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Issue with brain fog and random pains
Since two weeks I have been getting brain fogs and random pains sometimes on side of chest both sides .. lung area .. chest pain.. left arm .. shoulder
I started taking allegra and pan 20 and it improved. My bp is in control, stress echo is also ok. Chest xray showed Few fibroparenchymal bands seen in bilateral lung fields.
Can you suggest me what this is cause its becoming very difficult to ascertain.
Answers (15)
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Continue with pan D for some days
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Please get a Covid-19 test done.
All the best.
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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 free detailed discussion
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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)
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Continue pan 40 and allegra if you have distress. You can have tab voveron 50 twice daily after food 3days. Consult pulmonologist
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It won’t be possible to guide you without proper history, could be nothing. You need to make a proper consultation.
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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.
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You need to consult superspecialist like pulmonologist
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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.
Next Steps
What you can do now:
1. Continue Pan 20 for at least two weeks before breakfast.
2. Continue Allegra for one to two weeks if it helped.
3. Avoid excess tea, coffee, spicy food and late meals.
4. Maintain good hydration and regular sleep.
5. Do light neck and upper back stretching because muscle tension can cause chest and arm pains.
6. If brain fog continues, consider checking vitamin D and B12. Deficiency of these two is a very common cause.
Health Tips
Seek review if you develop breathlessness, fever, persistent severe pain or weakness in the arm, but based on your tests and pattern, nothing points to heart or lung danger.
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Take Pan 40 and Combiflam
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated
Do consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Its blood circulation problem
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