Hello,

Thank you for your consult at Doctor Spring.

Chest pain can be due various reasons like cardiac pain, gastric pain, muscular pain etc. Given the history and age possibility of a cardiac pain are high, but as on evaluation there were no positive findings, other reasons need to be evaluated.

Is he having the pain continuously? Is it associated with food intake or does the pain come down even while resting? Was ECG done while he was having an episode of chest pain?

I would recommend that he makes a note of what is aggravating an episode of pain, like spicy food, stress, cold environment, lying on one side etc?

Also he can try taking antacids like tablet ranitidine 150mg twice daily for 5 days to see if this provides relief. If taking ranitidine does not help, he should take tablet voveran 75mg after food when having an episode of pain to deal with muscular pain.

I would recommend that you consult a GP for examination and chest x ray done to see if there is any underlying cause relaetd to chest pain like rib injury or lung infection etc.

Hope this helps. Do write to me for follow ups.
Thank you.

Hello,

Thank you for providing the medication details.

There are few contradicting factor in the information provided by you.



Chest Pain - Most likely non cardiac. GERD related pain (similar to stomach ulcer + regurgitation ). Make sure he is taking the medication Razo D early morning atleast 1 hour before food. Avoid spicy foods, full stomach (Please see some online materials on how to manage GERD).

Your father is having a history of coronary disease. Plus he has Type 2 Diabetes. So if it was me I would cautions and would evaluate this chest pain thoroughly. This will include repeat ECGs, ECHO and Tread Mill test and if required a coronary angiogram. You can discuss these options with your Doctor. She is on Ranozex which is an anti angina medication. However other mainly used anti angina medications are missing from the list you have provided (like Nitrates, Betablocker etc )

He should be taking an anti blood pressure medication called ACE inhibitors under normal circumstances as he is Diabetic. However I could not find this in the list.

Voveran, Robinaxol to be taken only occasionally if there is a strong indication like a musculoskeletal pain. I do not seen any strong indication for Gabaneuron either.

The lower abdominal pain has to be evaluated. He will need a USG abdomen, Urine tests to begin with.
I strongly recommend expert care at a good medical centre. His prescription drugs needs to be revisited.

Hope this helps
Feel free to ask followups.
Thank you

Sure, Do keep me posted.

His blood sugar need to be better controlled. Other than this his blood tests results are more or less normal.
Please refer my earlier reply for medication recommendations. A Cardiologist review should be done. Better diet control should be attempted for 2 weeks. Recheck the FBS and PPBS values. If it still stays high he may need modification of his anti diabetic drugs.

Hope this helps
Thank you