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Dr. Andrew Rynne

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Discomfort In Chest, Sternum And Surrounding Area. Was Taking Steroids For Bodybuilding Previously. Reason For Discomfort?

I am having discomforting feelings in my chest, mainly my sternum and in the area surrounding my heart. I get pulpatitions at times. Im 17 st 6 pound and gone from 14 stone to that in 6 months. l have done steroids up until a few months ago as I am a body builder. Could this be due to high cholesterol, high stress and the previous steroid usage or are these symptoms of something else? What can I do to have control over it please?
Fri, 7 Jun 2013
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Psychiatrist 's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

From the description of your symptoms, I can think of the following possibilities:
1) An anxiety / stress-related problem
2) A side effect of the steroid usage (steroids are well known to trigger anxiety symptoms)
3) A cardiac problem (you have mentioned something about high cholesterol, but you have not clearly mentioned whether you have any risk factors for a cardiac problem)

So, you first need to have a detailed evaluation to rule out any cardiac-related problems. This will include a detailed history and physical examination and certain investigations like an ECG, etc. If all evaluations are negative, then the possibility of an anxiety / stress-related problem needs to be considered.

Therefore, further treatment of your symptoms will depend on the likely cause. Please see a doctor for a detailed evaluation.

Wish you all the best.

Regards,
Dr. Jonas Sundarakumar
Consultant Psychiatrist
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Discomfort In Chest, Sternum And Surrounding Area. Was Taking Steroids For Bodybuilding Previously. Reason For Discomfort?

Hello and welcome to Healthcare Magic. Thanks for your query. From the description of your symptoms, I can think of the following possibilities: 1) An anxiety / stress-related problem 2) A side effect of the steroid usage (steroids are well known to trigger anxiety symptoms) 3) A cardiac problem (you have mentioned something about high cholesterol, but you have not clearly mentioned whether you have any risk factors for a cardiac problem) So, you first need to have a detailed evaluation to rule out any cardiac-related problems. This will include a detailed history and physical examination and certain investigations like an ECG, etc. If all evaluations are negative, then the possibility of an anxiety / stress-related problem needs to be considered. Therefore, further treatment of your symptoms will depend on the likely cause. Please see a doctor for a detailed evaluation. Wish you all the best. Regards, Dr. Jonas Sundarakumar Consultant Psychiatrist