Dr. Jetsada Bunyavongvirojn, Deputy Director of Primary Care at Nakhon Ratchasima Hospital, cautions that heart ischemia can develop without chest pain and outlines warning signs to monitor. Heart disease increasingly affects younger people who may be working, raising children, and planning their futures before suddenly experiencing unusual fatigue, tightness, nausea, or dizziness. Because these symptoms lack the dramatic chest-clutching pain shown in television dramas, many assume they are unrelated to the heart—a dangerous misconception. Heart muscle ischemia need not present as crushing chest pain in everyone, especially in women, elderly patients, and those with diabetes; symptoms may be subtle or appear completely unrelated to cardiac problems.

The good news is that recognizing warning signs allows faster hospital arrival and earlier treatment, reducing heart muscle damage. Six key warning signs to monitor include:

1. Unusual fatigue—previously manageable activities like climbing two flights of stairs now leave you breathless after half a flight, or you tire abnormally fast during routine activities. While multiple conditions cause fatigue, new fatigue triggered by exertion and relieved by rest warrants cardiac concern, as the heart requires increased blood and oxygen during activity; narrowed coronary vessels may deliver insufficient supply.

2. Tightness, heaviness, pressure, or burning in the center of the chest without acute pain. Many patients describe this as heaviness, tightness, a lump in the throat, chest burning, or shortness of breath—symptoms often mistaken for acid reflux or indigestion. If symptoms occur during brisk walking, stair climbing, exertion, or stress and improve with rest, heart ischemia must be considered.

3. Pain or discomfort radiating to the arm, wrist, back, shoulder, or neck. Some patients experience primary symptoms in the left arm, both arms, shoulder, wrist, neck, or upper back rather than the chest. This occurs because nerves carrying sensation from the heart connect to other body regions, causing the brain to mislocalize pain.

4. Nausea, throat tightness, and cold sweating without eating spoiled food. This combination—particularly in women and elderly patients—can appear suddenly with nausea, throat tightness, cold perspiration, paleness, and lightheadedness. While many attribute this to indigestion or stomach problems, sudden onset accompanied by chest tightness, fatigue, or cardiac risk factors warrants cardiac evaluation.

5. Dizziness, heart palpitations, or fainting sensation. Heart ischemia can affect the heart's electrical system, causing palpitations, irregular heartbeat, dizziness, dimming vision, or loss of consciousness—particularly during exertion. Such symptoms require immediate evaluation to rule out coronary narrowing, arrhythmia, or structural heart abnormalities.

6. Cold sweating without obvious cause—no heat, no exercise, just profuse sweating and chills with poor appetite. Combined with chest tightness, fatigue, nausea, or dizziness, this warrants urgent cardiac assessment.

Phuket woman arrested over unapproved weight loss pen salesLegacyPolice arrested a woman in Phuket on August 7 for allegedly selling unapproved weight loss pens online without a licence. The arrest followed complaints from residents about products being sold from a rented room in Mueang district. Investigators from Phuket City Police Station joined officials from the Phuket Provincial Public Health Office in searching the rented room in Soi King Kaeo, Mueang district, Phuket. During the operation, officers arrested a 25 year old woman identified as Ploy and seized four sets of Peptide weight loss products. Photo via Phuket Hotnews Each set contained one 10mg vial of Tirzepatide, a weight loss and diabetes injection, one vial of BAC WATER for mixing the drug, four 0.5cc syringes, one 3cc syringe and one clear plastic box. Officers also seized 12 additional 0.5cc syringes and one iPhone 16 Pro. Matichon reported that the investigation began after Phuket City Police Station received complaints from residents alleging that slimming products were being secretly sold online from a rented room. Investigators subsequently gathered evidence, obtained approval for a search warrant and inspected the property, where they arrested the woman and seized the products. Photo via Phuket Hotnews Police initially charged Ploy under the Drug Act B.E. 2510 (1967) with producing or selling modern medicines without a licence and selling drugs that had not been registered. The woman and the seized items were transferred to investigators at Phuket City Police Station for further legal proceedings. In similar news, Customs officers arrested a Chinese passenger at Suvarnabhumi Airport after finding 137 packages of Tirzepatide that had allegedly not gone through customs procedures, with the seized weight loss injections valued at more than 2.13 million baht (around US$65,000). The story Phuket woman arrested over unapproved weight loss pen sales as seen on Thaiger News.

On August 9, 2026, the Pattaya Radio Center received a report of a sedan colliding with a pickup truck near the railroad parallel road at Nong Prueai junction in Bang Lamung District, Chon Buri Province. Emergency responders and volunteer rescue workers were dispatched to the scene.

At the location, a Honda CRV with Bangkok registration was found with severe front-end damage. Four occupants inside the vehicle sustained bruises and injuries throughout their bodies. The driver, 44-year-old Thanachon (surname withheld), was among the injured.

Nearby, a Toyota Hilux Revo pickup truck with Chon Buri registration was found with severe damage to its left side. The driver, 57-year-old Sutin (surname withheld), suffered injuries from the impact. All injured persons received first aid before being transported to nearby hospitals.

According to questioning, Thanachon stated he was not a local resident and was driving with two other friends and his girlfriend. At the accident location, which was an unlit area with no visible traffic signals, his vehicle collided severely with the pickup truck traveling straight ahead, resulting in the injuries.

Authorities documented the scene with photographs as evidence. All injured parties will receive treatment until fully recovered, after which police will conduct an investigation and proceed with legal action accordingly.

A deputy superintendent at Ban Phai Police Station in Khon Kaen has been transferred following an assault on a local journalist. On August 9, 2569 (2026), Khon Kaen Provincial Police explained the incident that circulated on social media on August 8, in which a police officer with the rank of deputy superintendent at Ban Phai Station was accused of assaulting a local journalist, causing injury within the police station compound.

According to the police report, on August 7 at 7:30 p.m. near the investigation room at Ban Phai Station, Deputy Lieutenant Worawit (surname withheld), the deputy superintendent, engaged in casual banter with local journalist Tri Thep at a marble table beside the investigation room. However, Worawit then grabbed Tri Thep in a chokehold forcefully. When Tri Thep stood up and walked away, Worawit followed and grabbed him again, asking mockingly, "Upset over just this joke?" Tri Thep then lost consciousness. When he regained awareness, he found himself injured with a lacerated right eyebrow and red swelling on his neck. Rescue personnel transported him to Ban Phai Hospital, where he received medical treatment.

Lieutenant Colonel Rakthat Reuang Jarun, the superintendent of Ban Phai Station, immediately visited the injured journalist to express concern and assured fair handling of the incident. The station determined that the injuries resulted from Worawit's actions, though the exact cause remained unclear. For transparency and fairness, Khon Kaen Provincial Police ordered Worawit transferred immediately to assist operations at the provincial police center, effective August 8, 2569. An investigative committee has been appointed to review the facts of the case.

Tri Thep remains hospitalized at Ban Phai Hospital awaiting doctor's clearance to return home, after which he plans to file a formal complaint with police.

Deputy Prime Minister's Office Minister Praradorn Pattananantkul confirmed that the "Thailand Travel Thailand Plus" program's use of emergency borrowing authority under the 2025 decree is appropriate, as it aims to support small tourism operators affected by Middle East hostilities. He said the program meets emergency-use criteria because small tourism businesses have been directly impacted by foreign conflicts, and participants must meet clear eligibility requirements.

However, Phase 2 of the "Thai Help Thai Plus" program requires final decision and clarity from Deputy Prime Minister Ekniti Nitithadprasan and the Finance Minister, as the Finance Ministry oversees the project evaluation. Officials requested that Phase 1 be completed first before assessing whether Phase 2 is needed, given that the regional conflict situation remains ongoing.

The Royal Gazette has published a royal decree granting promotions to 19 officers of the Thai armed forces to the rank of Second Lieutenant (Roi Tho). The promotions were authorized under Article 15 of the 2560 Constitution, along with related sections of the 2560 Act on Royal Administration Management and the 2479 Military Rank Act.

The 19 officers promoted from First Lieutenant (Roi Tri) to Second Lieutenant are: Nathapol Patbunja, Chantharusm Munsri, Chonphat Khamkaeo, Ekphop Phakwan, Natthawat Luongsuritti, Prawanwit Thiponpot, Sahatrot Thepthiamthat, Phoomiphat Uppong, Nathapong Mimag, Kritakorn Boribun, Thanawit Kulkiattechai, Tin Luemjai, Methawat Saythonggaeo, Nongrit Kaijapor, Jetsada Sookho, Sithikorn Saisanam, Phattraphon Buamasat, Triton Leerakpanit, and Komkritchon Bunkoet.

The promotions are effective from August 4, 2569 and were officially announced on August 7, 2569, in the eleventh year of the current reign.