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What Causes Left-sided Chest Tightness While On Aderall?

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Posted on Mon, 30 May 2016
Question: tightness almost fuzzy feeling in area of left pectoral near region of heart. has been pretty constant over the past two days. not in any pain but a little concerned because it is an odd sensation that is almost hard to put into words. no shortness of breath or anything of that nature (worked out tonight and had no issues). I have been taking aderal reguarly (20mg in morning and 10mg afternoon) for about 6 months and drink coffee daily, but have never expereienced this. Had an EKG done with my neurologist prior to getting aderal, and was never told anything looked off or concerning. Have been under some stress with work this week and am still dealing with the aftermath of the losing my father in Novemeber. I think that may be triggering some of this; however, I have had no history of anniexity in my life, and have not experienced this issue until this week..I am not overly concernced but because my father succumed to unexpected heart failure , I simply want to be smart if this odd feeling continues.
doctor
Answered by Dr. Ilir Sharka (3 hours later)
Brief Answer:
Your symptoms don't seem to be cardiac related.

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I carefully passed through your question and would explain that your symptoms don't seem to be related to any cardiac disorders (including heart failure). They are not characteristic or any cardiac disorders.

So relax!

Anxiety seems to play an important role in this clinical situation. A stressful situation can trigger your symptomatology, especially while taking Aderall and daily coffee.

Nevertheless, I would recommend consulting with your GP for a routine check up, to exclude other possible causes (like musculo-skeletal pain, inflammation, lung disorders, etc.):

- a resting ECG
- a chest X ray study
- some blood lab tests (complete blood count, blood electrolytes, PCR, sedimentation rate).

If all these tests result normal, I would recommend try taking alprazolam (Xanax) 0.25mg. If your symptoms are relieved by alprazolam, it would be a strong argument in favor of anxiety as the possible cause of your symptomatology.

Hope to have been helpful!

Best wishes,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (19 hours later)
Thank you for getting back to me on this and alleviating some of my concerns. The tight/tingling feeling has still not subsided and reamined constant, but still no pain. I intend on going to a GP to get a rotuine check up and will mention my symptoms to him. I was intially considering going to my Neurologist but it seems a GP would be more practical.

Truthfully, I had a stressful situation on Monday that was resolved yesterday. Since then, I have not been stressed or had any reason to be. If in fact it was stress or aniexty that trigggered this, would it make since for the sensation to continue?

I trust all of this is nothing serious but because heart issues run in my family, I simply want to be proactive while I am young to prevent something minor now from progressing into something major down the road. My dad was 60 when he was diagnosed with AFib so I know it can happen at random times in life. I am good shape, eat healthy, do not excessively drink, but do chewing tobacco daily. This feeling is just honestly just annoying and wont seem to go away.

Thank you for the help. You made me feel much better about everything. Have a good week, Dr. Sharka.



doctor
Answered by Dr. Ilir Sharka (9 hours later)
Brief Answer:
My answer as follows:

Detailed Answer:
Hello again!

Anxiety could cause similar symptoms, although I agree with you that your symptomatology is a little prolonged to be just pure anxiety.

Nevertheless, I would exclude any cardiac disorders related to your symptoms.

Inflammation could be the cause of this symptomatology.

I would encourage you to consult with your family doctor for a careful physical exam and the above mentioned tests.

Hope to have been helpful!

Wishing all the best,

Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9535 Questions

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What Causes Left-sided Chest Tightness While On Aderall?

Brief Answer: Your symptoms don't seem to be cardiac related. Detailed Answer: Hello! Welcome and thank you for asking on HCM! I carefully passed through your question and would explain that your symptoms don't seem to be related to any cardiac disorders (including heart failure). They are not characteristic or any cardiac disorders. So relax! Anxiety seems to play an important role in this clinical situation. A stressful situation can trigger your symptomatology, especially while taking Aderall and daily coffee. Nevertheless, I would recommend consulting with your GP for a routine check up, to exclude other possible causes (like musculo-skeletal pain, inflammation, lung disorders, etc.): - a resting ECG - a chest X ray study - some blood lab tests (complete blood count, blood electrolytes, PCR, sedimentation rate). If all these tests result normal, I would recommend try taking alprazolam (Xanax) 0.25mg. If your symptoms are relieved by alprazolam, it would be a strong argument in favor of anxiety as the possible cause of your symptomatology. Hope to have been helpful! Best wishes, Dr. Iliri