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CHF(Congestive heart failure) - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Heart Failure
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1776 Questions
User :   After classic symptoms of feet swelling, congestion, High B Pres., I was just diagnosed with mild left CHF driven by hypertenison. Now on blood preessure meds and water pill. Recently experienced significant pain level 8 lower left rib pain moving to the back and when breathing at peak. Now mild. I have read it is common mistaken for a heart issue. I am not anxious to go to an ER on this. I can exercise etc. Opinion?
Doctor :   hello
Doctor :   give me a min
Doctor :   let me read your query
Doctor :   may i know your age and gender please ?
User :   male 58 weight 206 height 5-11
Doctor :   since how long you have been experiencing this pain ?
User :   two days, the day before I had light workout and lift body weight to stay toned.
Doctor :   i see
Doctor :   well since you already are diagnosed with CHF any symptom of pain cannot be taken lightly
Doctor :   so that does mean that you have to go to get a physical examination done ?
Doctor :   do you have anyother medical condition ?
Doctor :   like diabetes?
User :   no, just high cholesterol. High stress job,
Doctor :   a pain radiating to the back CAN BE a sign aortic dissection
Doctor :   esp with a history oh hypertension
Doctor :   so its HIGHLY advisable to you that you should get your self examined
Doctor :   are you taking cholesterol medications ?
User :   nature of testing for the issue of aortic dissection?
User :   Cholesterol med is Simvistatin
Doctor :   The diagnostic test of choice is a computerized tomography aortic angiogram of the chest and abdomen to visualize the aorta (this test requires a contrast dye injection).
Doctor :   it is POSSIBILITY like i said
Doctor :   so its always better to rule it out
Doctor :   we cant afford to take any chances
Doctor :   also transesophageal echocardiography is an alternative. where cardiologist puts an ultrasound probe through the mouth into the esophagus and can identify potential problems with the heart, heart valves, and the aorta.
Doctor :   any pain in the left side esp with a known case of CHF and hypertension .... the protocol in medicine does requires further evaluation by a cardiologist
Doctor :   are you with me ?
User :   I understand I know your are limited in scope and cannot be responsible for total accuracy. I am a calm person and dont want to engage in family alarming activity especially today. I appreciate your advice. This is a great system. I will ask my gp to consider he is closed today.
Doctor :   your most welcome
Doctor :   take care
Doctor :   and happy holidays
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