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About Dr. Ravindra Bhaskar Ghooi
Expertise
I can provide information on drugs and medicines, their actions, uses, interactions and adverse effects. To avoid confusion, generic names of medicines may please be provided. I am a pharmacologist, having worked on animal and human pharmacology, and presently I am the Dean of Bilcare Research Academy, where we teach courses on clinical research. We dont work on saturdays and sundays, hence questions reachng me on these days will be replied on Monday, please bear with me.

 
   

You are here:  Experts > Health/Fitness > Pharmacology > Pharmacy > Cofusion regarding Cardiac Pain V/S NCCP

Topic: Pharmacy



Expert: Dr. Ravindra Bhaskar Ghooi
Date: 3/1/2008
Subject: Cofusion regarding Cardiac Pain V/S NCCP

Question
Helo,

I am 38 years old.My Height is 5 ft 8 inches & my weight is 97 kg.For Last 3 years i am taking Medication for BP. In the morning I take Losar H & i was also prescribed Aten 5o to be taken at night.wfich i have discontinued for last three months.I was also taking Veloz M ( Rabeprazole + Mosapride for approx one year )for acidity, but lately it was not giving any relief. I consulted a doctor & now he has presribed , Izra 40 (Esomeprazole)& Izra D 40mg (Esomeprazole & Domperidone)& Naunxit. I take Alchole occssionaly.I don't smoke. from Last 15 days I have started exercising for 40 to 50 minutes.
My ouestion is that lately my BP shoot UP (100/140- pulse-110).Also for some time i am having constant pain in my Left upper arm, some mild pain below my chest in the ribs,  Chest pain for short duration .Due to this i feel lot of anxiety. I occassionally take Clonotril .05. Kindly let me know that if i am getting right medication, & if not what should i do?



Answer
Hi Atul,
Your symptoms require investigation. There are a number of possibilities.
1. You are becomming refractory to losar H and hence the dose may have to be adjusted.
2. You have severe gastric reflux and that is causing effects which are similar to cardiac pain
3. You actually have cardiac pain.
Now we do not know which one of the above is true, that will be revealed by investigations.
A simple ECG and may be an echo will reveal the status of your heart may be TMT will be required, but dont undergo angiography for no reason.
Endoscopy will confirm if gastric lining is ok.
Since ECG is less traumatic than endoscopy, take this first, and then let us see. Any competent cardiologist can do it, if you tell me which city you liv I may be able to suggest one.
Best wishes
Ravi Ghooi

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