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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chest Pain And Weight Gain

I am having some chest pain which i never experienced before. I am now at the highest weight i have ever been in my life. Almost 200. I also am very inactive. I have asthma. I started drinking seltzer last night. I dont know what this could be, the pain i mean... because I have asthma for all my life... but am super inactive now and at my highest weight. THis has never happened. IDK what it could be if i should consider it something serious. But I want to check and not be stupid and end up in bad condition without paying attention to symptoms if this could potentially be bad. thank you for your help. i would appreciate some insight.
Tue, 27 Jan 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
I can understand your situation and problem.
In obese patient, for chest pain, we need to first rule out cardiac cause (coronary artery blockage).
So get done ECG and 2D Echo to rule out cardiac cause.
If both are normal than no need to worry much for cardiac cause.
Your symptoms can be due to worsening of underlying asthma. So get done PFT (pulmonary function test) to rule out this and start treatment accordingly.
I also advice you to get done lipid profile and if you have high cholesterol and triglycerides than start lipid lowering drugs with strict action for weight reduction is needed.
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Suggest Treatment For Chest Pain And Weight Gain

Thanks for your question on HCM. I can understand your situation and problem. In obese patient, for chest pain, we need to first rule out cardiac cause (coronary artery blockage). So get done ECG and 2D Echo to rule out cardiac cause. If both are normal than no need to worry much for cardiac cause. Your symptoms can be due to worsening of underlying asthma. So get done PFT (pulmonary function test) to rule out this and start treatment accordingly. I also advice you to get done lipid profile and if you have high cholesterol and triglycerides than start lipid lowering drugs with strict action for weight reduction is needed.