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What Causes Chest Pain And Shortness Of Breath?

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Posted on Wed, 31 Dec 2014
Question: Hello, I am 38 yrs old, female, in good shape. I have had L side chest pain off and on for about 3 weeks. In the last few days the pain has radiated in my chest to the center and R side. It is not sharp but a dull ache, however sometimes it is more intense. It comes and goes. In the last few days I have become tired and sometimes short of breath with mild exertion. I have also started having diarrhea with stomach pains. I seem to be very tired in the last 24 hours also. Any advice?
doctor
Answered by Dr. Anantharamakrishnan (30 minutes later)
Brief Answer:
GO TO ER - NOW

Detailed Answer:
Hi friend
Welcome to Health Care Magic

YOU SHOULD GO TO Emergency Department (Casualty Service) – NOW

The combination of chest pain, shortness of breath with mild exertion – is ominous… Coronary Artery Disease (heart ) MUST be excluded immediately. Stomach pain & diarrhoea might, in this situation, mean inferior wall ischemia or infarction.
Of course, there are a few alternatives, but heart is an emergency. In suspected heart attack, TIME IS OF THE ESSENCE – if detected early, an attack may even be aborted / the amount of damage and complications can be reduced remarkably.

Pain from the heart is oppressing, in central chest (and left), worse on effort, relieved by rest, may radiate to shoulders and arms, associated with sweating and so on.. But it is notorious for misleading presentations. Right side pain does not exclude

You SHOULD SEE YOUR DOCTOR AS SOON AS POSSIBLE...
You need ECG and blood work – to exclude a few emergency issues
Better be safe than sorry - treated if a problem is found / Happy, if it turns out otherwise, that can be investigated leisurely

Good luck
God bless you
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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Answered by
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Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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What Causes Chest Pain And Shortness Of Breath?

Brief Answer: GO TO ER - NOW Detailed Answer: Hi friend Welcome to Health Care Magic YOU SHOULD GO TO Emergency Department (Casualty Service) – NOW The combination of chest pain, shortness of breath with mild exertion – is ominous… Coronary Artery Disease (heart ) MUST be excluded immediately. Stomach pain & diarrhoea might, in this situation, mean inferior wall ischemia or infarction. Of course, there are a few alternatives, but heart is an emergency. In suspected heart attack, TIME IS OF THE ESSENCE – if detected early, an attack may even be aborted / the amount of damage and complications can be reduced remarkably. Pain from the heart is oppressing, in central chest (and left), worse on effort, relieved by rest, may radiate to shoulders and arms, associated with sweating and so on.. But it is notorious for misleading presentations. Right side pain does not exclude You SHOULD SEE YOUR DOCTOR AS SOON AS POSSIBLE... You need ECG and blood work – to exclude a few emergency issues Better be safe than sorry - treated if a problem is found / Happy, if it turns out otherwise, that can be investigated leisurely Good luck God bless you