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Chest discomfort and tightness - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
User :   hi i had a toothache for about 6-8 weeks with severe migraines, jaw pain, and earache...i held off thinking that i was clenching my teeth. i went to the dentist and had a root canal. the dentist did say that the infection went into my jawbone and i am currently on amoxicillion. is it possible that i may have myocarditis or pericarditis? my concern is that i am having chest tightness and an ache. i did have a holter done and that came back good other than at nighttime between 11pm and 7 am i had a bout 19 wencheback episodes and had an ekg that showed low voltage qrs...the holter also showed that i have 2nd degree av block type 1...should i go in
Doctor :   hello
User :   hi
Doctor :   i am Dr XXX here
Doctor :   give me a min , let me read your query
User :   ok
Doctor :   may i know your age and gender please ?
User :   35 and female, i just had the root canal done on this past tuesday...4 days ago
Doctor :   and its only after that you are havng these symptoms ?
User :   hmmm, i had the chest pains and tightness for a week or so, but the ache started last night and it felt the worse last night
User :   that is the worst it has felt was last night
Doctor :   can you describe me the pain ? was it a shooting type and where exactly you had it
User :   no, not it is in the center and it stays it does not come and go it may diminish a little but i can still feel it
User :   it is like a dull ache
User :   on a scale of 1-10 last night it was probably a 2 and i also had cold sweats once or twice last night also
Doctor :   are you taking any medications right now besides the antibiotics ?
User :   no
Doctor :   any relationship to food
Doctor :   for the pain ?
User :   don'
User :   don't think so
User :   i have had tightness due to allergies but never like this and this is more intense and it remains
User :   allergies would be more for hay fever and freshly cut greass
User :   grass
Doctor :   ok well myocarditis or pericarditis would have been shown as abnormal reading in your ekg
User :   even myocarditis
User :   i know that pericarditis will
Doctor :   yes
User :   my ekg showed that i had low voltage qrs and that it was borderline normal
User :   and the "episodes" that i am having occur at nighttime on the holter test
Doctor :   yes thats ok . nothing to worry about, now we will go step by step here for you
Doctor :   now since its just started 4 days back i want you to first start with a course of a antacid for 5 days
User :   i have had chest discomfort for at least a week
Doctor :   ok
Doctor :   do that\
User :   and then what
Doctor :   take a antacid for 5 days
User :   you don't think that this seems to be any high concern right now
Doctor :   and then if the symptoms don't resolve you would need to get a physical examination done and few more tests
Doctor :   i just dont want to scare you by telling all possible causes unless we pinpoint the situation
User :   ok thank you
Doctor :   your welcome
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