Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
136 Doctors are Online

Chest pain, vomiting and difficulty in breathing - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   Can anxiety symptoms affect an ECG result or liver function results?
Doctor :   Hi
Doctor :   before I provide you an answer I would want to ask a few relevant questions . Can I?
User :   yes
User :   female, 44
Doctor :   ok, could you tell me the reason for doing an ECG
User :   i had been having discomfort in my chest for a few weeks, feeling very lethargic and having slight difficulty in breathing. I was taken ill in the night, high temperature, vomiting and feeling lethargic, ambulance attendant did one ECG and the A&E doctors did another
Doctor :   are you there with me?
User :   pardon?
Doctor :   sorry, I was making sure if you were online.
Doctor :   Ok
Doctor :   what did the doctors say about the ECG changes?
User :   RBBB. ECG in summer of last year was fine, the ones done two weeks ago reported RBBB. A&E doctor recommended echo and ultrasound but my GP is dismissing her advice as she is "young and inexperienced"
Doctor :   Ok
Doctor :   and what were the results of the liver function tests?
User :   High Gama
Doctor :   I would like to tell you that anxiety can cause changes in ECG as in changes called sinus tachycardia
User :   raised gamma GT
Doctor :   but a bundle branch block, needs further evaluation.
User :   i am seeing a cardiologist on friday
Doctor :   it needs investigations like 2D echo
Doctor :   as suggested by your doctor, I would advice you to get it done.
User :   when i bend over, say to pick something up, this makes my chest symptoms worse
Doctor :   but anxiety will not alter your liver enzymes.
Doctor :   Ok
Doctor :   may i know if you have diabetes or high blood pressure?
User :   neither
Doctor :   ok
Doctor :   have you done a lipid profie?
User :   what's that?
Doctor :   it is to check your cholesterol levels in the body.
User :   don't think so
Doctor :   Ok
Doctor :   i would want to suggest a few things.
Doctor :   since there are some changes in the tests done, you may need these tests additionally
Doctor :   1. complete blood count
Doctor :   2. 2D echo
Doctor :   3.Thyroid function tests
Doctor :   4. An ultrasound scan
Doctor :   and any other tests which your doctor feels is necessary.
User :   what should they be looking for?
Doctor :   thyroid disorders may present with similar problems , like palpitations , shortness of breath, ecg cahnges , etc.
Doctor :   from the blood tests we will know the general picture of the body cells as well as anemia
Doctor :   anemia can also manifest with the symptoms you have.
User :   the blood tests at A&E showed high white blood cells
User :   does that show an infection?
Doctor :   with a 2D echo, we will be able to visualise the heart chambers and try to further assess the changes ECG showed .
Doctor :   yes, an increase in white blood cells or WBC 's indicate infection
User :   i had further tests last friday, but no results as yet
Doctor :   since you had fever , vomiting , I can think of infections causing the rise in count
Doctor :   you may also need a routine urine examination.
User :   how do i get all this done when my GP thinks there is nothing wrong?
Doctor :   you could first wait for your reports.
Doctor :   after receiving them , your G.P would be able to judge the situation.
User :   A&E doc said there was "shadowing" on my CXR, GP asked a "professional" to check it again and they said it was fine.
Doctor :   Ok
Doctor :   since you are fgoing to visit the cardiologist, I suggest you take your reports along
User :   i seem to be stuck between two docs who do not appreciate each others opinions!
Doctor :   yes, it is common, but you must always be cautious and prevent things
Doctor :   i hope you could follow what i suggested.
User :   I am trying to just get to the bottom of why i am having chest discomfort and feel so tired all the time -
User :   thank you for your help
Doctor :   yes, it could be anemia, a recovering infection , thyroid , etc, we need to check
Doctor :   pleasure here.
Doctor :   thanks for consulting me.
Question is related to
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor