Continue with pan D for some days

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Your symptoms + normal stress echo + controlled BP + improvement with Allegra & Pan-20 suggest non-cardiac causes — most commonly acid reflux, anxiety, muscle strain, or allergy-related inflammation. Fibro-parenchymal bands on chest X-ray are usually old healed scars from past infections (common after old viral/bronchitis/TB exposure). 👉 They do NOT mean active lung disease and usually do not cause chest pain or brain fog. Most likely causes of your discomfort: Acid reflux/gastritis (improved with Pan-20) Allergic sinus issues → brain fog (improved with Allegra) Muscular pain of chest/shoulders Anxiety/stress (very common when cardiac tests are normal)

Continue pan 40 and allegra if you have distress. You can have tab voveron 50 twice daily after food 3days. Consult pulmonologist

It won’t be possible to guide you without proper history, could be nothing. You need to make a proper consultation.

You need to consult superspecialist like pulmonologist

You can consult me directly on Practo, or reach out via WhatsApp: Eight Seven Six Two Seven Four Nine Nine Seven Four I’ll guide you step-by-step with easy-to-follow treatment plans. Early consultation helps avoid complications — feel free to connect. Only whatsapp message no calls

Take Pan 40 and Combiflam

Please get a Covid-19 test done. All the best. J G S R clinic

Avoid fried and spicy food Water intake more Do connect and consult

Needs to be evaluated Do consult

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

Continue Allegra and pantaprazole for a week. For pain, you can take tab paracetamol 500mg one sos. Fibroparenchymal bands indicate old infection and that can cause pains sometime, but a detailed history is needed for that. Get complete blood count with ESR done and share results.

Your symptoms of brain fog, random chest pains on both sides, shoulder and arm discomfort, and overall heaviness are not coming from the heart. You already have normal BP, a normal stress echo, and your chest symptoms improve with Allegra and Pan, which strongly suggests that the cause is not cardiac. The fibro parenchymal bands seen on your chest X-ray are old healed marks inside the lungs. They do not cause pain, breathlessness, brain fog or any danger. They are commonly seen in people who had minor past infections or allergies. These bands are harmless and usually require no treatment. Your pattern of symptoms fits best with a combination of acidity related chest discomfort, allergy or sinus related issues, and anxiety or over alertness due to persistent worry about the symptoms. All three can create chest tightness, vague pains, shoulder heaviness, left arm discomfort, and a foggy feeling in the head. Acidity can irritate the esophagus and cause chest discomfort. Allergies can produce brain fog and strange chest sensations. Anxiety amplifies normal muscle contractions and nerve sensations, causing random shifting pains in the chest, ribs, shoulders and arms. When these three overlap, it becomes difficult to identify the exact source of pain, but it is not dangerous.

Its blood circulation problem