HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Is Pain In Heart, Ear And Jaw With History Of Atrial Fibrilation Serious?

I have atrial fibrilation with tachycardia. I had a cardiac ablation over a year ago. I am currently taking DIgoxin Tykosin and Methoprolol. Yesterday I was in rapid a fib but it settled down. I also have a hiatal hernia, esophagitis, barretts espohagus and an ulcerated stomach. this morning I am having gripping heart pain in middle of my chest along with a pain in right ear and a milder one in right jaw. Should I be concerned?
Mon, 16 May 2016
Report Abuse
Internal Medicine Specialist,  's  Response
Brief Answer:
You should make an ECG and measure the digoxinemia levels in blood, to exclude heart as the origin of this symptoms. You should take a good treatment for esophagitis and gastric ulcer.

Detailed Answer:
Hello,
Thank you for using HCM.
The pain the way you prescribe it, looks more likely to originate from gastrointestinal system than from the heart. Eventhough, being diagnosed with atrial fibrillation and having experienced high heart rates , it would be more accurate to make an ECG, to exclude other pathological changes.
The elevated digoxin levels in blood may for it self cause high heart rate and pain also. That's why an important evaluation in your case should be digoxinemia levels in blood.
On the other hand , it's needed an adequate treatment of esophagitis and gastric ulcer, which may have caused this sort of pain also. You should receive full dose of PPI drugs such as Omeprasole (Biocid) 40 mg , twice a day , 30 minutes before breakfast and dinner. You should avoid spicy food, frighted food, sparkling , tomato, caffeine. I would suggest you a strict follow up by the gastroenterologist.
Hope this is helpful.
Let me know if you need more clarifications. Otherwise please close and rate the answer.
Kind Regards,
Dr. Juarda
I find this answer helpful
Note: For further queries related to coronary artery disease and prevention, click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Cardiac arrhythmia


Loading Online Doctors....
Is Pain In Heart, Ear And Jaw With History Of Atrial Fibrilation Serious?

Brief Answer: You should make an ECG and measure the digoxinemia levels in blood, to exclude heart as the origin of this symptoms. You should take a good treatment for esophagitis and gastric ulcer. Detailed Answer: Hello, Thank you for using HCM. The pain the way you prescribe it, looks more likely to originate from gastrointestinal system than from the heart. Eventhough, being diagnosed with atrial fibrillation and having experienced high heart rates , it would be more accurate to make an ECG, to exclude other pathological changes. The elevated digoxin levels in blood may for it self cause high heart rate and pain also. That s why an important evaluation in your case should be digoxinemia levels in blood. On the other hand , it s needed an adequate treatment of esophagitis and gastric ulcer, which may have caused this sort of pain also. You should receive full dose of PPI drugs such as Omeprasole (Biocid) 40 mg , twice a day , 30 minutes before breakfast and dinner. You should avoid spicy food, frighted food, sparkling , tomato, caffeine. I would suggest you a strict follow up by the gastroenterologist. Hope this is helpful. Let me know if you need more clarifications. Otherwise please close and rate the answer. Kind Regards, Dr. Juarda