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I had chest pani past one years
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Cardiac & Vascular Health
Question #11531
260 days ago
414

I had chest pani past one years - #11531

Janeera

I had chest tightness discomfort pain on left side of chest and shoulder back sideI do ecg boder line t wave veriation and echo normal doctor said no problem butI have pain and that pain comesIhave discomfort on chest little bit breath lessness whatcanIdowhat is the problem

Age: 25
Chronic illnesses: I have headeach 4 years
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Doctors' responses

Dr. Abhishek Gill
I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.
259 days ago
5

Hello dear, Your Echo report being normal rules out many cardiac diseases.

For in between chest pain, you can take painkillers like Tablet Paracetamol 500mg when required.

If chest pain is severe and not relieved or there is any other associated symptom,I suggest you to visit nearby doctor immediately for further management.

Take care.

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Having persistent chest discomfort can be concerning, especially if it’s coupled with breathlessness. While your ECG showed borderline T wave variations and you’ve had a normal echocardiogram, these are just pieces of a larger puzzle. It’s crucial to consider other potential causes for your symptoms. Musculoskeletal issues, like costochondritis or a muscle strain, can present with similar symptoms, affecting the chest and shoulder, especially if there’s been any physical activity or strain. Gastrointestinal problems, such as acid reflux or GERD, could also lead to chest discomfort and should be considered if you experience these symptoms after meals. Anxiety and stress are common causes of chest discomfort that may also coincide with shortness of breath, especially if there’s no other underlying cardiovascular issue.

Given your history of repetitive discomfort and breathlessness, further investigation might be warranted. Consider monitoring any specific triggers or activities that seem to exacerbate the symptoms, such as physical exertion or stress. It may be worthwhile to consult with a cardiologist for a thorough evaluation, including potential further testing such as a stress test or Holter monitor if there’s any suspicion of heart-related issues. Since some conditions, like variant angina or microvascular disease, might not show up on standard tests, specialized assessments could be necessary. If the pain intensifies or is accompanied by additional symptoms like sweating, nausea, or severe shortness of breath, seek immediate medical care as these could be signs of a more serious condition. For now, ensuring adequate rest, avoiding heavy physical activities until a clearer diagnosis is obtained, and maintaining a log of your symptoms might help in identifying patterns or triggers. Proper evaluation is key; consider lifestyle factors such as diet, exercise, and stress management, which might influence your symptoms.

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