Nitro (Nitroglycerin) and Angina

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Teri16
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Date Joined Dec 2003
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   Posted 4/10/2005 10:10 AM (GMT -6)   
 
A question in another thread here led me to open this new topic about Nitro.
 
I've used it for years (unfortunately) so not only do I have first hand knowledge, but can perhaps offer up a few answers to some questions.  I know a lot of others here are in the same boat!~So Please!  Don't hesitate to join in the conversation here. yeah
 
First and foremost, if you have been given nitro and told to use it for chest pain/discomfort for possible angina then that is what you do!
 
At the first sign of this chest pain, you take 1 tab. sublingually (under the tongue) and wait 5 minutes.  If the tablet is working, you will immediately (if they are still good) start feeling a slight tingling sensation under your tongue.  Then a strange sort of feeling in your head like the blood is rushing there.  Almost immediately after that many will find themselves with a really bad headache due to the arteries dilating, or widening~that will resolve with time, or later on with acetaminophen tablet.
 
If this does not help you after the first tablet of Nitro.  Take another one after that first 5 minutes has elapsed.  If you continue with the angina/chest pain, or discomfort, then you take a 3rd Nitro and call 911!!  You could be having a Heart Attack and this is not a time for speculation-you just get to the Emergency Room!!
 
So here is the Nitro protocol;  1 tab. every 5 min.'s X's 3.  Call 911 if there is still ongoing pain or discomfort!!  Unless your Dr. has given you different information/or instructions!
"Because he is he and I am I."......E. V. Lucas


Teri16
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Date Joined Dec 2003
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   Posted 4/10/2005 11:35 AM (GMT -6)   

For people that also have GERD or Asthma, these things can also mimic the chest tightening, or even arm pain that feels like angina. 

Guess What?  If you have known angina, you still take the nitro!  It won't hurt you and it some cases if it's caused by your bronchioles spasming, or esophageal spasming, it may also help that as well. yeah But you never want to take a chance and guess that it's something else, and then not take the nitro.

I have all three of the above, and I've taken the nitro and found out it was GERD, or asthma later, but I never wanted to take the chance in case it was the angina.

Be Well.  Hugs, Teri tongue


"Because he is he and I am I."......E. V. Lucas


pandacrazy
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Date Joined Jan 2005
Total Posts : 1326
   Posted 4/10/2005 1:33 PM (GMT -6)   
I have all of the above and then some as you know Teri. Here's another question for you. What if you get the shoulder, arm, neck pain thing? I rarely get the chest pain. Once in a while I get pain that my asthma inhaler relieves but that is when exercising I've had that for years since I was diagnosed in 2000 with asthma.
Confused in Wisconsin.

ChevyAsylum
Regular Member


Date Joined Mar 2005
Total Posts : 84
   Posted 4/10/2005 3:01 PM (GMT -6)   
I spoke with my new cardiologist and he said there were 3 things for which nitro could be an effective treatment: CAD (of course), Pulmonary Hypertension and esophogeal spasms.

He didn't mention athsma, but I see how it could help, being a vasodilator. I spose that PH could be related to or interact with the athsma.

I'm not sure about the upper torso pain and arm, Barb. But if the inhaler helps..well, maybe it's a result of insufficient oxygenation to that area of the body. I'm sure no doctor, so I really don't know...but it kinda seems logical...I think.

Searching thru Google (breifly) led me to several sites that appear to mention PH and asthma together. But I didn't find anything that came out and stated anything concrete.
Ray

ChevyAsylum.com


Teri16
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Date Joined Dec 2003
Total Posts : 5230
   Posted 4/10/2005 3:57 PM (GMT -6)   
Barb, I don't usually get any chest 'pain' either.  What I do get is a feeling that there is a tightness in the middle of my chest/sternum and sometimes feels as if it takes my breath away.  Uncomfortable feeling?, but no actual pain.  I get the arm, shoulder and even back pain.
 
When I was hospitalized a few wks. ago and cathed, prior to the cath and the helicopter ride was my very time that I really ever had what you would call crushing chest pain!  Hope I never have that one again. nono
 
So with all that said, that is when I'd be taking the nitro, especially with the arm and shoulder involvement-classic symptoms!
 
Hugs, Teri
"Because he is he and I am I."......E. V. Lucas


Teri16
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Date Joined Dec 2003
Total Posts : 5230
   Posted 4/10/2005 4:02 PM (GMT -6)   
PS Let the Doctor's make the diagnosis!
"Because he is he and I am I."......E. V. Lucas


gordspen
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Date Joined Aug 2003
Total Posts : 822
   Posted 4/11/2005 8:30 PM (GMT -6)   
Nitro was discovered to be helpful to angina sufferers by accident. As you must all know Nitro is an explosive and it was found that it helped angina sufferers when someone working in a lab and who suffered from angina noticed they had relief whenever they inhaled the fumes from the nitro.

Another terrible symptom for some users of the nitrate group of tablets is severe head aches and heavy nose bleeds. In the worst cases it can cause bleeding from the lungs. I am one of those unfortunates and as such I take captopril instead. I use the nitro spray which acts quicker into the blood stream than do the tablets.

You are correct though Barb some have chest pain and a feeling like there is a lump in the throat. some also experience a sensation which travels into the jaw as well.

God bless,

Gordon and Michelle


When you feel you have had enough of the world and what it throws.
 
Just tune into the Archers on the BBC radio 4 and just listen :- Sorry no news until I have had the chance to catch up with the serial.


Teri16
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Date Joined Dec 2003
Total Posts : 5230
   Posted 4/12/2005 9:43 AM (GMT -6)   
Thanks Gordon! yeah
 
I'd never heard the beginnings of the nitro story and how it came about, so that was interesting!
 
Hugs, Teri tongue
"Because he is he and I am I."......E. V. Lucas


pandacrazy
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Date Joined Jan 2005
Total Posts : 1326
   Posted 4/12/2005 8:37 PM (GMT -6)   
Hi all, thanks for your responses. Do any of you have a kind of pressure feeling on your chest when laying down? I feel like I can't breath. I've had to take my inhaler and nitro for that. It helps for a while but seems to come back. I couldn't walk yesterday. It took me forever to get back home because my inhaler wasn't working and I was afraid to take the nitro after what it made me feel like Friday night. I did take one when I got home and in my chair. Only made it a few blocks tonight. This really sucks because I really had my endurance up there for walking. I go next week to have my stress test done again. I think I will call them again and let them know all the problems I'm having so maybe he'll do the nuclear study also. I want them to figure out what is wrong with my heart so they can go onto figuring out what is wrong with my esophagus. The Physicians assistant I saw today said the gastroenterologist won't touch me until they say my heart is ok. Which I guess I can understand. This is all really frustrating because at the present time I am trying to convince my work to hire me on full time so insurance is cheaper and can maybe quit my night job. I have been waiting 5 years for the other lady to quit so I could do this but they have to submit a proposal to city council to vote on. Some people are against it because it will cost the city more for my insurance, but at least I have my boss on my side. Talk to you all later. Barb

pandacrazy
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Date Joined Jan 2005
Total Posts : 1326
   Posted 4/12/2005 8:38 PM (GMT -6)   
Hey Ray what is PH stand for?

ChevyAsylum
Regular Member


Date Joined Mar 2005
Total Posts : 84
   Posted 4/12/2005 9:14 PM (GMT -6)   
PH stands for Pulmonary Hypertension....here's a website that does a pretty good job of explaining it:
http://www.phassociation.org/Learn/What-is-PH/

This is from the first paragraph on that page:
"Pulmonary hypertension is a rare blood vessel disorder of the lung in which the pressure in the pulmonary artery (the blood vessel that leads from the heart to the lungs) rises above normal levels and may become life threatening."

Hope that helps (hth)

Ray
Ray

ChevyAsylum.com


pandacrazy
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Date Joined Jan 2005
Total Posts : 1326
   Posted 4/13/2005 8:17 AM (GMT -6)   
That doesn't sound too fun. Hope I don't have that too. Barb

gordspen
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Date Joined Aug 2003
Total Posts : 822
   Posted 4/13/2005 11:55 AM (GMT -6)   
What you describe Barb is exactly the same thing that I go through. When going to bed it is better to make sure you are raised on the pillow and this will help you when sleeping. In my case the arteries are severely diseased and I have only the LAD and a veinal graft supplying any blood to the heart muscle at all. I do return for more tests soon and maybe if I am lucky they will be able to do something for me. The likelyhood though is very low indeed. Doctors around the world are presently experimenting with various treatments for patients who like me are very difficult to treat if treatment is possible at all, other than tablets to help me go on. One form of treatment being offered here in the UK is a treatment called Percutanious myocardial revascularisation, another is the fitting of an internal TENS machine connected to the nerve on the Spinal cord. The latter treatment offering pain relief only. The worst thing about heart disease is that the symptoms can vary so much in people and the differences are unique to each person.

God Bless,

Gordon and Michelle
When you feel you have had enough of the world and what it throws.
 
Just tune into the Archers on the BBC radio 4 and just listen :- Sorry no news until I have had the chance to catch up with the serial.


pandacrazy
Veteran Member


Date Joined Jan 2005
Total Posts : 1326
   Posted 4/13/2005 7:29 PM (GMT -6)   
Hi Gordon I always sleep on a wedge because of my acid reflux disease but I still feel like I can't breath when I lay down this last week. Even putting my chair back makes me feel like I can't breath. Well hopefully I'll find out next week if it is my heart or something else. So far the only thing wrong with my heart was a major blockage of the LAD which was fixed with a stent on 1/4/05. I'm hopeing it isn't closeing back up. I hope they find something to help you out with your heart problems. You never know what they may come up with. Barb

brooke21
New Member


Date Joined May 2005
Total Posts : 2
   Posted 5/10/2005 1:02 PM (GMT -6)   

Hi, I am new to this forum. I have been having a burning pain in my chest off and on for over a month. Doctor ran cardiac tests on me a couple of years ago, including stress, nuclear, echo, even saw an electrophysiologist, he agrees my heart is fine. What could be causing this pain. There is no pattern. Went yesterday for EGD, it was fine. I take ativan and the pain decreases. Could this mean I am a nervous nut?

Brooke21


Teri16
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Date Joined Dec 2003
Total Posts : 5230
   Posted 5/10/2005 1:28 PM (GMT -6)   
Hi brooke21, and Welcome to HealingWell!! tongue
 
Well, it seems you have a great sense of humor and if you can maintain that through all the pain and all the testing, you've got a great start already!! yeah
 
Quite frankly, I'm not a Dr., so I cannot diagnose your symptoms.  The burning pain might suggest to some of us with GERD that it's a reflux or a type of heartburn perhaps, but you say they ruled out the reflux.
 
May I ask if you have any other symptoms that go along with this? 
 
I would talk to the gastroenterologist that did your EGD (endoscopy) and see if he/or she has any other thoughts re this?
 
Since it's been so long since you've seen a cardiologist, if your symptoms point in that direction, then maybe your regular Dr. could give you a referral back there, if that's indicated.
 
Much good luck to you and please keep in touch and let us know how you are doing!!
 
Teri tongue
"Because he is he and I am I."......E. V. Lucas

"I Hope You Dance".............LeeAnn Womack
 
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brooke21
New Member


Date Joined May 2005
Total Posts : 2
   Posted 5/11/2005 5:31 PM (GMT -6)   

Hi Teri, Thanks for responding back to me. Had another bad spell last night and had to go to er. Doctors ran tests, ekg, oxgen level, chest x-ray, blood work. Says my heart is fine. I am now scheduled for a gall bladder test Friday and a stress test Wednesday.

Along with burning chest pain, I have chills, sweating and dizziness. Dizzines lasts only seconds.

It gets really scary...


Brooke21


Teri16
Veteran Member


Date Joined Dec 2003
Total Posts : 5230
   Posted 5/11/2005 7:52 PM (GMT -6)   
brooke21, I am so sorry to hear of your night last night!!  The testing of the gallbladder may be heading in the right direction.  I had lots of problems with mine, as have many others here and we all know that isn't a bit of fun!  I really hope they figure this one out quickly for you, brooke21!!
 
Big Hugs, Teri tongue
 
PS  I had my gallbladder removed in Feb. 2004.  The Ultra sound was normal.  During the egd test they took samples of the bile from the GB and found "talcum powder".  The "acid" test so to speak was the HIDA scan, which showed that it was not functioning.  So hang in there~Wishing you the best!!
"Because he is he and I am I."......E. V. Lucas

"I Hope You Dance".............LeeAnn Womack
 
Please allow HealingWell to continue helping others by donating:

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