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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Headaches, Chest Pain, Irritated To Loud Noise, Unsatisfactory Breathing. On Neurofen, Paracetamol. Am I Okay?

Hi, I am an 18 year old female who has the following symptoms: Headaches: began about 3 years ago but went away for a while last year. They have recently come back and are in the fontal and left temporal lobe only, usually behind my left eye. When they are at their worst I am sensitive to light, sound and movement. Pain is mild-moderate. The headache I currently have has lasted for 8 days now. Chest pain: Comes and goes. 2 types. First began about 2 months ago. Sharp and stabbing pain that lasts between 5 and 30 secs. Occurs about 2-3 times per week and the pain is often incapacitating. The second type started about 1-2 weeks ago and is kind of dull and achy and lasts seconds-hours. Not incapacitating, I can still go about my day, it is just uncomfortable. Feels sort if like a pressure from the inside out. Like I have air in my chest trying to push its way out (that s the best I can describe it sorry). Repiratory: Not feeling fulfilled/satisfied when I breath. Began about 1-2 months ago. Occurs about 4-7 times per week and lasts mins-hours (averages about 1/2 hour). I need to take many deep breaths and even try yawning. Not brought on by strenuous activity, just occurs during normal everyday activity. Numbness/tingling/pain/weakness in both arms, from fingertips to wrist and in brachial area. Began about 1 year ago. Comes on suddenly and lasts about half an hour - one hour. Occurs approximately 3 times / week. Generally not associated with writing/lifting heavy things/exaggerated arm movements. Distended left upper quadrant: I m not sure when it began but I have noticed it for a while now. Just below my ribs there is a protuberance about the width of a tennis ball. Not painful to touch or palpate and sounds normal when auscultated. Sticks out substantially after a meal. Joint and bone pain: Particularly in my fingers and back (mid-lower thoracic region). Pain/ stiffness in fingers generally when I wake up in morning. Need to work them to get them functioning properly. Also occurs in wrists, toes and upper arms. Back pain occurs later in day. Usually when I have been walking around a bit. I feel the need to crack my back about 5 times an hour, usually with no results. I am also feeling tired all the time, I wake up tired and am exhausted by the end of the day. I have no trouble sleeping. I get vertigo spells that last about 5 - 10 mins and have been eating less in the last week. (I feel full most of the time and so am only eating a small breakfast (toast or even just a coffee) and maybe a snack in the afternoon). Past medical history: unexplained iron deficiency aneamia: Have taken ferrous liquid and ferrograde C tablets with little effect. Scoliosis: diagnosed about 8 months ago. Doctor said the scoliosis was so minor there was no way it could account for my headaches. medication history: Periactin - no affect on headaches Neurofen Neurofen plus neurofen for tension headaches Neurofen for migrains panadol aspirin parecetamol ibuprofein heron etc. All analgesics listed above had little/no affect ib headaches. Most worked the forst few times then not again after that. I have also tried heat packs, cool packs, creams and smelly stuff to get rid of headaches with no affects whatsoever. Any possible advice/opinions would be great Thanks
Mon, 21 Oct 2013
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Psychologist 's  Response
Dear
Welcome to HCM
We understand your concerns.

I went through your problem description. I appreciate your efforts. You are very good at your ability to read your body and diagnose body symptoms. But it also shows that you are health conscious, rather body ailment conscious. That leads us towards hypochondriasis, a mental disorder. (Worrying that he has a severe physical problem which others fail to diagnose).

You must visited some good amount of physicians, I am almost sure. If not do visit a physician. Confirm yourself that you are physically stable with the help of all those ECG, blood tests etc. Then we shall conclude that what really troubles you. Please do not try to self diagnose, it can be dangerous. Please visit a physician and tell him about all the problem you are facing and he should advice you.

Hope this clears your doubts. Available for further clarifications.
Good luck.
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Headaches, Chest Pain, Irritated To Loud Noise, Unsatisfactory Breathing. On Neurofen, Paracetamol. Am I Okay?

Dear Welcome to HCM We understand your concerns. I went through your problem description. I appreciate your efforts. You are very good at your ability to read your body and diagnose body symptoms. But it also shows that you are health conscious, rather body ailment conscious. That leads us towards hypochondriasis, a mental disorder. (Worrying that he has a severe physical problem which others fail to diagnose). You must visited some good amount of physicians, I am almost sure. If not do visit a physician. Confirm yourself that you are physically stable with the help of all those ECG, blood tests etc. Then we shall conclude that what really troubles you. Please do not try to self diagnose, it can be dangerous. Please visit a physician and tell him about all the problem you are facing and he should advice you. Hope this clears your doubts. Available for further clarifications. Good luck.