good anyway I can lower my inflammation levels?
Answered by Dr. Akhilesh Dubey 20 minutes later

Thanks for your input.

You should continue to take vitamin D supplementation. Your chest pain is unlikely to be cardiac in origin. So just relax and as I suggested you may take up meditation and yoga. TMT may be done later on. Your Cholesterol was fine, so just take care of your diet. You can also supplement with Omega 3 Fatty acids by almond and walnut, or fish, if you are comfortable with it.
Inflammation level means CRP. But, it is very non-specific and needs to be correlated clinically.
Hope I have answered your query. If you would like to know anything else, feel free to ask.

With Regards
Dr. Akhilesh Dubey M.D.

Above answer was peer-reviewed by : Dr. Mohammed Kappan

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,  
Drug/Medication ,  
Lab Tests ,  

Recent questions on  Electrocardiography

doctor1 MD

A 54-year-old Type-A male business executive had been experiencing migrainelike headaches. One afternoon he also experienced light-headedness, slurred speech and mildly impaired motor function on his right side. One of his colleagues rushed him to the emergency room of a nearby hospital where blood pressure, blood gases, electrolytes, and an ECG were run. His blood pressure was 195/100 mm Hg, which he said was typical of what he had experienced during the past two years. Blood gases and electrolytes were normal. The ECG showed no arrhythmias but did demonstrate a left axis deviation. The gentleman was admitted to the hospital and a cerebral angiogram was performed which showed left cerebral hemorrhaging. 1. What is the diagnosis of this individual s disorder?2. What are the major contributing factors to this disorder?3. What could have been done to prevent this problem?4. What are the early warning symptoms prior to the complication?5. Why did the ECG show a left axis deviation?6. Why was there impaired motor function on the right side from cerebral hemorrhaging on the left side?

doctor1 MD

Hello.. my stomach feels heavy after eating,it gets really big and sometimes makes it hard to breathe,i was told i have abnormal heart beat,which is now heart block,all my ecg are abnormal and no one knows why,in addition i have hip dysplasia,after going for laser therapy,and some injections,the inflammation is less now,i have a swollen lymph exactly where my hip joint is,i don't know why,i have constant vaginal discharges before/after period and sometimes when i am pressed,but gyneacologists said its normal.all these are freaking me out and i don't know what to do..i am 28 years old.Thank you for your time.

doctor1 MD

I have chronic a-fib, 24/7. It was previously controlled with different meds following a cardio version, but that is no longer effective. I now live at 60 of altitude in Houston, and take yearly trips, or more often, to New Mexico, Colorado and/or Wyoming, where I grew up. The altitudes vary from 8500 or 9000 to 7200 and down to about 6000 . I am a 73 yr old female, overweight and fairly sedentary due to exercise fatigue from the a-fib. I am contemplating a vacation of 2 weeks or less at an altitude of 7000 or 8000 . We would be making the ascent by automobile, and I don t anticipate any hiking or climbing. My blood pressure is well-controlled at about 120/70 but my heart rate is obviously erratic and usually rapid at 80-90. My question is whether this is something I can safely do? I had an echocardiogram, an ECG and a semiannual checkup with my cardiologist about 3 weeks ago.

doctor1 MD

I am having constant thudding heartbeats with irregular or skipped beats.
This has been going on for the last five hours . I can't sleep. It has been bad for the last two days but not constant as it is now . I'm worried. I can't fall asleep . I seem to lurch awake even as I drift off with another powerful rushing feeling of thudding in my chest and more skipped beats.
I have been complaining to my doctor for 12 years of irregular beats. I have had several ECG and scans and they always tell me there's nothing wrong with the functioning of my heart but I can't ignore these symptoms that don't go away. I believe my stressing over them makes them worse but it's a vicious circle. I am meant to be on Citalopram but took one tablet and woke up in the middle of the night clenching my jaw with skipping beats . Looking up the side effects/contra indications it says should not take if suffer any heart rhythms problems. Why is my doctor giving me these ? So I daren't take them for fear of making things worse but I do need an anxiolytic as prescribed.

doctor1 MD

Hi. I am experiencing some strange synptoms. When i stand up to walk inget exteemely dizzy and my heart rate spikes. Im concerned. I feel thunping in my chest as well. Uploaded what my heart rate looks like using an app and it looks strange...

doctor1 MD

Kindly provide ECG reporting,

doctor1 MD

Hello, I have mild Hashimoto's and undifferentiated connective tissue disease. Also, I'm in a treatment period for anxiety and obsessive compulsive disorder . My heart rate is always a bit fast (85-95 resting HR, normal blood pressure). In last...