I need more details . Kindly consult me on practo

As your ECG and troponin are normal, your symptoms are most likely related to upper gastrointestinal issues.Continue with the same medicines for a few more days.Consider consultation with a cardiologist if no improvement is observed

I need more details kindly consult me on practo

If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion

Ecg is one month old but reassuring Continue your treatment and avoid alcohol and spicy food. Do exercise

Could be due to acid reflux. Take small, frequent meals. Avoid fatty, spicy and sugary food. Take more of fresh green vegetables and fruits. Continue nexpro. Get cardiac echo and TMT done to exclude any heart problem.

Right  prescription. 

Ecg is normal which is reassuring .sometimes gerd also mimic these symptoms.please consult me on practo for further management and evaluation.

I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.  Contact me on Practo or WhatsApp chat. 92469306sevenfour Dr. Harichandana,  MBBS, MD (General medicine)

Need some more details kindly consult

ECG is one month old . Kindly consult with me on 94 two six eight six 78 nine six.

Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

Since: • ECG normal • High-sensitivity troponin normal • Symptoms improved with Nexpro (esomeprazole) + Kinipride (prokinetic) This strongly suggests your chest tightness was gastro-esophageal reflux (GERD) related, not cardiac. Chest burning + tightness that improves with PPI = typical reflux pattern. However, mild residual tightness can persist because: • Esophageal inflammation takes time to fully heal • Acid suppression was only for 10 days (often insufficient) • Stress/anxiety can perpetuate chest muscle tightness • Gastric motility may still be slow The normal cardiac workup is reassuring.

ECG and high-sensitivity troponin are normal, which is reassuring. Since symptoms improved with Nexpro, it is likely acidity/GERD related.

Dear Patient, Since your ECG and high-sensitivity troponin were normal, a serious heart problem is very unlikely. The improvement after taking Nexpro (acid reducer) and Kinipride (motility medicine) also suggests that your symptoms are most likely due to acidity / GERD (acid reflux) with esophageal spasm or gastritis. Mild tightness can still persist for some time because the food pipe remains sensitive even after acid control. What you should do now: • Continue Nexpro 40 once daily before breakfast for another 2–4 weeks (if not already completed course). • Take small frequent meals; avoid spicy, oily, citrus, coffee, and late-night eating. • Do not lie down for at least 2 hours after food. • Elevate head end while sleeping. • Reduce stress and anxiety (they worsen chest tightness). • Warm water sipping or antacid syrup can help during episodes. When to worry: • Chest pain on exertion (walking, climbing stairs) • Pain radiating to left arm/jaw • Severe sweating, breathlessness, dizziness If symptoms persist despite 3–4 weeks • Increasing PPI dose or adding antacid • Endoscopy (if recurrent) For further guidance and treatment adjustment, you can text me on Practo anytime.

It's Acid reflux But get one ECG done

Bland diet helps

Gastritis Avoid spicy foods Avoid coffee and tea in empty stomach Use more of curd and butter milk Drink plenty of water

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Need a few more details please consult for further evaluation and treatment

Needs thorough evaluation .let's discuss for treatment.