Gnawing Chest pain radiating to left arm

2025-03-25 08:56:09
Dear Doctors for many many days now I am having extreme difficulty talking that's affecting my day to day life. Whenever I am trying to talk after a few seconds I start feeling breathless, I start having a gnawing burning chest pain in the centre of the chest that goes down my left arm and the back of my neck also starts paining and I start sweating. This happens everytime I talk. It's affecting my day to day life severely as I am not being able to talk. How to heal ? Please help.
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Most likely could be a coronary artery disease with chronic left ventricular failure. Further history needed - duration of breathlessness, is it increasing progressively? Does it reduce spontaneously in few minutes or on sitting down? Do you have hypertension and or diabetes? Do you smoke and or drink alcohol?
Next Steps
need to do electrocardiogram, cardiac echo, cardiac troponins and cardiac B natriuretic peptide, lipid profile.
Health Tips
Avoid stress, lifting or  pushing heavy weights, fatty food, alcohol and tobacco use.

Answered2025-03-27 05:16:56

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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

Answered2025-03-27 05:06:19

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Hello , Kindly consider having a Tele-Consultation with me on PRACTO App since adequate patient history is required for proper treatment and further follow up . Thank You

Answered2025-03-26 12:09:47

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Dear Patient,  Your symptoms—**chest pain, breathlessness, left arm/jaw pain, and sweating triggered by talking**—are **red flags for potential cardiac or serious neurological issues**. This requires **immediate medical attention**. Here’s why:  --- ### **Urgent Concerns:**  1. **Possible Cardiac Cause**:     - Angina or heart attack (even in young women).     - **Do NOT ignore**: Symptoms worsen with exertion (talking counts!).  2. **Other Critical Causes**:     - Aortic dissection, pulmonary embolism, or severe acid reflux (GERD).  --- ### **Immediate Actions:**  ⚠️ **Visit the ER Immediately** if:     - Pain lasts >15 minutes.     - You feel dizzy or faint.  ⚠️ **Do NOT self-treat or wait for online advice.**  --- ### **Next Steps (After Emergency Ruling Out):**  1. **Cardiac Workup**:     - ECG, Troponin test, Stress Test, Echocardiogram.  2. **GERD/Neurological Evaluation**:     - Endoscopy (if reflux suspected).     - MRI (if neurological signs present).  --- ### **Why Consultation is Non-Negotiable:**  - Your symptoms **match life-threatening conditions**.  - Delayed care risks irreversible damage.  📱 **For immediate guidance, contact me on WhatsApp**: **Eight Zero Zero Nine Eight Two One Three Three Two** 

Answered2025-03-26 09:51:04

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Kindly connect…

Answered2025-03-26 05:10:38

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This is not something to be dealt online. Kindly visit nearby physician and get ECG and other tests is necessary

Answered2025-03-26 03:13:32

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You need to do a 12 lead ECG and consult a physician or cardiologist in your area for a clinical examination and appropriate management.

Answered2025-03-26 00:57:26

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Thank you for sharing your concern. Immediately visit your local physician to treat you as soon as possible

Answered2025-03-25 14:57:40

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ECG advisable read by cardiologist or md physician.to be in safer side. Trop I test.blood Till then tab nexproRd40 one in empty stomach for two weeks. MUCAIN GEL 10 ml without water nothing by mouth till 30 minutes. Can be taken three times, specially when u fill burning pain R u obes? Shortness of breath effect due to that. Try Isorbid nitrate tab just put under toung it dissolve with saliva you can put upto four tab, observ whether pain goes or remain same. If it short out pain u must go for echo tmt what ever advised by cardiologist.

Answered2025-03-25 14:48:17

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Hi, I understand your concerns. It's important that you meet a doctor and get an ECG done first. If you require a detailed consult you can connect but I would strongly suggest an immediate ECG and further evaluation as required. You might be asked to get cardiac enzymes or an x ray done too. You should do that. Take care

Answered2025-03-25 13:55:55

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Do ECG and review with reports.

Answered2025-03-25 13:55:08

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Do connect and consult Will help you

Answered2025-03-25 13:48:00

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Adv ECG at earliest Refer to an ER
Next Steps
Emergency Medicine

Answered2025-03-25 12:47:42

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Consult with a Cardiologist ASAP
Next Steps
ecg 12 leads

Answered2025-03-25 12:44:26

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Need few more details kindly consult

Answered2025-03-28 02:53:57

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Consult online

Answered2025-03-27 06:24:26

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Take pan d and allegra m

Answered2025-03-26 09:09:56

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Kindly consult once physically to nearby hospital

Answered2025-03-26 06:12:08

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This needs evaluation. Visit a nearby cardiologist.

Answered2025-03-26 04:44:24

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-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as - -Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history. Please follow good life style as • take plenty of fluid and • take less spicy and fatty foods and • take home made food only and do exercise regularly with yoga and meditation and • keep positive attitude to fight any disease and any problem of your life .

Answered2025-03-26 03:29:34

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Pls connect

Answered2025-03-25 16:48:21

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Please do an Ecg

Answered2025-03-25 15:52:58

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If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.

Answered2025-03-25 14:43:26

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

Answered2025-03-25 14:00:37

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You need immediate doctor consultation. Please visit nearest hospital for hospital for physical check up and further investigation.

Answered2025-03-25 13:16:56

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Do consult. Get blood tests done and have a follow up.

Answered2025-03-25 12:54:24

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