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Cardiac & Vascular Health
Question #19865
57 days ago
156

let me know if there is any need of ecg - #19865

Fatima

I was sleeping when suddenly I felt a strange chest pain in my left arm, stomach ache, and a feeling of vomiting. Then my left arm went numb, and I had trouble breathing. I passed stool because I hadn't passed stool all day yesterday, and I also ate fast food at night. Then I passed stool and quickly took Inderal. Now it's a little better than before, but there's still some chest pain, and the arm that was numb is also a little better.

Age: 20
Chronic illnesses: Anxiety and IBS
300 INR (~3.53 USD)
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Doctors' responses

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.
57 days ago
5

Hello,

At age 20, heart attacks are uncommon, but your symptoms were concerning .

So just take an ECG and check your vitals.

You can consult a general physician/ emergency care for this.

If its not heart disease other possibilities are anxiety , gastriris, muscle pain

Thank you

1026 answered questions
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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.
57 days ago
5

This does not automatically mean heart disease

Most cases like yours turn out non-cardiac

Getting an ECG is about safety and peace of mind

1504 answered questions
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Based on your symptoms, it might be best not to rule out a serious condition like a heart attack, also known as a myocardial infarction. An ECG (electrocardiogram) could be critical here. Chest pain radiating to the left arm, along with shortness of breath and nausea, are some of the common signs of a cardiac event. Your past intake of fast food and constipation might contribute to some discomfort, yet they can’t fully account for all your symptoms. Inderal (propranolol) can help manage heart rate and reduce certain symptoms, but it doesn’t treat the underlying cause of severe chest pain. Immediate medical evaluation is crucial in cases like yours to differentiate between cardiac and non-cardiac causes. Without professional assessment, there’s a risk of overlooking a potentially life-threatening condition. While waiting for medical help, avoid exertion and stay in a comfortable position. Don’t delay — seeking emergency care is the safest choice to obtain necessary diagnostic tests like an ECG, blood tests, or further imaging. This will help confirm or rule out a heart attack or other critical issues, and guide next steps in treatment. If other possibilities are considered, such as gastrointestinal problems or anxiety, these can be pursued after more emergent causes are excluded. Yet given the potential severity, prioritize reaching medical attention promptly.

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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.
57 days ago
5

Hello dear See you are quite young so chances of cardiac arrest are rare. However for exact diagnosis please get following tests done for clarity ECG echo Serum troponin Stomach USG Chest x ray Serum ferritin Serum calcium Serum LDH Serum rbs CBC Esr Lft Rft Colonoscopy if recommended by gastroenterologist or laproscopic surgeon Please share the result with general physician medicine or cardiologist for better clarity. Please donot take any medication without consulting the concerned physician Regards

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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.
57 days ago
5

Hello Fatima Yes, given your symptoms—sudden chest pain, numbness in your left arm, trouble breathing, and a feeling of vomiting—an ECG (electrocardiogram) is definitely recommended. Even though you feel a bit better now, these symptoms can sometimes be signs of a heart problem, and it’s important not to take any chances, especially since you have a history of high blood pressure and are on heart-related medications.

Here’s what you should do right now: - If the chest pain, numbness, or trouble breathing comes back, gets worse, or you feel faint, sweaty, or have severe discomfort, you should get medical help immediately—don’t wait or try to manage it at home. - Since you still have some chest pain and numbness, it’s safest to get checked by a doctor as soon as possible, even if you’re feeling a bit better. They may want to do an ECG and check your heart.

Why this matters:
Heart problems can sometimes present with these symptoms, and it’s always better to be safe and rule out anything serious, especially since you have a history of high blood pressure and are on medications like Inderal.

In the meantime:
- Rest and avoid any physical exertion. - Don’t take any more medication unless prescribed by your doctor. - If you have someone with you, let them know what happened.

Thank you

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Dr. Bheruram Netar
I am working in general medicine opd from 3 years now and that gave me wide exposure to all kind of patients walking in with different complain, sometimes mild, sometimes really serious. Most common I handle are seasonal allergies, gestational issues during pregnancy, diabetes and hypertension, but I also see cases of infections like dengue or malaria that need quick attention. In OPD you never know what the next case will be, one moment its a child with fever and next a adult with uncontrolled blood sugar, and I learnt to switch fast and think clear. I focus on proper diagnosis first, using detailed history and examination rather than rushing, cause many conditions overlap and can confuse. For example a viral fever might look like dengue in early days, or hypertension can stay hidden till it shows as headache or dizziness. I try to explain to patients in simple words what is happening with their health, as many come with fear and half information. Making them comfortable and giving them trust matters more than only prescribing medicines. Over these years I also developed a flexible approach in management, not every patient need same treatment plan. Like gestational diabetes require a very diff care compared to a young person with type 1 diabetes. Lifestyle counselling became important part of my practice, talking about diet, exercise, sleep routine and follow-up. Even with allergies or seasonal flu, guiding them on prevention and hygiene reduce re-occurence a lot. In opd practice volume is high and decision making has to be quick but safe. Sometimes you only have a few minutes, still I try to balance efficiency with personal care. Seeing patients recover and come back with gratitude motivate me everyday. Working across such diverse case made me more confident, but also humble because medicine is never fully predictable. There are times I doubt, recheck, ask for labs before final call, and I think that caution is also strength.
57 days ago
5

Hello Fatima Which medication you are taking for ibs and anxiety ? Kindly go through ecg And trop t if possible since it’s uncommon it’s doesn’t mean it’s not cardiac It may be cardiac cause Thanks Take tab pantop dsr before breakfast or empty stomach And go for ecg Thanks

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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.
51 days ago
5

Hello Fatima, thank you for sharing your concern. Acute heart issues are uncommon at your age, but never zero. So, yes you should get done an ECG, so that any heart issues could be ruled out.

Also consider getting a physical examination done by a certified Physician to catch the cause of your symptoms.

Here are some tests from my side - CBC, HbA1C, Chest X-ray, Ultrasound of Whole Abdomen + Pelvis. Review with reports.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, DNB d.fam.Medicine

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