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What causes pain in chest?

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Posted on Wed, 16 Jul 2014
Question: Hi Dr. My Mother Suffering from Chest Pain from past 1 Month. When she Visiting Dr. ECG taken, he told normal & Some tablets written. Still Pain not relifed, So ve Taken ECHO Test ( Report attached ), Dr. Told Heart valve size increased, so only Pain Coming. He given Tablets: Tab. Alrab -D ( Before Food ) & Tab. Dolonex DT. for Morning & Night after Food. Kindly let me know the Treatment details.. These tablets Enough or Can i go for another Dr. ( Specialist ). Is this Problem is Very Critical or Not. Kindly Reply me Pls..
doctor
Answered by Dr. T Chandrakant (55 minutes later)
Brief Answer:
Costo-chondritis / stress/ lump in breast

Detailed Answer:
Namaskar.
Dhanyawad; Thanks for your query.
Since your Mother's ECG and Echo are normal, there is nothing serious about it.
The problem may not be critical at all.

You can do a simple test at home (to be confirmed by Surgeon)
Firstly: Put a finger on the point where your mother is saying the pain is. If the pressure is causing more pain this may be a condition called ''costo-chondritis''.

Secondly: There can be painful lump / mass in the breast

Thirdly: there can be increased stress or mental tension ( do not ask a direct question- Most of the females will always say that they do not have any tensions). Is there any history of death in near and dear ones, or family feuds / fights within family?

Get an opinion and examination done by a Surgeon and discuss these points which I have noted. You will get a diagnosis.
He may add a few more tablets and your Mother will be fine.

Please let me know further.
This is not a critical problem but irritates much- worries everyone.


Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. T Chandrakant (6 hours later)
Thanks Dr. But Now She Having the Following Tablets. Tab.Trendz ( Night only after Food ), Tab.Dolonex 20mg ( Morning & Night after Food ) & Tab.Alrab-D ( Morning & Night before Food ), Can u please let me know the above Mentioned Tablet is enough? Dr. advised to have these tablets for 15 days. Last 3 days Back My Mother BP: 160/110. Yesterday Checked BP: 148/100. Previously, She doesnt have BP too.. Kindly advice me.. What are activities/ Health related to be Prevent these kind of problem.. Nobody in my Family Members having these Problems...
She feeling Heart Beat Fast.. More Swetting.. Kindly send the Diet Chart for My Mum!
doctor
Answered by Dr. T Chandrakant (4 hours later)
Brief Answer:
Get to the proper diagnosis.

Detailed Answer:
Hi,

Thanks for your feedback.

The medicines will depend upon the exact problem she has.
I would like to request you again, first to find the cause and reason of pain so that the specific medicines can be given.
She is taking good medicines, no doubt about it.
Please write the composition of the tab Trendz.

The hypertension as suspected already by me , suggests tensions / stress in your Mother. Check the BP again, if still increased- your Doctor may add medicines for this too- I still think, medicines for anxiety may help her to have normal BP as well as have reduced pain.

Nothing specific about the activities and diet is needed except low- salt diet.

If the BP is already increased the pulse rate should go down. You are saying that your Mother is feeling fast heart beat and sweating; this all is again suggestive of anxiety / stress. Please discuss with your Doctor about all this . Consult a Surgeon for a proper check-up to get the proper diagnosis.
May I know which place/ city you are staying now?

Regards,


Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. T Chandrakant (12 hours later)
Thanks Dr. Tab.Trendz 40. Today Morning Checkd BP. 143/95. We advised to take low salt & without NOn Veg, Oil items. Now we are Staying in XXXXXXX District, TamilNadu.
After 2 days we going for Check up, that time i asked our Dr. regarding this( Hypertension ).

One More Doubt. Now Ramzan Month Started. My Mum want to Fasting. Pl advice for the same...
doctor
Answered by Dr. T Chandrakant (56 minutes later)
Brief Answer:
Yes , Mother can fast for Ramzan ...

Detailed Answer:
First of all : convey my greetings and pray that the Holy Month brings peace and happiness in everyone's life,

Continue the medicines. The low salt or no salt diet and medicines for anxiety will reduce her BP to normal.

After 2 days- get all the things checked as I advised already.

Yes, She can very well keep Ramzan fasting; we have many patients and I do advise the medicines to be taken twice a day : at sahoor and after iftar. Let her continue if she is willing to. No problems.

Above answer was peer-reviewed by : Dr. Prasad
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Dr. T Chandrakant

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Practicing since :1984

Answered : 19204 Questions

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What causes pain in chest?

Brief Answer: Costo-chondritis / stress/ lump in breast Detailed Answer: Namaskar. Dhanyawad; Thanks for your query. Since your Mother's ECG and Echo are normal, there is nothing serious about it. The problem may not be critical at all. You can do a simple test at home (to be confirmed by Surgeon) Firstly: Put a finger on the point where your mother is saying the pain is. If the pressure is causing more pain this may be a condition called ''costo-chondritis''. Secondly: There can be painful lump / mass in the breast Thirdly: there can be increased stress or mental tension ( do not ask a direct question- Most of the females will always say that they do not have any tensions). Is there any history of death in near and dear ones, or family feuds / fights within family? Get an opinion and examination done by a Surgeon and discuss these points which I have noted. You will get a diagnosis. He may add a few more tablets and your Mother will be fine. Please let me know further. This is not a critical problem but irritates much- worries everyone.