instruction: hello doctor I am a 39 year old woman I have mild pain in the left side of the chest below the neck and above the breast and then sensation in the upper back from four days it comes and goes sometimes it goes to the right side of the chest also I have done my egg and blood test months ago egg and blood sugar were normal no hypertension but hemoglobin was 10 and vitamin 12 was below average what can I do as in lockdown it is not possible to see the doctor as a person please help
output: hello I would like to ask you some more questions do you have symptoms of acid peptic disease or herd or any burning sensation in the epigastric region the center of your chest heartburn if you do it could also present as chest pain so I will guide you accordingly I would also like to rule out any muscular pain for which I will encourage you to take a muscle relaxant and see if it helps take tablet muscoril thiocholchicoside my one tablet once a day when you experience pain and let me know in the follow up in a couple of days to see if it relieves the pain like you said your vitamin b12 levels are below normal it could also be neuropathic pain for which I will only advise vitamin b12 supplements tablet methycolbalmine once a day for three months or complex supplements you can also improve these levels with diet take diet enriched with beef liver and chicken fish and shellfish such as trout salmon tuna fish and clams fortified breakfast cereal low fat milk yogurt cheese and eggs since your he is also below the ideal levels take iron rich foods which are usually vitamin b12 rich as well so I will advise diet modification to incorporate these in your everyday routine or take supplements with iron and vitamin b12 as well because anemia can also present with the said symptoms lastly I will encourage you to reduce weight with exercise and changing your diet and switching to a low fat diet with the addition of more fruits and vegetables to your diet try to start with atleast 30 40 minutes of cardio workout every day and work it up from there according to your stamina and you will see the visible change that you feel you will feel more active and fresh try to bring your mi body mass index as close to the normal range as you can because obesity itself can cause countless problems as well I hope this helps egg electrocardiography do not lift heavyweights take low fat high fiber diet after two days