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Chest tightness and anxiety - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   Hi Doctor,
For the past 6 months, i have had a tightness in my upper abdomen and what feels like tension, but also a little pressure. I have had ct scans, ultrasounds, etc, and nothing comes back.
I am convinced I have Cancer. My neutrophil counts have been slightly high for a few months now. I had blood drawn a couple weeks ago, and here were the results. Can you please help me analyze these? Are there any indicators that would make one believe I have cancer? I have included the normal ranges for the lab I went to.
Sodium 138 (136-144)
Potassium 3.5 (3.6-5.1)
Chloride 104 (101-111)
CO2 26 (22-32)
Glucose Random 85 (65-100)
Bun 12 (8-20)
Creatinine 0.8 (0.7-1.2)
Bun/Creat Ration 15.0 (7.3-21.7)
Calculated Osmo 283 (280-300)
Anion Gap 8 (2-12)
CPK 64 (49-397)
CK-MB 0.9 (0.1-4.0)
Toponin 0.01 (0.00-0,05)
WBC 9.1 (4.1-10.4)
RBC 4.89 (4.40-5.60)
HGB 15.2 (13.7-16.7)
HCT 43.4 (40.0-48.0)
MCV 88.8 (80.0-96.0)
MCH 31.0 (27.0-33.7)
MCHC 35.0 (33.0-36.0)
RDW 13.3 (11.3-14.8)
Platelet Count 266 (145-355)
Segs 58 (42-75)
Bands 5 (0-11)
Lymphocytes 20 (20-44)
Monocytes 4 (2-8)
Eosinophils 2 (1-5)
Basophils 1 (0-2)
Variant Lymphs 10
D Dimer 1.5
My biggest concern is the variant lymphs. Is this an indication of cancer?
Thanks for your time!
Doctor :   Hi
Doctor :   I am Dr.
Doctor :   Let me read your query
Doctor :   Please give me couple of minutes
Doctor :   are you with me?
User :   Yes Dr.
Doctor :   These reports does not indicate that you have cancer
Doctor :   However I would like to probe into your problem further to help you know what else could it be
Doctor :   and what next to do
User :   Doc...I have been suffering depression and anxiety through all of this as well
User :   I have had 2 abdominal CT's, a Pelvic CT, 4 CTA's and a throat CT
User :   All because I thought I had cancer or a blood clot in my chest
Doctor :   I want to know what are your symptoms
User :   Tightness in my chest, Pains in my upper abdomen at base of my ribcage
User :   tighness breating from my ribcage, like there is a band around my lungs
Doctor :   What is your age? and since how long you have these problem?
User :   25
User :   6 months
Doctor :   Did it start with tightness
User :   yes
User :   if there was cancer, would any of those blood values be off?
Doctor :   The blood tests do not indicate cancer
Doctor :   They are far different values
Doctor :   What medicines are you taking now?
User :   advair
User :   Protonix
Doctor :   Which all specialists did you consult yet?
Doctor :   What was their opinion?
User :   Cardio, Gastro, Neurologist, ENT
User :   stress/anxiety
User :   Pulmonologist
Doctor :   Did they mean you might be anxious ?
User :   yes
User :   have suffered from anxiety in the past
User :   now ia am also worried about getting cancer from all the tests ive had done
Doctor :   YOu absolutely do not get it
User :   meaning all the CT scans
Doctor :   I suggest you to consult a Psychologist who can counsel you
Doctor :   How cancer is and why people do not have cancer at this young age
Doctor :   of yours
Doctor :   You can stay worry free or not anxious for next 20 to 30 yrs
User :   Can the CT Scans I have had cause cancer?
Doctor :   No
Doctor :   CT scans do not cause cancer
User :   I have read studies where they have been linked to causing cancer
Doctor :   I have read many studies which have not determined
Doctor :   CT scan to cause cancer
Doctor :   The patient information
Doctor :   is very confusing
Doctor :   You shoudl listen to Doctor
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