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I%E2%80%99m Having Chest Tightness At Random When Walking, Sometimes Stairs,
Question: Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I understand your concern and would explain that this feeling could be related to the heart or a musculo-skeletal pain (local inflammation).
Do you feel this tightness during deep breathing? This could indicate possible musculo-skeletal pain, probably local inflammation or costo-chondritis.
I would also like to know more about your age and past medical history.
In order to investigate for the possible cause underlying your concern, I would recommend performing some tests:
- a resting ECG
- a chest X ray study
- complete blood count, PCR, ESR for inflammation.
An exercise cardiac stress test would be necessary to investigate for coronary artery disease, especially if you have cardio-vascular risk factors such as: arterial hypertension, smoking, dyslipidemia or diabetes.
You should discuss with your doctor on the above tests.
I remain at your disposal for any further questions whenever you need!
Kind regards,
Dr. Ilir Sharka
I would explain as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I understand your concern and would explain that this feeling could be related to the heart or a musculo-skeletal pain (local inflammation).
Do you feel this tightness during deep breathing? This could indicate possible musculo-skeletal pain, probably local inflammation or costo-chondritis.
I would also like to know more about your age and past medical history.
In order to investigate for the possible cause underlying your concern, I would recommend performing some tests:
- a resting ECG
- a chest X ray study
- complete blood count, PCR, ESR for inflammation.
An exercise cardiac stress test would be necessary to investigate for coronary artery disease, especially if you have cardio-vascular risk factors such as: arterial hypertension, smoking, dyslipidemia or diabetes.
You should discuss with your doctor on the above tests.
I remain at your disposal for any further questions whenever you need!
Kind regards,
Dr. Ilir Sharka
I%E2%80%99m having chest tightness at random when walking, sometimes stairs, and push ups.
What could this be?
What could this be?
I have had an echo-normal, calcium score-normal, and blood work.
Stress test in March-normal.
38 male w/ high blood pressure
Take lisinopril
Take lisinopril
No tightness with deep breathing.
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello again!
Thank you for the additional information!
Considering your performed cardiac tests, I would exclude any cardiac issues.
Coming to this point, I would recommend considering possible acid reflux or a hiatal hernia, which can trigger chest pain, especially after eating.
For this reason, I would recommend trying an anti-acid or PPI (omeprazole, pantoprazole) and see if it helps improve your situation. Performing a fibro-gastroscopy may be needed.
Another possible cause to consider would be a bulging disc in the cervical or thoracic vertebral column. For this reason, I would recommend performing a cervico-thoracic X ray study. A spine MRI may be needed.
You should discuss with your doctor on the above tests.
Hope you will find this information helpful!
Wishing all the best,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello again!
Thank you for the additional information!
Considering your performed cardiac tests, I would exclude any cardiac issues.
Coming to this point, I would recommend considering possible acid reflux or a hiatal hernia, which can trigger chest pain, especially after eating.
For this reason, I would recommend trying an anti-acid or PPI (omeprazole, pantoprazole) and see if it helps improve your situation. Performing a fibro-gastroscopy may be needed.
Another possible cause to consider would be a bulging disc in the cervical or thoracic vertebral column. For this reason, I would recommend performing a cervico-thoracic X ray study. A spine MRI may be needed.
You should discuss with your doctor on the above tests.
Hope you will find this information helpful!
Wishing all the best,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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