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Angina with chest tightness - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I am a 44 year old male, had a 375 cholesterol count a few years ago, am overweight by about 50lbs, fairly sedentary and have been experiencing angina symptoms for the past 7-9 days. I have scheduled an appointment with a cardiologist for Friday, is this within an acceptable time-frame?
Doctor :   Hi
User :   Hello
Doctor :  
May I know what your symptoms are?
User :   Tightness in chest, spreading up through shoulders, jaw (oddly, my teeth seem to be sore). No coughing, no real shortness of breath. Not a sharp pain, more like a heartburn persistent behind my breastplate. Some dullness in the arms (Left elbow)
Doctor :  
So you have been having these since 9days?
Doctor :  
Have these symptoms been increasing in intensity since it started?
User :   Yes, the previous Saturday. Have been taking bayer aspirin.
Doctor :  
Have these symptoms been increasing in intensity since it started? or is it the same since then?
User :   increasing
Doctor :  
How long have you been overweight?
User :   six years
Doctor :  
Do you have any other medical illnesses ?
User :   no
Doctor :   Ok
Doctor :  
Let me give you a brief idea about your health status from whatever info
Doctor :  
you have provided me
Doctor :  
Your Total Cholesterol levels are too high
Doctor :  
What about the Triglyceride levels?
User :   I do not know
Doctor :  
OK
Doctor :  
So you have done only Total cholesterol is it?
Doctor :  
Did a Doctor ask you to get it done?
User :   Yes
Doctor :  
Did you have the angina then?
User :   no, this was about four year ago
Doctor :  
Was that your last visit to the doctor?
User :   except for some skin cancer removal by a dermatologist
Doctor :  
OK
Doctor :  
The symptoms that you have described to me is suggestive of
Doctor :  
two possible diagnosis
Doctor :  
it could either be due to Gastritis, in which case you are lucky
Doctor :  
as it isn't sa serious an issue as the next possibility
Doctor :  
It could also be an angina as you suspect
Doctor :  
in which case it isn't advisable to wait till friday
Doctor :  
go immediately
Doctor :  
as soon as possible

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