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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 : 1773 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.
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