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Reasons for fatigue, breathlessness, heavy feeling in chest - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi there. I have an appt. with a cardiologist for the first time tomorrow. My symptoms are fatigue, breathlessness upon minor exertion, heavy feeling in my chest. I have those symptoms right now - am I having a heart attack?
User :   Hi are you there?
Doctor :   Hi
User :   I also feel dizzy when I walk.
Doctor :   Dr BERE
User :   what's wrong with me?
Doctor :   Do you have associated pain
User :   I had a slightly abnormal EKG, an extra beat, my gp said. No no pain.
Doctor :   Ok
Doctor :   Probably the breathlessness of exertion is caused due to improper or reduced cardiac activity
User :   she wants me to have a stress test, mri artery screening, etc. for my symptoms
Doctor :   It not always heartattack
User :   reduced cardiac activity?
Doctor :   Yes
User :   how do I cure this?
Doctor :   When there si reduced activity the blood flow to lungs will reduce resulting in breathlessness
Doctor :   The cause should be ruled out first
User :   I have been too tired to do much
Doctor :   First should improve cardiac activity
User :   so I haven't been active
Doctor :   Do you Smoke?
User :   Monday I went grocery shopping and couldn't even fix dinner I was so fatigued?
User :   no.
User :   I am a liver transplant patient, 12 years.
Doctor :   Ok
Doctor :   Are you Hypertensive?
User :   yes. take 20 mg lisinopril morning, 10 mg. at night
User :   She just upped it from 20 a day.
Doctor :   Ok, Since when
User :   about one year
Doctor :   Are you working out cardio exercises
Doctor :   Just to improve your cardiac activity
User :   no, my beating heart makes me dizzy, I sweat a lot and can't do more than walk up one flight of stairs.
Doctor :   Ok
User :   I'm overweight
User :   and sleep a lot
Doctor :   Do take your medications regularly and try reducing weight
User :   I also take fluoxetine, 20 am., 20 p.m.
Doctor :   Because obesity will double the risk of heart attack
Doctor :   Ok
User :   and lorazepam, 1 mg a.m, and 1 mg, p.m.
Doctor :   Do you suffer from sleep disorder or anxiety attcks
User :   yes, I know I'm inactive and overweight, but I'm too tired to do anyting aoub ti and now the dizziness and chest pressure is getting to me.
User :   anxiety
User :   used ot have panic attacks waiting for my transplant
Doctor :   Ok
User :   so take my meds, regularly, try to get a little more exercise as I can tolerate it, lose weight and don't worry about these symptoms, they will disappear with weight loss and increased stamina?
Doctor :   yes
Doctor :   And also take more care in eating habits
Doctor :   Avoid high fat diets
User :   okay
Doctor :   Take more fibre rich diets
User :   ok
Doctor :   Also gradually increase work load
User :   okay
User :   my kidneys are pretty bad
Doctor :   You can slowly develop stamina and increase your workouts
Doctor :   When was your last annuals done
User :   2.2
User :   I go to the doc every three months for bloodwork
Doctor :   were the recent renal function tests in normal range
User :   no
Doctor :   You should be very cautious in maintaining diet ( renal)
User :   they haven't been since about two years ago. Doc predicted they would suffer from the tacrolimus. Plus I have PKD.
Doctor :   Ok
User :   I've never heard of a renal diet.
Doctor :   Salt restriction and decresed protein intake
User :   Ah, no one ever said anything to me about this...
Doctor :   You can follow it will decrease th eload on kidney
User :   ok
Doctor :   Be care full when facing pain in chest with associated breathlessness atrest
User :   that's why I'm consulting you. What else can I do?
Doctor :   *at rest#
User :   I am at rest. I have to be at rest, or I'll faint.
Doctor :   You said at mild exertion right
User :   yes.
User :   walkling throught the kitchen.
User :   but no pain, just fullness
Doctor :   When you have brethlessness at rest it will need medical care immdietly
User :   so now you're telling me I should call my doctor?
Doctor :   No
Doctor :   When you have brethlessness at rest
Doctor :   Not on work
Doctor :   Thanks for consulting me
Doctor :   Wishing you speedy recovery
Doctor :   Bye for now
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