Hello dear See radiating sharp pain for short duration can be due to gastric reflux( acidity) or angina pectoris. Differential diagnosis includes myocardial infarction or muscular strain. However for confirmation please get following tests done to know the exact diagnosis and best treatment Serum troponin ECG repeat Stomach USG Serum LDH Serum cpk Serum cck Lft Rft Blood pressure Please share the result with general physician medicine or cardiologist for better clarity Please donot take any medication without consulting the concerned physician Hopefully you recover soon Regards
Hello Chest pain occurs due to many cause According to new guidelines chest pain abdominal pain might have heart issue As your details it’s seems like gastric reflux which come out with burning sensation and alots burping too Kindly follow advice Tab pantop dsr before breakfast Syrup antacid (rebamac) twice a day Head elevated after meal at least 15 minutes and not sleep as well as Avoid spicy food Avoid coffee tea Drink water for good gut maintenance Avoid junk food too Kindly go through ECG if pain sharp radiating to left side shoulder to hand More consult to gastroenterologist and cardiologist if not effective Thanks
You have severe chest + upper stomach pain with night worsening, a sense of doom, and persistent symptoms for 3 days. This is NOT normal. You need medical evaluation now. Your ECG being normal is reassuring, but does NOT rule out dangerous non-heart causes. You should go to the ER today.
Hello Aswadhy By going through your history and evaluation of your health status I must say that nothing to Worry. It seems pain because of gas which increases at its peak at night . Rx - Pantop dsr - before breakfast for 7 days Avoid excessive caffeine, spicy things and drink plenty of normal water , not too hot .
If it persist after taking dsr then kindly do following test as following - CBC blood X-ray ECG repeat
Thank you
Chest pain that comes and goes, especially in combination with extreme fatigue and a sense of impending doom, should not be ignored. Given your symptoms, although your ECG was normal, it’s important to consider other potential causes. It’s possible that the pain might be related to gastroesophageal reflux disease (GERD) or significant anxiety, but it’s also crucial to rule out conditions like unstable angina or aortic dissection. Since your ECG was normal, but you’re experiencing severe and persistent symptoms, it’s advisable to seek further evaluation to exclude other cardiac issues, even without obvious ECG changes. If you haven’t already, it may be beneficial to have blood tests to check for cardiac enzymes and repeat the ECG to look for any subtle changes that may have been missed. Alongside this, considering an upper gastrointestinal evaluation could uncover potential culprits related to the digestive tract causing chest discomfort such as GERD. Reflux can cause increased burping and mimic serious cardiac conditions. Stress and anxiety can also manifest physically in people and contribute to a feeling of chest tightness and fatigue. As a cautious approach, head back to a healthcare provider, particularly cardiology if available, for a more comprehensive assessment. If they determine it’s non-cardiac, they might suggest lifestyle changes such as adjusting diet, small frequent meals, and possibly some form of acid suppression therapy. Don’t let self-care delay you heading back in for an immediate assessment; you know your body best and if you feel the pain intensifying or symptoms such shortness of breath, nausea, or dizziness emerge, go to an emergency room as soon as possible. Taking prompt action is key with these symptoms to ensure your safety.
Hello Aswadhy, thank you for sharing your concern. If your ECG is normal, it might be due to gastric issues. Start this medicine -
-Cap. Pantop + DSR before breakfast × 10 days - Syp. Antacid 2 tsp thrice a day × 10 days.
Follow up after 10 days.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med
