Having Sharp Pain In Heart. Feel Fatigued. What To Do?
Atypical features but still need evaluation.....
Detailed Answer:
Dear Sir
The pain of heart attack or angina is usually not sharp, it is not localized to a spot, and it usually does not go away on lying down. These are atypical features which makes the likelihood of this kind of pain to be a anginal a bit low. However, since this is a new onset pain and is persistent, it should be evaluated further. Moreover, Angina or heart attack as a cause of chest pain can not be entirely ruled out historically only. It should be corroborated by other evidences like a normal ECG/ normal enzymes, depending upon the clinical scenario.
Other possibility can be a musculoskeletal pain considering its localized nature and relation to posture.
Generalized fatigue is a feature which is an indicator towards important underlying cause.
In nutshell, Despite the fact that this pain is not typical of heart attack, it needs to be worked-up. I would recommend you to see your physician on priority for evaluation of this pain.
Feel free to discuss further.
Sincerely
Sukhvinder Singh
None of these is likely cause.
Detailed Answer:
Dear Sir
1. Cannabis withdrawal is not known to be associated with chest pain. It may be associated with mood swings, loss of appetite, anxiety, headache, sleep disturbance etc.
2. Missed beats per say will not cause chest pain. Neither they predispose to heart attack.
3. Kidney stone pain radiates to scrotal region and inner thighs and not to chest.
Hence these possibilities as suggested by you are not likely to be cause for your heart pain.
Hope this helps. Feel free to discuss further.
Sincerely
Sukhvinder Singh
Detailed Answer:
Respected Sir
1. You should see an internist ( XXXXXXX medicine specialist). If he/she is not available, then you can consult the emergency room physician.
2. The exact tests will depend upon clinical findings on examination. However an ECG should be done to look for ischemic changes. If no alternate cause is established, Cardiac enzymes should also be measured to rule out a cardiac event.
Hope this helps.
Sincerely
Sukhvinder
You are welcome Sir.
Detailed Answer:
You are welcome Sir.
Sincerely
Sukhvinder