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Dr. Khaled Tantawi

Dr. Khaled Tantawi

Licensed Physician

الأسئلة المجابة 10424 | نسبة الرضا 98.1%

Doctor

Hello doctor , I have a chest pain and heaviness...

تم تقييم هذه الإجابة:
Hello doctor , I have a chest pain and heaviness on my chest I went to the hospital yesterday all my vital signs are normal , and they did chest x ray, ECG and blood test ( cardiac ) was normal as well , they give me Valium, actually my mom was diagnosed with malignant lymphoma so I don’t know it might be anxiety or panic attacks or stres what to do the pain still there , I used to take anderal before because I have tachycardia but The doctor told me take it when you need it so I didn’t need it until yesterday but I took it ,it’s the same there was no change

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إجابة الخبير: Dr. Khaled Tantawi

Dr. Khaled Tantawi

Dr. Khaled Tantawi

Licensed Physician

الأسئلة المجابة 10424 | نسبة الرضا 98.1%

What is the treatment of chest pain?
  1. conservative management By rest and cold compressor and analgesia in case of muscle spasm
  2. conservative management with avoiding spicy food and eating small meals and avoid eating not less than three hours prior sleeping with antacid , and elevate your head when sleep in case of gastric juice reflux into you esophagus
  3. anti coagulant therapy with aspirin primarely then heparin and thrombolytics with vasodilatores as nitroglycerin and other supportive medications as morphine and enalapril and beta blockers and O2 support
  4. catheterization and stenting
  5. Coronary Artery Bypass Surgery or(open heart Surgery)
  6. it could be associated with lymphatic ca in that case you might need chemotherapy along with radiotherapy and possible surgery for removal
 
What are the cause of chest pain?
  1. Muscle spasm
  2. oesophageal reflux
  3. Acute Coronary syndrome as Angina Or MI and Unstable angina
  4. Valvular heart disease
  5. intra thoracic cancer

What are the associated symptoms with chest pain?
  1. Pain is becomeworst with movemint or coughing or breathing(indicate muscular pain)
  2. Pain induced by bending forward (due to Reflux disease)
  3. Pain and shortness of breath on exertion and relieved by rest
  4. Pain induced By emotional stress
  5. swelling in lower limbs And and Abdomen
  6. weight loss and night sweat with generalized fatigue especially with lymphoma

what are the investigation to diagnose the cause?
  1. clinical examination
  2. ECG
  3. Chest X ray
  4. Echo cardiography
  5. cardiac enzyme
  6. Ph monitor and manometry for reflux disease problem 
  7. I highly Recommend this test for your situation chest and neck ct scan
 
 

إسأل Licensed Physician

Dr. Khaled Tantawi

Dr. Khaled Tantawi

Licensed Physician

الأسئلة المجابة 10424 | نسبة الرضا 98.1%

  • 100% ضمان الرضا
  • انضم الى 8 مليون من العملاء الراضين
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