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Angina pectoris and obesity - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Heart Rate and Rhythm Disorders
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1775 Questions
Doctor :   Hi
Doctor :   Dr XXX
User :   hi doctor
User :   i am XXX
User :   23 yrs old
Doctor :   How may i help you?
User :   weight 105 kg
Doctor :   Ok
User :   height around 5.11
User :   i feel my heartbeat is around 95 per minute
User :   i can feel it when i am lying down
Doctor :   Ok
User :   rested
Doctor :   Do you feel it all time
User :   sometimes it pains in the right side of my chest, like for 4 or 5 seconds
Doctor :   Is the pain radiating?/ spreading
User :   i have started feeling it since some days now
Doctor :   Is it releived by rest?
User :   no
User :   the pain suddenly comes and goes off
Doctor :   When do you feel the pain is it following work
User :   but this feeling of strong hearth\beat when i lie down
User :   it stays until i sleep off
Doctor :   Ok
User :   also i feel a lot fatigued
User :   shortness of breath
Doctor :   As you are a little overweight
Doctor :   I may suggest you to have an ECG done when you have the apin
User :   i start breathing heavily even when i talk on phone
Doctor :   *pain
User :   bp goes upto 180 / 120 sometimes
Doctor :   That complaint of difficulty breathing during walking is most probably due to overweight
Doctor :   Are you a hypertensivew
User :   means?
User :   i get angty very very soon
User :   angry**
Doctor :   Is your BP always higher than normal values
User :   yes, its always high
Doctor :   ok
Doctor :   Do you smoke? consume alcohol
User :   my father died of heart attack at the age of 42
User :   i smoke
Doctor :   Do you have any medications for High bp
User :   alcohol i left like a year ago
User :   no medicines
Doctor :   You have to quit as u have family history of heart disease
Doctor :   Plz get your self examined by a doctor ASAP
User :   i have this cough since a long time
User :   pain in the legs
Doctor :   As your complaints indicate some issues with Cardio vascular system
Doctor :   Ok
User :   and a kind of nerve pain in the palm sometimes
Doctor :   Do you have sputum with cough?
User :   sputum means ?
User :   sometimes a little blood in cough
User :   yes
Doctor :   Secretion after caugh
Doctor :   When was your last annuals done
User :   i am not sure about sputum, but i get blood in cough sometimes
Doctor :   I feel you require complete physical examination by adoctor
User :   is it?
Doctor :   Are you frequently prone to cold attacks?
Doctor :   Yes
User :   doctor, what is the minimum age to get a heart attack?
Doctor :   There is no age limit
User :   cold attacks means?
Doctor :   There are cases with attcks in the age of 20
Doctor :   Flu?
User :   no
Doctor :   Common cold
Doctor :   So as having family history too better get an cardiac evaluation done
User :   is it a normal check up kind of thing?
Doctor :   Yes a very few tests
User :   or any special test that u reccomend?
User :   like the stress test?
Doctor :   ECG, Tread mill, echo
Doctor :   I will first advise an Treadmill test and ECHO
User :   do i need to get my heartbeat monitored
User :   ?
Doctor :   Yes
Doctor :   That is done during ECG
Doctor :   Thats i a simple test done in the OPD
User :   ok, i will do it
User :   have lots of tension in life
Doctor :   Is there anything i can help you ?
User :   completely stressed out
User :   :)
Doctor :   You have to reduce stress by practising meditation
Doctor :   Yoga
User :   i do
User :   not yoga
Doctor :   Ok
User :   do u m ind sharing ur phone number?
Doctor :   Are searching for New job?
User :   nope, i work for XXX
Doctor :   We are not supposed to
User :   thats fine, no issues
User :   recently got married
Doctor :   Ok
Doctor :   Our customer care team will explain you regarding Phone call
Doctor :   How is married life
User :   where r u from doctor?
Doctor :   Bangalore, INDIA
User :   married life not good
Doctor :   Ok
Doctor :   There always some minor issues with marraige
User :   no peace at home, no peace in the office
Doctor :   We should always take things in the right way and face it
Doctor :   Never give up
User :   myocardial infarction, that was what my dad suffered n died
Doctor :   After all she is youe wife so do bear with her
User :   i was trying to remember this word:)
Doctor :   It the condition in which there is no blood supply to the part of heart, follwoing death of the particular tissue leading to heart attack
Doctor :   The blood supply is cut due to excess fat deposition on the coronary artery
User :   yes, he has blocks 99% in three
Doctor :   He was not tested (ANGIOGRAM)
User :   died in middle of angioplasty
User :   in the hospital
Doctor :   Oh sorry
Doctor :   It happens for 2 in 50 patients
User :   thats fine, dnt be sorry
Doctor :   The catheter will sometimes damage the artery leading to death
User :   grand father, died of heart attach, at the age of around 45
Doctor :   Ok
User :   next, me :)
User :   i knoww
Doctor :   So my advise to you is to Get your self examined
Doctor :   Plz dont think so
User :   sure, thanks a lot doctor
Doctor :   You can always overcome issues
Doctor :   All you need is some courage and faith
User :   yes
User :   hmm, yea
Doctor :   So take it easy, Face life as it is
User :   okay :)
Doctor :   Dont have to fight it accept the way it is
Doctor :   Then things will turn smooth
User :   sometimes i get a heavy kind of feeling, kind of pain on the back of my left shoulders
Doctor :   So first concentrate on your health and then catch up with personal issues
Doctor :   Thats not agood sign
Doctor :   That pain is called a referred pain ( ANGINA PECTORIS)
User :   ill walk into an opd tomorrow
Doctor :   Signifies there is some pathology in the heart
Doctor :   Plz do so
User :   means?
User :   pathology in heart means?
User :   and also sharp headaches
Doctor :   Some damage occuring or strain to your heart muscles
Doctor :   Sharp headaches are mostly due to stress
User :   feet pain is worse
Doctor :   Ok
User :   cant put my leg down in the morning especially
Doctor :   Try sleeping with foot elevated for few days
Doctor :   Are you a diabetic?
User :   cant sleep without lots of pillows
Doctor :   Do you have cramps?
User :   no, i dnt have diabeties
User :   no sugar
Doctor :   Ok
User :   cramps means?
Doctor :   Tightness
User :   yes
User :   sometimes in the chest
Doctor :   Then also get examined for blood sugar
User :   okay
Doctor :   Tightness in chest should be treated with care
User :   y do i get blood in salive sometimes?
Doctor :   Plz dont forget to consult a Doctor
User :   especially in the morning wen i wake up
Doctor :   That might be due to smoking
User :   and sometimes i dream that i am not able to breath n i wake up in the night
Doctor :   Do you smoke in excess
Doctor :   I think you also have sleep apnea
User :   yeah, i smoke
Doctor :   Do you snore
User :   yes, a lot
User :   i snore a lot
Doctor :   Thats the cause for disturbed sleep, during mid sleep you will face difficulty breathing when the larynx gets fatigue
Doctor :   Making it a flappy covering your airway
User :   time getting over
User :   :)
Doctor :   But will get alright after you wake up
User :   yes
Doctor :   Yes have 1 min left
User :   thanks alot doctor for ur time
User :   u wer really helpful
Doctor :   It was my pleasure helping you
Doctor :   Thanks for consulting me
Doctor :   Bye for now
User :   will do all what u said
User :   take care
Doctor :   Take care
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