How to manage chest and back pain?

Question

Hi doctor,

I have been experiencing chest and back pain for the past six months and feel heavy in the mornings. I also feel nauseous in the morning, and sometimes, I experience sudden sharp chest pain while walking.

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

I have reviewed all the tests you have undergone (attachment removed to protect patient identity) and would like to explain the findings as follows: Your total cholesterol to HDL ratio is high, which suggests that you should consider dietary modifications to lower your cholesterol levels. Starting statins may also be necessary. Additionally, your vitamin D levels are slightly low, so I recommend starting vitamin D supplements.

All other test results are normal. However, considering your symptoms, I suggest performing an exercise cardiac stress test to assess for coronary artery disease, as well as a fibrogastroscopy to investigate potential acid reflux.

Thank you for consulting with me.

You can always reach out to me at icliniq.com

Answer 2

Hi,

Welcome back to icliniq.com.

Yes, I recommend undergoing a treadmill test. For cholesterol control, I suggest reducing fatty foods in your diet and increasing your intake of fiber-rich foods and omega-3s (such as fish, fish oil, olive oil, walnuts, etc.). Vitamin D supplements are also necessary; you should take 3000 IU daily. Regarding the low platelet count, it is not highly concerning, but I recommend repeating the test after a week.

Thank you for consulting with me.