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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Discomfort And Pain In The Chest?

Mild Coronary artery disease moorthy123 Hi. I am 47 years old male. For the past 15 months I am suffering with chest discomfort, pain, pain in arm neck.Starting from ECg and up to treadmill tests were done stage by stage . all test reports were normal. Tread mill - 13.15 mts and negative result.But as the pain continued Dr. prescribed Nebulet 2.5 mg and later increased to nebulet 5 mg. I am a controlled diabatic for the past 10 years. As there was no improvement in the pain , Dr advised tocarried out CT angio and the result was negative with 0 value. As the symptom continued , DR advised for angiogram. 15 days before Angiogram was done. The result is like LMCA:Normal LMCA divides in to LAD and LCX, LAD: Is a Type 1 calcifictortuous vessel and shows mild diffuse mid LAD disease withmyocardialbridging, mild diagonal disease. LCx: Is a non dominant vessel, LCx and OMs are normal RCA: Is a dominant vesseland shows minor proximaldisease. PDA and PLV are normal Impression ; Mild Coranary artery disease. But now the Dr to continue only the Nebulet and nothing more. My pain continues and last week I am also getting cough. Totally confused . Please advise
Wed, 26 Feb 2020
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General Surgeon 's  Response
Hello,

The discomfort in the chest suggests underlying reflex issue throughGERD or else as there is history of cough which may be irritating the trachea and esophagus as well. Kindly discuss the need of upper GI endoscopy after trial therapy of proton pump inhibitor and domperidone (if not initiated)

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Causes Discomfort And Pain In The Chest?

Hello, The discomfort in the chest suggests underlying reflex issue throughGERD or else as there is history of cough which may be irritating the trachea and esophagus as well. Kindly discuss the need of upper GI endoscopy after trial therapy of proton pump inhibitor and domperidone (if not initiated) Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon