Conversation: The conversation between human and AI assistant.
[|Human|] hello! i am ruby aged 50 yrs wght 85kg and height5.2".i have high bp and high cholestrol and i am taking routine medications for that.for the last one week i have pain in my chest and also in the back.i took an ecg after the doctors consultation.in the ecg report its "sinus rhythm leftward axis otherwise normal ecg". doc said its normal ecg and gave an inj for the pain and some tablets for the gas trouble but my pain continues. pls help me.
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. Normal ECG does not rule out heart diseases in all cases. ECG can be normal at rest despite heart disease. You are having risk factors for heart diseases like age of 50 years, hypertension, high cholesterol levels etc. So we should definitely investigate thoroughly for heart diseases in your case. So get done 2d echo, stress test (trade mill test) and Coronary angiography (if required). If all these are normal then no need to worry about heart diseases. Sometimes, simple musculoskeletal pain can be the cause. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Apply warm water pad on affected areas. Take simple painkiller like ibuprofen. Don't worry, you will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.