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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain With Hot Flashes?

I am 68 yrs old, 140 lbs. I came off HRT on doctors orders approximately 3 months ago. Apparently I had a small stroke but with no symptoms and I am undergoing tests to rule out (hopefully) heart issues. For many years I have had, difficult to describe, nightly chest discomfort (not pain). Since coming off HRT this discomfort has developed into pain. It always preceeds a hot flash and is happening many times a night. I get the flashes during the day but not the chest pain. Can you suggest anything to help?
Fri, 9 Dec 2016
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Internal Medicine Specialist 's  Response
dear user,
post menopausal womens usually face a problem of hot flushes with sometimes chest pain. you were on hrt that prevented these.. but taking off hrt has brought about exacerberation of these complains.. howerver i advise you an ECG and echocardiography
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Cardiologist Dr. Rishu Saxena's  Response
Hi
dear
HRT is associated with increased risk of cardiac problems
according to researches Your chances of heart attack go up by 20% if you are 60 or older when you start them or if you became menopausal more than 10 years ago.
as you have not mentioned from how long have you started HRT post menopause ,and you had history of small strokes
i would suggest you to go for a
ECG
2D echo( to rule out any problem to blood supply of heart),a s many times angina does not presents as frank chest pain but it presents as a chest dis comfort
as you say it precedes hot flashes again menopause and hrt withdrawal can be a cause of it ,hot flashes post menopause are very common and thats why HRT is prescribed to the patient
as off now go for ecg and 2d echo if that is normal ,HRT therapy should be discussed with your gynecologist .
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What Causes Chest Pain With Hot Flashes?

dear user, post menopausal womens usually face a problem of hot flushes with sometimes chest pain. you were on hrt that prevented these.. but taking off hrt has brought about exacerberation of these complains.. howerver i advise you an ECG and echocardiography