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What Causes Persistent Mild Chest Pain?

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Posted on Wed, 6 Jun 2018
Question: Hi Doctor,
My mother is suffering from a mild chest pain for the last three days. Did her
doctor
Answered by Dr. Sagar Makode (36 minutes later)
Brief Answer:
Likely a reflux disease but needs ecg

Detailed Answer:
Hello,
As you mentioned acute gastritis problem, the possibility is of gastritis and reflux disease. The chest pain occurs due to reflux of acid into our food pipe. Does she also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated.
However, she being diabetic which is a risk factor for heart disease and sometimes heart symptoms mimics gastritis, it's advisable that she should have one ecg atleast. So get ecg done from any nearby centre and you can upload here as well.
She should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals.
She should get prescribed antacid prokinetic medicine, tab Pan DSR 40 mg or Tab Rabicip D 20 mg beforebreakfast once a day for 1-2 weeks depending upon the response.
If not adequately relieved, then she should add Syr sucral O or gelusil two teaspoon three times a day for a week.
Hope this helps you and get back if you have any doubts.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Sagar Makode (19 minutes later)
Trying to send the ECG reports but there is some technical issues. Any other way how to send the ECG reports to you.

Thanks,
xxxxxxxxxxx XXXXXXX
doctor
Answered by Dr. Sagar Makode (2 minutes later)
Brief Answer:
Mail to YYYY@YYYY

Detailed Answer:
You can mail it to YYYY@YYYY with subject as "Attn: Dr Sagar Makode"
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Sagar Makode (22 minutes later)
Reports Attached. Kindly check.
doctor
Answered by Dr. Sagar Makode (4 minutes later)
Brief Answer:
Its normal

Detailed Answer:
I have gone through the ecg. ECG is normal so unlikely to be of cardiac pain. So give her antacid prokinetic medicine which I mentioned in previous discussion. All the best.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Sagar Makode (15 minutes later)
Hi doctor,

Observation as mentioned in the ECG:-

1) 800: Sinus Rhythm
2) 633: ST-T Abnormality (II)

What is the meaning?

Thanks,
xxxxxxxxxx XXXXXXX
doctor
Answered by Dr. Sagar Makode (5 minutes later)
Brief Answer:
Its acceptable ECG change not amounting to abnormality

Detailed Answer:
Its a machine generated report and is frequently inaccurate. Slight change outside its fed data, the machine will interpret as abnormal. There are minor changes in but those are normally seen and not amounting to abnormality. So the ECG is considered as normal.

Regards

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1867 Questions

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What Causes Persistent Mild Chest Pain?

Brief Answer: Likely a reflux disease but needs ecg Detailed Answer: Hello, As you mentioned acute gastritis problem, the possibility is of gastritis and reflux disease. The chest pain occurs due to reflux of acid into our food pipe. Does she also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated. However, she being diabetic which is a risk factor for heart disease and sometimes heart symptoms mimics gastritis, it's advisable that she should have one ecg atleast. So get ecg done from any nearby centre and you can upload here as well. She should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. She should get prescribed antacid prokinetic medicine, tab Pan DSR 40 mg or Tab Rabicip D 20 mg beforebreakfast once a day for 1-2 weeks depending upon the response. If not adequately relieved, then she should add Syr sucral O or gelusil two teaspoon three times a day for a week. Hope this helps you and get back if you have any doubts.