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Coronary artery disease,recurrent heart attack - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I have CAD. I had a heart attack at 40 and triple-bypass a month later. I currently have nine stents. My last test was in June and I did the EBT scan. This morning around 4am I woke up with pain at the XXXXXXXX side though I have not had one in 3 years. I have however had 9 in 8years. Any ideas? Advil did nothing.
Doctor :   Hi
Doctor :   let me read your query
Doctor :   may i know your age ?
Doctor :   Are you there ?
User :   yes
User :   48
Doctor :   ok
Doctor :   can you describe the pain you had ?
User :   I am adopted and my cardio thinks all this ways cause by bad genes and stress and smoking.
User :   pain was throbbing
Doctor :   how long did it last,?
Doctor :   did the pain subside later ?
User :   I got up and took advil and it eased but did not completely go away. Just went down the steps and I noticed it coming back
Doctor :   ok
Doctor :   do you still have the pain ?
User :   a little
Doctor :   does the pain make you want to rest ?
Doctor :   and does it increase when you exert yourself ?
User :   not rest....more like re-adjust my leg
User :   have not been up long enough to exert myself much.
Doctor :   ok
Doctor :   the pain could be due to some scar tissues causing vascular obstruction
User :   have been tired, but full time cargiver for mom with Altzheimers
User :   oh
Doctor :   or due to some form of inflammation at the site
Doctor :   does pressure at the XXXXXXXX site increase the pain ?
User :   did not notice it......not sure I would
Doctor :   can you just check and let me know ?
User :   how?
Doctor :   just apply some pressure at the catherterisation site
User :   no change
Doctor :   ok
Doctor :   In that case, the pain could be just a musculoskeletal pin
Doctor :   ***pain
Doctor :   as any pressure at that site should produce pain, if obstruction is there
Doctor :   also do you have any numbness in the concerned leg ?
Doctor :   do u feel the leg going cold ?
User :   no
Doctor :   in that case it is just a musculoskeletal pain
User :   a little
Doctor :   you need not worry or panic
User :   thank goodness
Doctor :   the pain most probably will resolve soon
Doctor :   take some rest with the limbs elevated
Doctor :   apply some ice packs to that area
User :   should I make an appt w/dr?
Doctor :   if the pain persists for a long time or it worsens and becomes intolerable, then you might be helped by a doppler ultrasound of the blood vessels
User :   true - had not thought about that.
Doctor :   for now, follow the measures that i have mentioned
User :   will do thank you.
Doctor :   in case you develop, weakness, coldness of your legs, color change, increase in pain , you should see a doctor at the ER
User :   thank you - will do. May I have a transript of this for my records?
Doctor :   SURE
Doctor :   you can drop a mail at
User :   I keep all my records because I have such issues.
Doctor :   and then they will mail it to you
User :   thanks
Doctor :   that is a good way
Doctor :   you are most welcome
User :   have a good day
Doctor :   i hope i have helped you
Doctor :   take care , and have a good day
Doctor :   bye for now
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