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What Causes Chest Pain With Normal ECG And ECHO Tests?

Posted on Wed, 13 Aug 2014

Question: i am having a pain on my left chest for last 7 days, i had a ecg, tmt, and ecco test 4 months back only my heart beat was 115 and the reason is now i am on ssri that is anti deprssion medicine. one more thing i took paracetamol for cold for last 7 days is the chest pain due to that both me mix of medicine

Answered by Dr. Vidya KR (1 hour later)

Brief Answer:
need details

Detailed Answer:
Hi,

Thanks for using Healthcaremagic.

I went through your query and understood your concerns.

I need few more details to help you in a better way. As your ECG , ECHO , TMT are normal, it suggests less possibilities of cardiac problem.

I will keep following possibilities:
1. Muscular Pain.
2. Stress induced Pain perception.
3. Acid Peptic Disease.

I would like to know the Following things :
1. Any Family History of Diabetes , hypertension or cardiac illness?
2. History of any smoking , alcohol consumption.
3. Any aggravation of pain on walking ?
4. Your blood pressure and blood sugar levels.

Paracetamol and SSRI known to increase acid secretion in stomach resulting in peptic disease. Which can present as pain or discomfort in chest.

Reply with these details so that I can give you a conclusive answer further.

Regards

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Vidya KR (2 hours later)

yah i am having hypertension but there is no chance of diabeties and my bp also is no that high sometimes due to tension it is about 140/90

yah i use to smoke but hardly 2 or 3 cigar a day but i rarely consume alcohol

i also have gastic issues for that i take PAN 40 daily

for last few days there is mild pain while walking and mostly all the time

i am on ssri for last 40 days but due to cold i tried paracetamol with other composition like ppl and the medecine was solvent cold of ipca make for last 5 days and also had a probiotic with that
my trigrecydes is high but my colestrol is ok and 4 months down i had all my CBC, KFT,LFT, GLUCOSE FASTING AND LPT

ALL RESULTS WERE ALMOST OK ONLY A BIT HIGH TRIGRECYDES WAS 224

Answered by Dr. Vidya KR (38 hours later)

Brief Answer:
get evaluate for cardiac problem

Detailed Answer:
Hi, thanks for follow up query.

With history of hypertension and little variation in lipid levels better to get evaluated for cardiac problems first. Other possibility would be gastric problem. H.Pylori infection needs to be evaluated and treated for the same.

Hope i answered your query. Feel free to ask further related query.

Regards

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Vidya KR (2 hours later)

i have already done my ecg and ecco doppler today and all are ok so it might be due to gastic is it and what is H.pylori
i dont think i have h pylori it might be gastic due to ssri and paracetamol consuption

Answered by Dr. Vidya KR (1 hour later)

Brief Answer:
Gastric acid secretion .

Detailed Answer:
Hi, thanks for follow up.

Good that you have already done cardiac work up and its with in normal range.

Yes Paracetamol and SSRI do increase acid secretion and aggravates gastric problem.

Continue Pan tablets and avoid spicy food for few days.

H. pylori is a Bactria which causes gastric infection and increases acid secretion. If infection is there symptoms won't get controlled only with pan medication, needs treatment for infection to control acid control in stomach.

Hope I answered your query. Feel free to ask further related queries.

Regards

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Prasad