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How to relieve chest pain that isn’t improving with medication?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 30 years old, and I have had mild chest pain for the past month. I visited a hospital, and the doctor asked me to take some tests. My heart echo test was normal, but the TMT test was positive. My blood lipid profile was tested, and my cholesterol level was below 150, but my HDL was 30. Then, I had a CT scan coronary angiography, which also came out normal. The doctor prescribed me medications for GERD for one month. But I am still having chest pain and also palpitations sometimes. I do not smoke or consume alcohol. My food habits are also good. I do not know if I am going in the right direction or if there is any risk. I have never had such issues in the past and have no family history, too. I am currently taking Rablet for GERD. What should I do? Kindly help.

Thank you.
Answered by Dr. Prashant Valecha

Education:

MD

Professional Bio:

Dr. Prashant Valecha is a General Practitioner with expertise in Preventive and Noninvasive Cardiology. He completed his MD (Physician) from Yerevan State Medical University, Armenia, in 2009, and brings over 14 years of clinical experience to his practice in Bhopal. Skilled in the diagnosis and management of a wide range of cardiac ailments, Dr. Valecha focuses on early detection, risk-factor management, and noninvasive treatment approaches to heart disease. He is committed to patient-centered, evidence-based care, helping patients achieve better heart health and overall well-being through prevention, timely intervention, and clear, compassionate guidance.

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Hello,

Welcome to icliniq.com.

Thank you for your query.

A positive TMT (treadmill test) is an indication of an angiogram. But there can be a 30 percent chance of false positive TMT. As your angiogram is normal, it can indicate two things, either your TMT is false positive, or you may have microvascular angina in which vessels cannot be seen in an angiogram. You can have a tablet of Nicorandil 10 milligrams once a day. You can ask your cardiologist about microvascular angina and why your TMT is positive. Kindly consult a specialist, talk to them, and take medications with their consent.

I hope this has helped you. Thank you.

Medically reviewed by Dr. K. Shobana
Published At April 28, 2023
Reviewed At October 25, 2024

Education:

MD

Professional Bio:

Dr. Prashant Valecha is a General Practitioner with expertise in Preventive and Noninvasive Cardiology. He completed his MD (Physician) from Yerevan State Medical University, Armenia, in 2009, and brings over 14 years of clinical experience to his practice in Bhopal. Skilled in the diagnosis and management of a wide range of cardiac ailments, Dr. Valecha focuses on early detection, risk-factor management, and noninvasive treatment approaches to heart disease. He is committed to patient-centered, evidence-based care, helping patients achieve better heart health and overall well-being through prevention, timely intervention, and clear, compassionate guidance.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Prashant Valecha
Dr. Prashant Valecha

Cardiology

Education:

MD

Professional Bio:

Dr. Prashant Valecha is a General Practitioner with expertise in Preventive and Noninvasive Cardiology. He completed his MD (Physician) from Yerevan State Medical University, Armenia, in 2009, and brings over 14 years of clinical experience to his practice in Bhopal. Skilled in the diagnosis and management of a wide range of cardiac ailments, Dr. Valecha focuses on early detection, risk-factor management, and noninvasive treatment approaches to heart disease. He is committed to patient-centered, evidence-based care, helping patients achieve better heart health and overall well-being through prevention, timely intervention, and clear, compassionate guidance.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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