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Suggest remedies for chest tightness and recurring chest pain

Answered by
Dr.
Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14616 Questions

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Posted on Mon, 22 Aug 2016 in General Health
Question: Hi Doctor,

As you have suggested I have tried the medicine and got relief but still i have some tightness in chest ... My cough has been reduced and in morning only for sometime i get cough .. I also get on and off chest pains not locally to anywhere but allover ... But the tightness has been lessen with the medications and now I am not having anything .. What should I do now?
doctor
Answered by Dr. Kaushal Bhavsar 27 minutes later
Brief Answer:
Which drugs you are taking?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
It's good that my advice helped you and your symptoms are improving.
Please let me know
1. Which drugs you are taking?
I want to know exactly what you are taking. Is it same I suggested?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 5 minutes later
Hi Doctor,

I took omeprazol 20 mg twice in a day and
Ibuprufen 200 mg once in a day along with tylenol once in a day for about 6 days..

Now I am relievd somewhat but still feeling a tightness in middle of chest .. On and off pain in chest and cough has arrested mostly but sometimes having it with yellow sputum ..

Mu appetite is fine and also not having that kind of shortness of breath ..

Please suggest
doctor
Answered by Dr. Kaushal Bhavsar 1 hour later
Brief Answer:
Are you following diet advised by me?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Well, you have taken correct medicines.
Have followed diet advised by me?
Are you using warm water pad?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 3 minutes later
Hi Doctor,

I have followed the diet mostly but didnot give warm water pck ... Can you please let me know what else we need to do or if I have to take medicines else or anyother things .. Please suggest
doctor
Answered by Dr. Kaushal Bhavsar 5 minutes later
Brief Answer:
Take only omeprazole.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
In my opinion, you should only take omeprazole twice daily.
For coughing you should take levocetrizine.
And take ibuprofen and Tylenol as and when needed.
But warm water pad for yourself.
Do you have ice packs?
Don't you get pantoprazole?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 3 minutes later
Hi Doctor,

Thanks for the help.

I can get pantoprazol. I will take that if you say .

Coughing has been stopped but only get sometimes very little.. Do i need to take cough medicine..

Also when i will take tylenol or i uprufen, please suggest..

When will i be reliefed from chest heaviness..

I need to tell you that for 2-3 days recently i am getting mild body pain and flu like feeing somtime ..

Please suggest
doctor
Answered by Dr. Kaushal Bhavsar 10 minutes later
Brief Answer:
Do you have winter or snow at present?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Your symptoms are more suggestive of viral infection.
This needs different medicines.
So I need to first sure about it.
Please let me know
1. Do you have sore throat?
2. Do you have winter or snow at present in your part of world?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 11 minutes later
Hi Doctor,

We are having scorching dry heat here around 34 degree centigrade..

I dont have sore throat but sometime in past 2 days feeling like having throat filled with mucus like in cold n flu but not all time specially in morning

Chest heaviness and tightness is still there but the ribs pain has drastically reduced what i used to have when pressing the ribs earlier

Sometime i get back pain but that tool small and some neck or shoulder pain very mild but that too for my posture of prolonged sitting as well

Flu like symptoms like body ache developed for 2-3 days only

Please suggest

doctor
Answered by Dr. Kaushal Bhavsar 18 minutes later
Brief Answer:
You should start broad spectrum antibiotic.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
In my opinion, you should follow these.
1. Avoid oily and spicy food. Avoid junk food.
2. Drink plenty of fluids orally and keep your self hydrated.
3. Do warm water gargles 5-6 times a day.
4. Apply warm water pad on affected areas of chest.
5. Take broad spectrum antibiotic like levofloxacin or Azithromycin.
6. Take levocetrizine and Tylenol orally twice daily. 7. Take pantoprazole tablet on empty stomach twice daily.
Will you able to get antibiotic over the counter?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 19 minutes later
Hi doctor,

i have 10 ciprofloxacin tablets with me but i will not get over the counter antibiotics here .. Can i take ciprofloxacin tablets ..

Also what us the alernative of levicetrizine .. What can i take please suggest .. Do i need to take levicetrizine and tylenol together please suggest

How long i need to take these ?

Please suggest if inam having any serious illness in lungs?
doctor
Answered by Dr. Kaushal Bhavsar 11 minutes later
Brief Answer:
What is the dose of ciprofloxacin you are having?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Yes, ciprofloxacin is also a good drug.
But please let me know the dose of ciprofloxacin you are having.
And I think you will get levocetrizine over the counter. If not then get done fexofenadine tablet.
Are you sure that levocetrizine is not available over the counter?
And yes you should take Tylenol and levocetrizine together, twice daily for 5 days.
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 8 minutes later
Hi Doctor,

I have cifran oz with ciprofloxacin 500 mg and ornidiazole 500 mg...please suggest when to take it..

I need to check for levocetrizine but please let me know the dosage..

Also let me know if I am having any serious issues or illness per sumptoms..

doctor
Answered by Dr. Kaushal Bhavsar 5 minutes later
Brief Answer:
Plain ciprofloxacin is needed in your case.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Ornidazole is for intestinal infection. It is not required at present in your case.
Plain ciprofloxacin is needed at present.
Don't you have plain ciprofloxacin?
Dose is ciprofloxacin 500mg twice daily after some food for 5 days.
Take levocetrizine 5 mg twice daily along with Tylenol twice daily.
Take omeprazole or pantoprazole tablet on empty stomach twice daily.
Why you are so much worried about serious lung related diseases?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 5 minutes later
Hi Doctor,

Thanks for the info. I will take that then.

I have not experienced this kind of chest tightness or pain before thats whybworried about those deadly diseases. Not sure when inwill get reliefed.

So 5 days I will take the antibiotic and also with levocentrizine and tylenol. inwill take pantoprazol as well as said. Please suggest if i need to do anyother thing. Sorry to bother you but inam really worried
doctor
Answered by Dr. Kaushal Bhavsar 19 minutes later
Brief Answer:
Did you ever undergone chest x ray?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Please let me know
1. Did you ever undergone chest x ray?
If I am not wrong, you were having history of cigarette smoking.
Is this true?
Have you ever undergone chest x ray?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 1 minute later
Hi Doctor,

I did have the hostory of smoking . Yes I have undergone chest xray but that was in 2012 . It was found healthy and clear.

Not sure if it is still relevant or not?
doctor
Answered by Dr. Kaushal Bhavsar 6 minutes later
Brief Answer:
Are you able to get done chest x ray by your own?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Well 2012 is too old.

If possible, you should get done chest x ray at present. If this is normal then no need to worry for major lung diseases like cancer.
Hey, are you able to get done chest x ray by your own? Without prescription?
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 2 minutes later
Hi Doctor,

No I cant do chest xray from my own in USA .. I need to go to any pulmonalogists for that. Is there any symptoms similar to that major lung diseases? Please suggest
doctor
Answered by Dr. Kaushal Bhavsar 6 minutes later
Brief Answer:
No need to worry much for lung diseases.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Well, I don't think you are having lung diseases like pneumonia or tuberculosis or lung cancer.
Possibility of viral infection is more at present.
Please let me know
1. Are you living alone in your home?
2. Are you living with roommates or family members?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 1 hour later
Hi Doctor,

I am living with my roommate not with family. Please let me know and suggest what we need to do apart from the medications
doctor
Answered by Dr. Kaushal Bhavsar 5 hours later
Brief Answer:
Do any of your roommate suffering from similar illness?

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
When you are living with roommates, there is always risk of cross infection especially viral infection.
So please let me know
1. Do any of your roommate suffering from similar illness?
2. In 2012, what were your symptoms which require chest x ray?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 8 hours later
Hi Doctor,

I have done the chest xray as part of UK visa process per routine for exam .. My roomamte is not having any symptoms like this


Also i noticed yesterday i am having gas and felt more chest tightness n pain than usual .. Please suggest
doctor
Answered by Dr. Kaushal Bhavsar 34 minutes later
Brief Answer:
Gas is due to mostly due to stress you are having these days.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
I think your gas is due to stress these days.
So avoid stress and tension, be relax and calm.
It is better to take pantoprazole and levosulperide combination.
Levosulperide is pro kinetic drug and it is best for gas.
Will you able to get this combination over the counter?
And have you taken any adult respiratory vaccines?
These vaccines are for prevention of lung diseases into future.
So please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 4 hours later
Hi Doctor,

I will check if inget anything in counter like that.
I didnot have any vaccinations for respiratory diseases
Cough has been stopped now
Mostly leftside upper chest near shoulder is having some mild pain or tightness .. Sometime heaviness feels on middle of chest or sometime upper right near shoulder

Please suggest if those medications needed inlybor anything else

Didn this sympton suggest any other things
doctor
Answered by Dr. Kaushal Bhavsar 20 minutes later
Brief Answer:
Apply warm water pad and ice packs on affected areas.

Detailed Answer:
Thanks for your follow up question on Healthcare Magic.
I can understand your concern.
Since your cough is subsided, no need to worry for ciprofloxacin and levocetrizine.
Take only pantoprazole and levosulperide combination, ibuprofen.
Also apply warm water pad and ice packs on affected areas.
Don't worry, you will be alright with all these.
Also get done influenza vaccine annually and pneumococcal vaccine every five yearly to prevent recurrent viral and bacterial respiratory tract infections.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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