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Suggest Treatment For Chest Pain And Lightheadedness
Question: Hello,
I am male 30 years old , I have chest discomfort in the middle of the chest all the time at rest and Feeling a pulse in left side of the breast . And wink in the heart pain in heart area and some times in stomach area but mostly in heart area. i feel light headed .I am concern because some times i feel that i will get a heart attack. I can do sport without pain and i breath normally. The doctor gave me propranolol 10 mg 1 -3 times a day as need, is helped me a lot for the discomfort but i don't want use it daily so i don't get used to it. I already did EKG and blood test 4 times in ER and the test is normal and i did stress test , ECHO , x ray , radiology, and all this test is normal. the doctor want do catheterization , coronary angiogram but i am very concern about it because has some risk and my father refused me to do it. the medicine that i take regularly amaldopine 5mg for blood pressure , Omeprazole 20 mg , and baby aspirin 81 mg. what should i do . Do you think my heart is fine ? And is there any way to treat the chest pain or the pain in the heart without this test ?
I am male 30 years old , I have chest discomfort in the middle of the chest all the time at rest and Feeling a pulse in left side of the breast . And wink in the heart pain in heart area and some times in stomach area but mostly in heart area. i feel light headed .I am concern because some times i feel that i will get a heart attack. I can do sport without pain and i breath normally. The doctor gave me propranolol 10 mg 1 -3 times a day as need, is helped me a lot for the discomfort but i don't want use it daily so i don't get used to it. I already did EKG and blood test 4 times in ER and the test is normal and i did stress test , ECHO , x ray , radiology, and all this test is normal. the doctor want do catheterization , coronary angiogram but i am very concern about it because has some risk and my father refused me to do it. the medicine that i take regularly amaldopine 5mg for blood pressure , Omeprazole 20 mg , and baby aspirin 81 mg. what should i do . Do you think my heart is fine ? And is there any way to treat the chest pain or the pain in the heart without this test ?
Brief Answer:
Very low possibility of having a heart issue
Detailed Answer:
Hello
After going through the medical details provided by you carefully and considering your age and all the medical tests and procedures you have gone through and as you are also physically an active person so the chances of having a heart disease are less than 1%.
The chest discomfort looks me of an psychological to me. However if you want to be sure then you have to go through angiography. It's a very safe procedure nothing to be afraid of it.
In my opinion you should go through this test to be 100% sure and to be mentally satisfied.
If you bp and other parameters are fine and if you don't smoke there is no need to take medicines at this age group.
Why don't you try simple pain killer to see if they help to relieve your pain as this will also make sure that it's not a heart pain.
Also it's advisable to consult personally a Gastroenterologist to evaluate for any peptic ulcer disease as this could also cause constant chest discomfort.
Hope to be helpful. If you have any more doubts you can ask me back or else you can close the discussion and kindly rate the answer.
Kind regards
Dr Bhanu partap
Very low possibility of having a heart issue
Detailed Answer:
Hello
After going through the medical details provided by you carefully and considering your age and all the medical tests and procedures you have gone through and as you are also physically an active person so the chances of having a heart disease are less than 1%.
The chest discomfort looks me of an psychological to me. However if you want to be sure then you have to go through angiography. It's a very safe procedure nothing to be afraid of it.
In my opinion you should go through this test to be 100% sure and to be mentally satisfied.
If you bp and other parameters are fine and if you don't smoke there is no need to take medicines at this age group.
Why don't you try simple pain killer to see if they help to relieve your pain as this will also make sure that it's not a heart pain.
Also it's advisable to consult personally a Gastroenterologist to evaluate for any peptic ulcer disease as this could also cause constant chest discomfort.
Hope to be helpful. If you have any more doubts you can ask me back or else you can close the discussion and kindly rate the answer.
Kind regards
Dr Bhanu partap
Above answer was peer-reviewed by :
Dr. Remy Koshy
Thank you very much,
But my my bp is little high and i started take blood pressure medicine 2 month ago . do i need to stop it. i tried tynol for the pain killer last night but doesn't help but last night i was having chest pain in the heart like the pain comes and go . Some times come stronger and some time smaller and i was concern to have a heart attack . i took propranolol 20 mg and the pain is gone but i still have the pressure in heart area and now have twitching or tension in the heart area .and i feel very discomfortable as the pain comes and goes.Do i need to take propranolol 20 mg regularly or only when i need it? . the primary doctor sent me to cardiologist not to Gastroenterologist.
I read about angiography and have some risks like stroke and heart attack that's and this link a guy mention that angiography can kill you , please see the link and let me know
https://www.youtube.com/watch?v=LgW-HmC-GCo&t=246s
thanks
The doctor also gave me Ativan0.5 mg and also notice it helped more than propranolol and when i take it i don't tension in the heart like propranolol but the doctor told me to take propranolol more safe for long term . and do you recommend me to take propranolol instead of Ativan for the pain
Thanks you,
I would like to take is it safe to take ginger, onion juice and turmeric with baby aspirin and amaldopine . i thought maybe they would help for the pain
But my my bp is little high and i started take blood pressure medicine 2 month ago . do i need to stop it. i tried tynol for the pain killer last night but doesn't help but last night i was having chest pain in the heart like the pain comes and go . Some times come stronger and some time smaller and i was concern to have a heart attack . i took propranolol 20 mg and the pain is gone but i still have the pressure in heart area and now have twitching or tension in the heart area .and i feel very discomfortable as the pain comes and goes.Do i need to take propranolol 20 mg regularly or only when i need it? . the primary doctor sent me to cardiologist not to Gastroenterologist.
I read about angiography and have some risks like stroke and heart attack that's and this link a guy mention that angiography can kill you , please see the link and let me know
https://www.youtube.com/watch?v=LgW-HmC-GCo&t=246s
thanks
The doctor also gave me Ativan0.5 mg and also notice it helped more than propranolol and when i take it i don't tension in the heart like propranolol but the doctor told me to take propranolol more safe for long term . and do you recommend me to take propranolol instead of Ativan for the pain
Thanks you,
I would like to take is it safe to take ginger, onion juice and turmeric with baby aspirin and amaldopine . i thought maybe they would help for the pain
Brief Answer:
Hello again
Detailed Answer:
I will try to answer your questions one by one
1. First of all let's talk about your blood pressure, as you said you just starting taking bp meds 2 months backs so it's advisable that as you are a young guy your Bp can be very well controlled with diet and exercise modifications XXXXXXX going for a brisk morning walk for 45 mins a day for 5 days a week, exercise daily and eating a healthy diet by avoiding junk food, reducing the daily salt intake, avoiding smoking completely if you do. Follow this routine strictly for 3 months and then maintain it. Slowly you are not gonna need any meds to control bp once you start following this routine.
2. Take propranolol only when required and yes your doctor is right that propranolol is safe in long term than ativan.
3. I told to see Gastroenterologist only after your cardiologist rules out any kind of cardiac issue. Primary importance is to cardiologist only.
4. I have seen that you tube video the link which you gave me that guy I right in the saying that our diet is not good if we eat healthy we will stay fit. But he is incorrect saying that Angiography itself causes an attack. Look every diagnostic procedure do have its own minor risks attached to it and we have to compare risk benefit ratio between them. Without angiography we are not going to know whether your chest pain is because of any heart problem or not. So choice is your, doctor can only suggest and guide.
5. Turmeric should not be combined with aspirin as it increase the effect of Aspirin which can cause a bleed.
I hope I have answered your questions in a simple way and this will guide you properly. If you have any more doubts you can ask me back or else you can close the discussion and kindly rate the answer.
You can also ask me directly here on my link if you want your doubts to be directly answered by me: http://doctor.healthcaremagic.com/doctors/dr-bhanu-partap/72849
Wish you Good Health
Hello again
Detailed Answer:
I will try to answer your questions one by one
1. First of all let's talk about your blood pressure, as you said you just starting taking bp meds 2 months backs so it's advisable that as you are a young guy your Bp can be very well controlled with diet and exercise modifications XXXXXXX going for a brisk morning walk for 45 mins a day for 5 days a week, exercise daily and eating a healthy diet by avoiding junk food, reducing the daily salt intake, avoiding smoking completely if you do. Follow this routine strictly for 3 months and then maintain it. Slowly you are not gonna need any meds to control bp once you start following this routine.
2. Take propranolol only when required and yes your doctor is right that propranolol is safe in long term than ativan.
3. I told to see Gastroenterologist only after your cardiologist rules out any kind of cardiac issue. Primary importance is to cardiologist only.
4. I have seen that you tube video the link which you gave me that guy I right in the saying that our diet is not good if we eat healthy we will stay fit. But he is incorrect saying that Angiography itself causes an attack. Look every diagnostic procedure do have its own minor risks attached to it and we have to compare risk benefit ratio between them. Without angiography we are not going to know whether your chest pain is because of any heart problem or not. So choice is your, doctor can only suggest and guide.
5. Turmeric should not be combined with aspirin as it increase the effect of Aspirin which can cause a bleed.
I hope I have answered your questions in a simple way and this will guide you properly. If you have any more doubts you can ask me back or else you can close the discussion and kindly rate the answer.
You can also ask me directly here on my link if you want your doubts to be directly answered by me: http://doctor.healthcaremagic.com/doctors/dr-bhanu-partap/72849
Wish you Good Health
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Thanks for your respond
But i heard that i can't stop blood pressure medication once i started them even if i maintain healthy life style and diet and if stop them maybe it will cause heart attack and stroke. is this true?
and can i replace blood pressure medication with this supplement in the link
https://www XXXXXXX com/Ayush-Herbs-0000-Carditone-caplets/dp/B000S0CVDQ/ref=sr_1_1_a_it?ie=UTF8&qid=0000&sr=8-1&keywords=blood+pressure+medication
and is it safe to take Turmeric or onion juice or black pepper with amaldopine and aspirin ?
And is there any risk if i don't do Angiography test? as i am thinking not to do this test as i did many test before?
But i heard that i can't stop blood pressure medication once i started them even if i maintain healthy life style and diet and if stop them maybe it will cause heart attack and stroke. is this true?
and can i replace blood pressure medication with this supplement in the link
https://www XXXXXXX com/Ayush-Herbs-0000-Carditone-caplets/dp/B000S0CVDQ/ref=sr_1_1_a_it?ie=UTF8&qid=0000&sr=8-1&keywords=blood+pressure+medication
and is it safe to take Turmeric or onion juice or black pepper with amaldopine and aspirin ?
And is there any risk if i don't do Angiography test? as i am thinking not to do this test as i did many test before?
Brief Answer:
Yes they can be stopped.....
Detailed Answer:
Hello Again
At a young age with slightly high blood pressure, if a person maintain good lifestyle habits along with medicines, slowly BP medicines can be taken off. No Its not gonna cause you any heart attack.
No blood pressure medicines should not be supplemented with any other thing.
As i told earlier turmeric and aspirin should not be taken together as they have interactions.
Your problem is not a cardiac issue, so you can avoid angiography if you dont want to do it.
Hope to be helpful
Regards
Yes they can be stopped.....
Detailed Answer:
Hello Again
At a young age with slightly high blood pressure, if a person maintain good lifestyle habits along with medicines, slowly BP medicines can be taken off. No Its not gonna cause you any heart attack.
No blood pressure medicines should not be supplemented with any other thing.
As i told earlier turmeric and aspirin should not be taken together as they have interactions.
Your problem is not a cardiac issue, so you can avoid angiography if you dont want to do it.
Hope to be helpful
Regards
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Thank you very much for quick respond
I mean can i stop blood pressure medicine and control blood pressure by the supplement because they don't have side effect as drugs do.
My blood pressure was high for one month and i didn't have any discomfort in the chest or in the heart. but after i started blood pressure medicine i noticed the chest pain ? Is it possible the chest discomfort from blood pressure medication because the cardiologist at first said from the medicine and he changed it from lisinopril 40 mg to amaldopine 5 mg but i still have the same chest discomfort.
How did you know the discomfort that i have is not cardiac issue because i watched this tube video and mention the person has normal EKG and stress test and he got heart attack. please see it and let me know if i have the same case
https://www.youtube.com/watch?v=N4SxglUuxi0&t=1s
I mean can i stop blood pressure medicine and control blood pressure by the supplement because they don't have side effect as drugs do.
My blood pressure was high for one month and i didn't have any discomfort in the chest or in the heart. but after i started blood pressure medicine i noticed the chest pain ? Is it possible the chest discomfort from blood pressure medication because the cardiologist at first said from the medicine and he changed it from lisinopril 40 mg to amaldopine 5 mg but i still have the same chest discomfort.
How did you know the discomfort that i have is not cardiac issue because i watched this tube video and mention the person has normal EKG and stress test and he got heart attack. please see it and let me know if i have the same case
https://www.youtube.com/watch?v=N4SxglUuxi0&t=1s
Brief Answer:
No
Detailed Answer:
No it's not advisable to stop Bp medicines suddenly or to replace them with some supplements.
No Bp meds do not cause chest pain rather they relieve it.
I never said that am 100 % sure that you don't have any heart issue. I rather told you that to be 100 % sure you should undergo Angiogram. But again you don't want that.
One serious advice don't treat yourself with help of internet you will be misguided.
Regards
No
Detailed Answer:
No it's not advisable to stop Bp medicines suddenly or to replace them with some supplements.
No Bp meds do not cause chest pain rather they relieve it.
I never said that am 100 % sure that you don't have any heart issue. I rather told you that to be 100 % sure you should undergo Angiogram. But again you don't want that.
One serious advice don't treat yourself with help of internet you will be misguided.
Regards
Above answer was peer-reviewed by :
Dr. Kampana
Thank you,
I will think about it if the pain continue in the chest maybe i will do it because the discomfort bothering me too much. is Angiogram 100% safe or has some risks like stroke , heart attack?
I will think about it if the pain continue in the chest maybe i will do it because the discomfort bothering me too much. is Angiogram 100% safe or has some risks like stroke , heart attack?
Brief Answer:
Yes sure
Detailed Answer:
Dear there is no risk of stroke or heart attack.
In future if you have any query you can directly ask me through my profile.
Wish you good health
Kindly close the discussion and kindly rate the answer.
Regards
Yes sure
Detailed Answer:
Dear there is no risk of stroke or heart attack.
In future if you have any query you can directly ask me through my profile.
Wish you good health
Kindly close the discussion and kindly rate the answer.
Regards
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Remy Koshy
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