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

Losing weight. EKG reports normal. No family history of heart disease. Having chest pain. Worrisome

User rating for this question
Very Good
Answered by

Practicing since : 2004
Answered : 1835 Questions
37 y/o male; 6'1" 260lbs large build, engage in strength training twice a week and cardio three to four times a week. Have lost 40 pounds since December 2011. Clean EKG and general physical about six months ago for part of work-up prior to heading overseas for work. No family history of heart disease on mothers side, fathers side is unknown. Began having intermittent chest pain approx two days ago. Initially pain was very mild and followed a day in bed from a bad sinus headache, so assumed was skeletal/muscular. Pain feels as though it is rear left quadrant of chest, about six inches left of spine, under shoulder blade, located behind the rib cage with repect to depth (although does "move forward" from time to time). Pain comes and goes, with total relief as it disappears. Pain level varies from a 1 to about 4. Frequency started as a few times an hour, but now is basically alternating between a minute of relief followed by about a minute of pain. No other pain or symptoms at first, but now feeling some shoulder and neck (but may be anxiety?).
Posted Thu, 19 Jul 2012 in General Health
Answered by Dr. Ashish Mittal 21 minutes later
Thanks for your query.

I appreciate your efforts for medical consultation in so much distress.

You case is interesting and but difficult too considering symptoms profile. I will try to give my best effort to help you in this problem.

I would like to consider multiple possibilities in following hierarchy:
•     Anxiety disorder: specially if it is associated with excessive worry, restlessness, dry mouth, tremors and sleep difficulty. Anxiety increases chances muscle spasm and pain. As you are already having thyroid problem which further increases chances of developing anxiety.
•     Thyroid related problem: As you are already on Synthyroid 125mcg. Get thyroid hormonal assay (T3/T4 and TSH) done. Thyroid problem may be one of the cause for weight loss apart from exercise.
•     Vitamin deficiency: Get serum B12 level. Start multi vitamins as they are easily available.
•     Side effect of substance use (stop use gradually, if present)
•     Cardiac illness: need electrocardiogram (ECG) and 2D-Echo to confirm.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.

Wish you good health.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask a Doctor Now

© 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