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What Cause Fatigue, Weakness, Shortness Of Breath And Chest Tightness?
Question: My husband has had fatigue, so weak some days,shortness of. breatheven sometimes has had tightness in chest!! Has been to several types doctors,. They have ruled out heart,lung problems. We have been trying to find answers go over a year?? This is very serious he has passed out before, We are so worried,and stressed over this Could someone please help us. Thank you.
Brief Answer:
I would suggest as follows:
Detailed Answer:
Hello!
Thank you for asking on HCM!
I understand your concern, and would like to explain that, facing your husband' s complains, it is necessary to perform a comprehensive differential diagnosis wouk up.
Different tests should be reviewed: cardiac ultrasound and cardiac enzymes (CK-MB, troponin), coupled with BNP test, chest X ray study, pulmonary function test and an arterial blood gas analysis (probably already performed), could rule out cardiac and pulmonary origin of chest pain and dyspnea.
A complete blood count, thyroid hormone levels, and a backbone imagine study are necessary too.
You need to discuss with an internist for a careful physical examination, a better review of all the performed and recommended tests.
Hope to have been helpful to you!
If you have concrete test results or need additional
support, please do not hesitate to ask me!
Best regards! Dr. Iliri
I would suggest as follows:
Detailed Answer:
Hello!
Thank you for asking on HCM!
I understand your concern, and would like to explain that, facing your husband' s complains, it is necessary to perform a comprehensive differential diagnosis wouk up.
Different tests should be reviewed: cardiac ultrasound and cardiac enzymes (CK-MB, troponin), coupled with BNP test, chest X ray study, pulmonary function test and an arterial blood gas analysis (probably already performed), could rule out cardiac and pulmonary origin of chest pain and dyspnea.
A complete blood count, thyroid hormone levels, and a backbone imagine study are necessary too.
You need to discuss with an internist for a careful physical examination, a better review of all the performed and recommended tests.
Hope to have been helpful to you!
If you have concrete test results or need additional
support, please do not hesitate to ask me!
Best regards! Dr. Iliri
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
Dr.Sharka,thank youbut we have seen several qualified cardiologists with negative results,tho husband has a family history full of heart problems,some dead from this
So we are concerned about this too. Would like to get some input from an Internist or maybe and Endocronoligst. We are desperate for answers,so please give us all you can,from whichever Dr might have had a patient same symptoms. Funny part of this is he will actually have a better day occasionally. All answers will be appreciated. Thames
Nk you.HELP!! XXXX
So we are concerned about this too. Would like to get some input from an Internist or maybe and Endocronoligst. We are desperate for answers,so please give us all you can,from whichever Dr might have had a patient same symptoms. Funny part of this is he will actually have a better day occasionally. All answers will be appreciated. Thames
Nk you.HELP!! XXXX
Need more info--please maybe a reply from Internist or Indocronologist.Weive had all tests Dr. Sharks recommended,with no results. What do we do next. My husband has a family of serious heart problems that is why we are so confused no test shows us any sort of proof of heart problems,or lung disease. He wakes up tired.and gets so weak just taking a shower. Has a good appetite does not smoke& sleeps well most nights. He worked in timber(in woods) most his life.Is it possible something like Lymes disease or something of this nature?? Correction,his family has history of heart problems.Does any doctor there have any suggestions,we desperatly need answers!!Please! He has no overweight or cholesterol,high blood problems,hope that helps. Thank you very much for any help. XXXX
Hope you receive the last one I've just sent thank you for you much - needed help.
Brief Answer:
A comprehensive differential diagnosis is needed.
Detailed Answer:
Hi again dear XXXX!
I understand you are in a desperate situation, after so many medical tests performed and visiting several doctors.
As I said you before a comprehensive diagnosis by a careful internist should be done.
Thyroid, as well as adrenal function tests should be checked.
Your husband clinical status is compatible with several pathological conditions, including systemic, neurological, metabolic, and infectious diseases, etc.
A neurological status evaluation, several lab tests (liver and renal function tests, CPK, PCR, many serological tests for possible infection involvement, etc).
A Lyme disease should also be considered as well, as his epidemiological and symptomatology background raise strong suspicions.
Your husband health issues are really a challenge, and should be clarified by an experienced internist. It is in fact a diagnosis by exclusion.
I wish this diagnostic and exhausting process could come to an end.
Best regards! Dr. Iliri
A comprehensive differential diagnosis is needed.
Detailed Answer:
Hi again dear XXXX!
I understand you are in a desperate situation, after so many medical tests performed and visiting several doctors.
As I said you before a comprehensive diagnosis by a careful internist should be done.
Thyroid, as well as adrenal function tests should be checked.
Your husband clinical status is compatible with several pathological conditions, including systemic, neurological, metabolic, and infectious diseases, etc.
A neurological status evaluation, several lab tests (liver and renal function tests, CPK, PCR, many serological tests for possible infection involvement, etc).
A Lyme disease should also be considered as well, as his epidemiological and symptomatology background raise strong suspicions.
Your husband health issues are really a challenge, and should be clarified by an experienced internist. It is in fact a diagnosis by exclusion.
I wish this diagnostic and exhausting process could come to an end.
Best regards! Dr. Iliri
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Dr.Sharka,wanted to include all medications my husband has been given these two yre we've been trying to get some answers.lListed:Metopolol,which XXXXXXX thinks started his problems,as hes never had high blood pressure.Pradaxa,Midodrine,Fludrocort,Flecanide,synthroid,,nowArmourThyro,Levothroxin andKlor-con,and more. The sad part,we cannot tell any has helped,maybe some seemed to help for a while.My husband has never wanted to take so much MEDICENE. We will be seeing an Internist soon,as you advised. Thanks for your time&asvice.
XXXX
XXXX
Brief Answer:
You are welcome!
Detailed Answer:
Dear XXXX!
XXXXXXX may be right on Metoprolol. Sometimes beta-blockers do exert such an unwanted effect, especially when associated with other drugs like Flecainide, etc.
A cardiac ultrasound should be reviewed for this purpose, even the cardiac rhythm status. After a comprehensive review by the internist, a possible cutting should be done to find the exact and most appropriate therapy scheme. I recommend you to follow my prior advises.
Feel free to ask me whenever you need.
Greetings! Dr. Iliri
You are welcome!
Detailed Answer:
Dear XXXX!
XXXXXXX may be right on Metoprolol. Sometimes beta-blockers do exert such an unwanted effect, especially when associated with other drugs like Flecainide, etc.
A cardiac ultrasound should be reviewed for this purpose, even the cardiac rhythm status. After a comprehensive review by the internist, a possible cutting should be done to find the exact and most appropriate therapy scheme. I recommend you to follow my prior advises.
Feel free to ask me whenever you need.
Greetings! Dr. Iliri
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Raju A.T
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