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Sudden chest pain - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   hI
User :   hello
Doctor :   hOW CAN i HELP YOU
User :   since about 2pm today i've had some pretty strong chest pains
User :   mainly when i breathe in deep or move
User :   the pains are sharp and stabbing, but subside somewhat when i don't move or breathe deeply
User :   any idea what could be going?
Doctor :   To get a better picture I need this information--
Age: ; Occupation: ;Marital Status:
User :   Age: 26
User :   Occupation:: Anthropologist
Doctor :   Ok
User :   Marital Status: single
Doctor :   do you have fever cold/ cough
User :   no fever or a cough
User :   that's the strange part, the only symptom i seem to have is the chest pain
User :   it had subsided a bit earlier, but over the last few hours its become a bit more intense
Doctor :   Ok do you have shortness in breath
Doctor :   Do yoi uhad sweating
User :   no, i feel like i'm breathing just fine
Doctor :   or anxiety or feeling the heart is racing
User :   no sweat either, no anxiety, no rapid heartbeat
User :   let me take my pulse, one second
User :   pulse is 72 bpm
Doctor :   Do yoiu smoke or take alcohol
User :   both smoke and drink
Doctor :   Did you before the onset of the pain
Doctor :   Please describe me about the pain
Doctor :   onset , type of pain.
User :   i drank last night, was fairly intoxicated
User :   onset of pain was quite sudden, around 2pm today
User :   i was sitting at a friends house when i suddenly felt a sharp pain in my solarplexis
User :   it somewhat subsided after a bit and i continued about my day
User :   however, when i would breathe in deep, i'd get a sharp stabbing pain in the region around my solarplexis
User :   if i twist my torso or move suddenly, the same sharp stabbing pain is there
Doctor :   Is it tightening. throbbing. pinning or hwo do you describe
User :   i'd say throbbing
User :   somewhat tightening as well
User :   stabbing, sharp
User :   quite uncomfortable
Doctor :   SO you mean there is increase when you take deep breath
User :   yes
User :   when i don't breathe deep the pain is minimal
Doctor :   What did yoiu do to decrease the pain
Doctor :   have you taken any medication
User :   about 30 minutes ago i took 10mg of hydrocodone
User :   oh
User :   and i've been taking mefloquine
User :   i was thinking it could have been a side effect of the mefloquine
User :   i seem to be reacting quite bad to it -- lots of nightmares, trouble sleeping, and confusion
Doctor :   YEs mefloquin is an antimalarial so it has some sideeffects
Doctor :   do yoiu have headahce
Doctor :   too
User :   no i haven't had a headache
Doctor :   Ok
Doctor :   Pleasw wait
Doctor :   I am sending you a feedback form now. Please take a moment to give your valuable opinion so that we can continuously improve our service.
Doctor :   Please inform me after you have filled it. I will be waiting for you.
User :   ok, thank you
User :   ok, submitted
Doctor :   From your history i could feel few reasons
Doctor :   one is the side effect of mefloquin second is your smoking
Doctor :   and alcohol
Doctor :   the smoking sconstircts the blood vessesls
Doctor :   and cause the pain]
User :   ah yes
User :   do you think if the pain continues through tomorrow that i should travel to see a doctor?
User :   the closest doctor is around 4 hours from where i am now
Doctor :   I would say yes
Doctor :   you need a simple ECG
Doctor :   and physical examination
Doctor :   too
User :   ok
Doctor :   All chest pains are considered dangerous in
Doctor :   medical terms
Doctor :   so i say so
Doctor :   be it no cause
User :   ok
User :   i'll see if i can get an ecg / physical exam tomorrow morning
User :   i appreciate your help
User :   i'm going to try to get some sleep now and hope that the pain subsides
User :   thanks again for your help
Doctor :   Yes
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