Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

131 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes breathlessness and chest pain?

Answered by
Dr.
Dr. Suresh Heijebu

General & Family Physician

Practicing since :2010

Answered : 3564 Questions

default
Posted on Thu, 21 Aug 2014 in Hypertension and Heart Disease
Question: Hello Doctor,
My wife is experiencing breathlessness since last few days due to no apparent reason. This feeling is there for sometime and is relieved on its own. She is about 5'6" in height and weighs around 66 kg. She does not have hypertension. Her lipid profile is normal too. She sometimes complains of mild chest pain. Otherwise she has been normal and has no complaints. She was regular at the gym till lately. What can be a possible cause for this?

Thanks.
doctor
Answered by Dr. Suresh Heijebu 28 hours later
Brief Answer:
Eltroxin dose reduction is all that is needed.

Detailed Answer:
HI Sir ,

I have carefully read your concern and understand your query.

As per your wife's clinical history, the breathlessness does not seem to have any organic basis,that is no underlying heart or lung pathology.

She has quite a normal body and lab parameters.

The only cause that can be attributed to breathlessness in your case is the drug ELTROXIN 100mcg ,which in higher dose can cause hyperdynamic circulation due to accelerated metabolic state induced by thyroxine in hypothyroid patients.

It can present as chest discomfort and nonspecific difficulty in breathing.

I strongly recommend her to get a complete thyroid profile(T3,T4,TSH) and adjust the dose of Eltroxin can ameliorate these symptoms in consultation with your treating physician.

I also recommend her to get a screening 2-DIMENSIONAL ECHOCARDIOGRAPHY of the heart as a routine check in hypothyroid patients on Eltroxin.

So i suggest you need not worry too much.

I hope this info is helpful to you.
Post your further queries on http://bit.ly/drsureshheijebu.
Thank you,
Take care.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Drug/Medication
Lab Tests ,  
Medical Topics

Recent questions on  Chest pain

doctor1 MD

hello dr, im suffering from frequently chest pain, heartburn and diziness and drowzy. upperback leftside more offen getting inflamation. my ECG IS normal lipid profile is as follows TG 92mg/dl HDL 36mg/dl LDL 59mg/dl total CHOL 113mg/dl total CHOL/HDL ratio is 3 pls help my problem

doctor1 MD

my son just flew into la paz (13,000 feet) and had altitude sickness. Spent one night in a clinic with O2 (also has a bacterial infection) at clinic and when at airport yesterday they said his heartbeat was irregular. He is now at 9,000 feet and says he doest know if he is having panic attacks or something wrong ( gets pain in chest) says he feels better most of time. Want to take bus for day trip 4,000 feet higher. WOuld this be dangerous? Does irregular heartbeat mean anything? He is 20 and otherwise health

doctor1 MD

I had been in coma for 3 days and was in ventillation for 7 days due to ARDS in the last february but since then after my recovery I started having severe pain in my chest accompanied with breathing problem. Doctor has advice me to go thruogh a chest x-ray, it shows little congestion in lungs. But doctor has told me that it cant be the cause of chest pain. I am an field executive and had to work through the entire day in the field. I used to take alzolam 0.5mg every night because I have severe sleeping disorder and tremendous pressure of work. May I please know how can I get relief of the pain?

doctor1 MD

I am a 34 year old female weighing approximately 240 pounds. I smoked off and on for fifteen years and quit on my own in January 2011 for good. Shortly before I kicked the habit, I began feeling as if I had panic attacks. I went to my physician who prescribed me Buspar for depression / anxiety. I had a reaction to the medicine causing my heart to race, chest to hurt, and arms to tingle. I was advised to stop taking the medication and was not prescribed anything else. All throughout February I had what I thought were panic attacks, but they progressively got worse and lasted longer, always worse at night. I finally went to the Emergency Room on March 12th thinking perhaps it was Asthma, even though I have no cough or wheeze. I thought since we are renovating my mother s house and from years of cigarettes that I had Asthma for sure, but the doctor discovered through X-Rays that I had a large air bubble that had pushed up my left diaphragm causing me trouble breathing. They performed a dilatation where 4 pounds of air was pumped from my stomach and sent me home. I felt so much better and was able to sleep through the night like a baby. Then, four days later, I had trouble breathing again and this time had chest pain as well, so I went to the ER again. They performed a Stress Test, EKG, and MRI scans. They said that my chest was fine, but that I needed to see a Gastro Intestinal doctor as my stomach was bloated. Two days later, I went to the doctor and had an emergency Endoscopy that found I had Pyloric Stenosis (I have no ulcers or scarring and never had it as a child). I had no stomach pain, vomiting or acid reflux, the only GI symptoms I had were nausea, diarrhea, weight loss and bloating. The doctor prescribed Omeprazol & Reglan and had me go back in 2 weeks for a follow up. I felt great for 2 weeks, and at the follow up I was prescribed Paxil to help with IBS symptoms of diarrhea, simithecone to relieve gas and bloating, & Lisinopril for High Blood Pressure (which I did not have before all this). I also caught an ear infection in my right ear during all this and was prescribed Cefdinir, then Allegra and Nasonex to help, and I began having trouble breathing again. X-Rays again showed I had an elevated left diaphragm and air bubbles. I have had blood tests for diabetes and thyroid among other things, CT Scans, another Endoscopy, a colonoscopy, Pulmonary Function tests, Arterial Blood Oxygen tests, Sleep Apnea tests, a Fluoroscopic SNIF test and more X-Rays. I have been told that I have a very small hiatal hernia (too small to operate) and mild asthma (prescribed Pulmicort). I have no other GI tract issues, my heart is fine and my lungs are clear, yet I still have the elevated left diaphragm (which is not paralyzed - it is still functioning in my chest), which has pushed my heart over to the right side of my chest, and pain on my left side now. I stopped taking all meds except the Lisinopril, Gas-X & Pulmicort for Asthma. Some I was told to stop, others I stopped because they seemed to be making the diarrhea, pain and nausea worse. Two nights ago, I tried to lay on my left side to help reduce some of the pain and I immediately felt like I was starving, to the point where I got extremely nauseous and had pain radiating through the left side of my body! I took two bites out of an energy bar, but the feeling was still there. I thought I might be having a heart attack, so I called the doctor and left a message with his answering service. I began to dry heave uncontrollably and then quickly felt better. The doctor said that I should go to the ER if it continued, but it went away, so I did not. So, my current symptoms now are pain in my left side from my stomach / colon to my shoulder that gets worse at night and better in the morning. Sudden nausea with bouts of gas and constipation, PVC heart palpitations, bloating, losing weight quickly and then gaining it back very quickly, loss of appetite then sudden feelings of starving, & discomfort in my chest with physical activities (like sex - I have not been able to do that in 2 months now for fear of making this worse). My question is: What could be causing this and how do I make it stop? Any advice you can give is greatly appreciated! I am allergic to Morphine and Demerol Surgeries: Gall Bladder removed in June 1997, Endometrial Ablation and Tubal Ligation in July 2010. I have had (3) live births (all full term). My last pregnancy in 2005, I had Pregnancy induced hypertension and was on bed rest for one month. My father had a heart attack in his forties and died from a stroke at age 50 - he was a lifetime smoker and had controlled adult onset diabetes and controlled high blood pressure. My mother is still living - she has controlled high blood pressure and at age 58 had a stint put in her heart with a 99% blockage - she is now on blood thinners and doing well.

doctor1 MD

getting pain in some parts of chest in random time any type of injections for D3 and B12 and dose for same as per reports

doctor1 MD

I started having symptoms about 7 weeks ago. Head congestion, then chest congestion, some fever, a cough, shortness of breath , and now pain in my chest under my left breast. (always after eating or drinking and random, when not, pain is worse...

doctor1 MD

i. I am 30 year old obese when I tried to laugh too hard had strange feeling in head for a second.later next day I laughed even harder this time felt like head was holding or dizzy kind of like passing out it stopped when I stoped laughing feeling...