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(1). Your ECG and ECHO being normal is very reassuring, this rules out cardiac causes like heart attack. Type of pain you are describing (worse on pressing, changing with movement or posture, and improving with repetition) is most commonly due to muscle strain or costochondritis, especially after a recent cough and throat infection. Ur left arm pain that changes with arm position also fits musculoskeletal pain that is not heart-related pain. The tightness & suffocation during episodes are very typical of anxiety/panic attacks Right now, focus on: 1.Warm compresses on chest wall 2.Gentle stretching 3.Proper posture 4.Adequate rest 5.Treating acidity/stomach issues if present 6.Managing anxiety (deep breathing, hydration) If pain becomes constant, severe, associated with difficulty in breathinh or fainting or does not change with movement then re-evaluation is needed. Otherwise, ur symptoms are most likely benign and anxiety-related, and you are safe..

(2). In this case, the negative biopsy cannot reliably exclude Celiac Disease because the patient had already been on a gluten-free diet for almost 3 weeks before the endoscopy This can lead to false-negative biopsy results, as intestinal healing begins soon after gluten is removed. Well the blood tests were positive twice, which still keeps Celiac Disease in consideration so at the same time, H. pylori infection can cause similar symptoms and should be fully treated first I think for now Plan should be: 1. Complete the prescribed H. pylori treatment 2. Reassess symptoms after therapy Like by doing gluten challenge later on in which you will start gluten containing diet for several weeks....

(3). Thank you for sharing ur problem here Yes, natural conception is still possible if your tubes are open and intercourse is timed with ovulation but if tubes are blocked or if age-related decline is significant, assisted techniques may be required Please upload your laparoscopy findings so a more accurate assessment can be given..

(4). Hi I m homeopathic Dr shumaila noman sir I have a full course for cure piles it have no side effect plz contact us...