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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For The Condition Of Cardiomegaly

Hi doctor, I m a bit worried about the pain on the upper left side of my chest. This has been going on about 5 yrs now and the pain may last for 5 seconds. There are days when I feel perfectly fine but I notice the pain is more frequent before my period or when I m stressed or anxious. I admit I m really a nervous wreck and I try to relax by working out and getting a massage. Sometimes the pain radiates to my left arm or to my back. I drink coffee everyday (not black) and other caffeinated beverages and for a month now I ve been drinking detox water (lemon,cucumber and mint leaves) which I feel aids in my digestion. By the way, I have hyperacidity and was diagnosed with acute gastritis last 2003. I visited 2 cardiologists last year and underwent 2d echo,ekg and treadmill stress test and the results were perfectly normal. I m just a bit worried because when we had an annual physical exam in the company I work for, my chest xray result showed that I have slight left cardiomegaly. Is this what causes my left chest pain? What may be the reason fot this when my cardio results showed my heart is normal? Please advise.Thanks.
Wed, 28 Jan 2015
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Psychiatrist 's  Response
Hi welcome to HCM
I understand your query and concern.
Cardiomegaly in your case with all cardiac reports being normal could be related to uncontrolled hypertension.Monitor your blood pressure regularly both supine position and in sitting position.Uncontrolled blood pressure will create overload on heart leading to enlargement.Anti hypertensives and anti anxiety drugs will be helpful in your case.Avoid stress and anxiety.Also take antacids like pantoprazole.Exercise regularly.Drink 3-4 litres of water every day.Restrict salt intake to less than 6gm/day.Diet rich in fruits and vegetables,omega 3 fatty acids is helpful.Maintain blood pressure under 130/80 mm of hg.Consult your cardiologist for expert management.
Post your further queries if any,
Thank you
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Suggest Treatment For The Condition Of Cardiomegaly

Hi welcome to HCM I understand your query and concern. Cardiomegaly in your case with all cardiac reports being normal could be related to uncontrolled hypertension.Monitor your blood pressure regularly both supine position and in sitting position.Uncontrolled blood pressure will create overload on heart leading to enlargement.Anti hypertensives and anti anxiety drugs will be helpful in your case.Avoid stress and anxiety.Also take antacids like pantoprazole.Exercise regularly.Drink 3-4 litres of water every day.Restrict salt intake to less than 6gm/day.Diet rich in fruits and vegetables,omega 3 fatty acids is helpful.Maintain blood pressure under 130/80 mm of hg.Consult your cardiologist for expert management. Post your further queries if any, Thank you