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What Are The Signs And Symptoms Of Coronary Artery Disease?
Question: Hi miss am 45 ur old women fairly healthy work out 4 to 5 x a week low impact cardio I seem to be having nerve like pinch feeling on left side of sturnum that comes and goes . No shortness of breath no neasea I have normal blood pressure I have had a cardiac work up last year all normal and my chest pain was put to coatochondritis .
My question is should I ask my gp to spend me to internal medicine dr I am currently started yesterday physio I do message therapy as well but it is frustrating sometimes disrupts my day
My question is should I ask my gp to spend me to internal medicine dr I am currently started yesterday physio I do message therapy as well but it is frustrating sometimes disrupts my day
Brief Answer:
My opinion as follows:
Detailed Answer:
Hello!
Welcome back on HCM!
I understand your concern and would explain that as you have not found a solution to your problem by consulting with your GP, consulting with an internal medicine specialist would be another option to try to find the possible causes underlying your symptoms.
Anyway, your symptoms do not seem to be related to any cardiac disorder (including coronary artery disease). The fact that all your recent performed cardiac tests have resulted normal is another argument to exclude the heart.
In my opinion, your troubles could be related to these possible causes:
- musculo-skeletal pain
- chostochondritis
- a pinched nerve
- gastro-esophageal reflux.
Have you tried an anti-acid, Zantac or Omeprazole? If they help relieve your symptoms, it would be indicative of possible gastro-esophageal reflux underlying your symptoms.
What about ibuprofen or Tylenol? Do they improve your situation? This would be indicative of a musculo-skeletal issue.
I would also recommend performing some new tests:
- a cervical spine X Ray study for possible degeneration of the cervical spine or bulging disk that could lead to radicular pain in this region. If this is suspected, a cervical spine CT scan or MRI would be needed.
- complete blood count, PCR, ESR for inflammation.
- a chest X ray study.
If your symptoms are relieved by an anti-acid, a fibrogastroscopy may be needed.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
My opinion as follows:
Detailed Answer:
Hello!
Welcome back on HCM!
I understand your concern and would explain that as you have not found a solution to your problem by consulting with your GP, consulting with an internal medicine specialist would be another option to try to find the possible causes underlying your symptoms.
Anyway, your symptoms do not seem to be related to any cardiac disorder (including coronary artery disease). The fact that all your recent performed cardiac tests have resulted normal is another argument to exclude the heart.
In my opinion, your troubles could be related to these possible causes:
- musculo-skeletal pain
- chostochondritis
- a pinched nerve
- gastro-esophageal reflux.
Have you tried an anti-acid, Zantac or Omeprazole? If they help relieve your symptoms, it would be indicative of possible gastro-esophageal reflux underlying your symptoms.
What about ibuprofen or Tylenol? Do they improve your situation? This would be indicative of a musculo-skeletal issue.
I would also recommend performing some new tests:
- a cervical spine X Ray study for possible degeneration of the cervical spine or bulging disk that could lead to radicular pain in this region. If this is suspected, a cervical spine CT scan or MRI would be needed.
- complete blood count, PCR, ESR for inflammation.
- a chest X ray study.
If your symptoms are relieved by an anti-acid, a fibrogastroscopy may be needed.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello
I have recently had X-rays done of my neck shoulders stomach back chest I do have issues with my neck and back I also have ibs as I have been finding that my stomach gets upset frequently now and like a burning feeling milk usually helps ..the pain in the chest that comes and goes is like a pinch feeling I will ask my gp to send me to internal medicine doctor next as long as we can exclude cardiac thank u
I have recently had X-rays done of my neck shoulders stomach back chest I do have issues with my neck and back I also have ibs as I have been finding that my stomach gets upset frequently now and like a burning feeling milk usually helps ..the pain in the chest that comes and goes is like a pinch feeling I will ask my gp to send me to internal medicine doctor next as long as we can exclude cardiac thank u
Brief Answer:
My opinion as follows:
Detailed Answer:
Hello again!
As a cardiologist, I would like to explain that your symptoms are not typical of any cardiac disorders. So, based also on your recent performed tests and your age, I would exclude any cardiac disorders.
Gastro-esophageal reflux could also mimic some of your symptoms, considering the fact that your symptoms improve by milk or anti-acids.
From the other hand, as you refer to have some problems in your cervical spine, a bulging disk with irradiating radicular pain in this region can not be excluded either. I would recommend performing further tests like a cervical spine MRI or a nerve conduction study.
Anyway, consulting with an internal medicine specialist can help find the possible underlying causes.
Let me know about everything!
Wishing good health,
Dr. Iliri
My opinion as follows:
Detailed Answer:
Hello again!
As a cardiologist, I would like to explain that your symptoms are not typical of any cardiac disorders. So, based also on your recent performed tests and your age, I would exclude any cardiac disorders.
Gastro-esophageal reflux could also mimic some of your symptoms, considering the fact that your symptoms improve by milk or anti-acids.
From the other hand, as you refer to have some problems in your cervical spine, a bulging disk with irradiating radicular pain in this region can not be excluded either. I would recommend performing further tests like a cervical spine MRI or a nerve conduction study.
Anyway, consulting with an internal medicine specialist can help find the possible underlying causes.
Let me know about everything!
Wishing good health,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank I you have been most helpful as usual
Brief Answer:
You are welcome!
Detailed Answer:
I am glad to have been helpful to you!
If you have any other uncertainties in the future, you can ask me directly at any time on my personal link as follows:
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=69765.
I would be happy to answer to all your questions!
Wishing good health,
Dr. Iliri
You are welcome!
Detailed Answer:
I am glad to have been helpful to you!
If you have any other uncertainties in the future, you can ask me directly at any time on my personal link as follows:
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=69765.
I would be happy to answer to all your questions!
Wishing good health,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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