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Suggest Treatment For Chest Pain, Extreme Dizziness And Fatigue
Question: hest pain since 5 weeks
extreme dizziness that comes on quickly
fatigue
Asked by Me , 39 minutes ago
Doctor's reply to your question above...
Brief Answer:
GERD, anxiety commonest causes. Likely possibility
Detailed Answer:
Thank you for asking
I read your question and i understand your concern. Chest pain with history of Proton pump inhibitors use may point towards gastric acid reflux disorder and is very common cause of such chest pains in young age. regarding the dizziness that is just a sequelae of chest pain and acid reflux and not an entity on itself .
Some time medications don't suffice and a diet and lifestyle modifications are advised. Avoiding spicy, sweet , fatty and processed and canned foods. Eating small frequent meals and delaying lying down after last meal for at least 2 hours help. Keeping the head side of the bed elevated is advised.
With chest pain and dizziness together can be explained together as anxiety and panic attacks together and are commonly manifested. So you should be given a trial of anxiolytics and see if they help.
Take precautionary measure like careful and sloe posture change to prevent fall and taking some rest and some antivert for the dizziness.
if the problem persists talk to an internist and let them correlated your symptoms with a possible cause.
I hope it helps. Take good care of yourself and dont forget to close the discussion please.
Regards XXXXXXX
Replied by Dr. Shafi Ullah XXXXXXX , 5 minutes ago
Disclaimer: The Expert's advice is provided for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, as a complete assessment of an individual has not taken place. Please consult your nearest physician before acting on it. The advice is not valid for medico-legal purposes also.
Prilosec did not work for this problem. I also have eliminated eating spicy and fatty foods when this started 5 weeks agao. This is another reason to eliminate GERD.
The pain is right between my breasts and radiates from side to side. It worsens upon laying down.
I have no long term use of proton pump inhbitors the doctor thought it was a muscle problem so she prescribed a ten day sample.
Chest xray was sent away and is pending results.
The dizziness is getting worse and when i am in stores it can just hit for no reason. null
extreme dizziness that comes on quickly
fatigue
Asked by Me , 39 minutes ago
Doctor's reply to your question above...
Brief Answer:
GERD, anxiety commonest causes. Likely possibility
Detailed Answer:
Thank you for asking
I read your question and i understand your concern. Chest pain with history of Proton pump inhibitors use may point towards gastric acid reflux disorder and is very common cause of such chest pains in young age. regarding the dizziness that is just a sequelae of chest pain and acid reflux and not an entity on itself .
Some time medications don't suffice and a diet and lifestyle modifications are advised. Avoiding spicy, sweet , fatty and processed and canned foods. Eating small frequent meals and delaying lying down after last meal for at least 2 hours help. Keeping the head side of the bed elevated is advised.
With chest pain and dizziness together can be explained together as anxiety and panic attacks together and are commonly manifested. So you should be given a trial of anxiolytics and see if they help.
Take precautionary measure like careful and sloe posture change to prevent fall and taking some rest and some antivert for the dizziness.
if the problem persists talk to an internist and let them correlated your symptoms with a possible cause.
I hope it helps. Take good care of yourself and dont forget to close the discussion please.
Regards XXXXXXX
Replied by Dr. Shafi Ullah XXXXXXX , 5 minutes ago
Disclaimer: The Expert's advice is provided for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, as a complete assessment of an individual has not taken place. Please consult your nearest physician before acting on it. The advice is not valid for medico-legal purposes also.
Prilosec did not work for this problem. I also have eliminated eating spicy and fatty foods when this started 5 weeks agao. This is another reason to eliminate GERD.
The pain is right between my breasts and radiates from side to side. It worsens upon laying down.
I have no long term use of proton pump inhbitors the doctor thought it was a muscle problem so she prescribed a ten day sample.
Chest xray was sent away and is pending results.
The dizziness is getting worse and when i am in stores it can just hit for no reason. null
Brief Answer:
I recommend further tests for a wide differential diagnosis
Detailed Answer:
Hello!
Thank you for asking on HCM!
I read carefully your question and also your past questions and I am a little confused about your symptoms:
Your chest pain exacerbates upon lying down or when climbing the stairs and during physical activity?
These are two different kinds of pains, leading to two totally different clinical diagnoses.
Is your pain modulated from the respiratory movements or the body movements?
If the pain is exacerbated by the body movements or respiratory movements, it is more probable to be related to the musculo-skeletal system.
I would like to know if you have any family history for coronary artery disease or diabetes.
For sure, it is necessary to perform some preliminary cardiac tests like: resting ECG, lab cardiac enzymes (CK-MB, troponin).
As your actually prescribed pain appears mainly when you rest (you didn’t prescribe what’s happening when you perform physical exertion, with this pain), and if coupled with no obvious coronary risk factors, normal ECG and cardiac enzymes, we can exclude with a great certainty the possibility of a coronary artery disease.
As a professional cardiologist, taking care daily of critical cardiac care patients, I would like to assure that is a very low probability that you have coronary artery disease. ( I also read your previous questions and the respective medical opinions on them)
I would like to explain that a differential diagnosis should be done between other different disorders affecting the mediastinal structures like:
a) A thoracic spine disorder, caused by a lesion of the thoracic vertebral bones or disks (like a tumor or infection in this region), could also cause irradiating pain and chronic fatigue, especially during the night.
b) An ascending aorta dissection could cause similar symptoms.
c) Pancreatitis, an inflammation of the pancreas would explain this clinical scenario too.
d) To exclude a gastro-intestinal disorder, related to your symptoms, I recommend consulting with the gastro-enterologist and consider further diagnostic tests for this purpose.
So I recommend performing a careful physical examination, routine blood test for infection, inflammation tests (PCR, fibrinogen, and sedimentation), amylase blood levels, thyroid hormone levels, blood electrolytes, a thoracic spine x ray, an abdominal ultrasound and the results of your chest x ray to rule out the above mentioned disorders.
A chest CT scan may be necessary too, if suspicions are raised from the above tests.
Hope to have been of help!
Feel free to ask any other questions, whenever you need!
Best wishes,
Dr. Iliri
I recommend further tests for a wide differential diagnosis
Detailed Answer:
Hello!
Thank you for asking on HCM!
I read carefully your question and also your past questions and I am a little confused about your symptoms:
Your chest pain exacerbates upon lying down or when climbing the stairs and during physical activity?
These are two different kinds of pains, leading to two totally different clinical diagnoses.
Is your pain modulated from the respiratory movements or the body movements?
If the pain is exacerbated by the body movements or respiratory movements, it is more probable to be related to the musculo-skeletal system.
I would like to know if you have any family history for coronary artery disease or diabetes.
For sure, it is necessary to perform some preliminary cardiac tests like: resting ECG, lab cardiac enzymes (CK-MB, troponin).
As your actually prescribed pain appears mainly when you rest (you didn’t prescribe what’s happening when you perform physical exertion, with this pain), and if coupled with no obvious coronary risk factors, normal ECG and cardiac enzymes, we can exclude with a great certainty the possibility of a coronary artery disease.
As a professional cardiologist, taking care daily of critical cardiac care patients, I would like to assure that is a very low probability that you have coronary artery disease. ( I also read your previous questions and the respective medical opinions on them)
I would like to explain that a differential diagnosis should be done between other different disorders affecting the mediastinal structures like:
a) A thoracic spine disorder, caused by a lesion of the thoracic vertebral bones or disks (like a tumor or infection in this region), could also cause irradiating pain and chronic fatigue, especially during the night.
b) An ascending aorta dissection could cause similar symptoms.
c) Pancreatitis, an inflammation of the pancreas would explain this clinical scenario too.
d) To exclude a gastro-intestinal disorder, related to your symptoms, I recommend consulting with the gastro-enterologist and consider further diagnostic tests for this purpose.
So I recommend performing a careful physical examination, routine blood test for infection, inflammation tests (PCR, fibrinogen, and sedimentation), amylase blood levels, thyroid hormone levels, blood electrolytes, a thoracic spine x ray, an abdominal ultrasound and the results of your chest x ray to rule out the above mentioned disorders.
A chest CT scan may be necessary too, if suspicions are raised from the above tests.
Hope to have been of help!
Feel free to ask any other questions, whenever you need!
Best wishes,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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