problemi ma non so di che tipo,

Question #16602

136 days ago

217

problemi ma non so di che tipo, - #16602

Sonia

Buongiorno, sto avendo sintomi che mi preoccupano e vorrei un parere medico. • Dolore/ fitte al centro del petto che vanno e vengono durante il giorno • Fiato corto in corrispondenza delle fitte • Tosse forte che a volte provoca nausea o vomito • Mal di testa e mal di pancia associati ai momenti di fitte Questi sintomi si ripetono da qualche giorno e talvolta durano ore. Non so se sia urgente, ma vorrei un consiglio su come comportarmi e se è necessario recarmi subito in ospedale.

Age: 19

Chronic illnesses: nessuno

300 INR (~3.53 USD)

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Doctors' responses

Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

131 days ago

Chest pain + shortness of breath + strong cough + symptoms lasting hours means this could be more than a simple cold.
want to rule out:
Heart inflammation
Lung infection
Asthma flare
Pulmonary irritation
Acid reflux with esophageal spasm
Early treatment prevents complications.
Please visit nearest physician.

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

131 days ago

Hello Sonia
Il dolore al petto con difficoltà respiratorie può essere segno di condizioni gravi come problemi cardiaci (come l’angina), problemi polmonari (come polmonite, embolia polmonare o infezioni gravi) o altri problemi medici urgenti. Tosse intensa e nausea/vomito associati, oltre a mal di testa e mal di stomaco, aumentano la preoccupazione.
Cosa dovresti fare: - Se il dolore è intenso, ti senti debole, sudi, sei confuso o il dolore si diffonde al braccio, alla mascella o alla schiena, dovresti recarti immediatamente al pronto soccorso. - Anche se questi sintomi non sono presenti, data la combinazione e la durata dei sintomi, è più sicuro farsi visitare da un medico il prima possibile, preferibilmente oggi stesso. - I pronto soccorso possono eseguire rapidamente esami come ECG, radiografie del torace ed esami del sangue per escludere cause gravi e aiutarti a sentirti meglio più velocemente.
Thank you

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

130 days ago

Ciao Sonia, capisco la tua preoccupazione e questo è il mio consiglio.
Ti consiglio di fare urgentemente un ECG e una radiografia del torace in proiezione PA. Dopo questi referti vedremo cosa possiamo fare.

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

136 days ago

Hello dear
As per clinical history it seems probably gastric issue or angina pectoris
Differential diagnosis includes myocardial infarction
I suggest you to please get following tests done for confirmation
ECG echo
Serum troponin
Serum LDH
Serum tsh
Serum cpk
Esr
Stomach USG
Lft
Rft
Please share the result with cardiologist or general physician medicine for better clarity
Please donot take any medication without consulting the concerned physician
Hopefully you recover soon
Regards

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

136 days ago

Hello,
The chest pain may be from cough-related muscle strain, but shortness of breath and chest pain should always be evaluated.
Seek medical attention promptly to rule out serious lung or heart problems.
Go to the ER immediately if pain spreads to arm/jaw/back, is severe/crushing, or you have fainting, rapid heartbeat, or blood in cough.
Meanwhile, rest, stay hydrated, and avoid triggers that worsen coughing, but do not delay seeing a doctor.
I trust this helps
Thank you

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

134 days ago

Considerando i sintomi descritti, è importante prendere sul serio questi segni, specialmente il dolore al petto e il fiato corto. Questi possono infatti essere indicativi di vari problemi, alcuni dei quali potrebbero essere seri. Il dolore al petto associato al respiro corto necessita di valutazione immediata per escludere condizione come l’angina o un infarto cardiaco. Anche se queste possibilità possono sembrare preoccupanti, è cruciale escluderle. È quindi consigliabile recarsi al pronto soccorso, soprattutto tenendo presente che questi sintomi si verificano da giorni e possono durare a lungo. In ospedale, potranno effettuare un elettrocardiogramma per verificare l’attività cardiaca, test del sangue per monitorare enzimi cardiaci, e un rx toracico se necessario, tra altri esami. La tosse forte con nausea o vomito e mal di testa può sovrapporsi a problemi respiratori come bronchite o polmonite, o altre cause come una reazione gastrica. Questi possono richiedere approcci differenti del trattamento, incluso l’uso di antibiotici per le infezioni batteriche o broncodilatatori per i problemi respiratori. Finché non può essere escluso un problema cardiaco o respiratorio significativo, è fondamentale non ignorare i sintomi o restare a casa. Un’ulteriore gestione potrebbe implicare consulenze specialistiche in base ai risultati iniziali, e in tale contesto sarà essenziale seguire le raccomandazioni mediche relative.

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