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.
Answers (26)
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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.
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
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.
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
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**
-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 .
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.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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