• question-icon

    What causes fatigue and chest pain in an elderly person?

Posted on Wed, 5 Jul 2017 in Abdominal Pain
Question: My 89 year old father ate half his lunch and then he had to lie down. he said that he feels very weak and is having pain. This has been occurring daily for about 2 months. He went to his doctor but he didn't know what was causing the pain.
Answered by Dr. Sunil 29 minutes later
Brief Answer:
Can be angina(heart related pain).

Detailed Answer:
Thanks for query.

There are two pssibilities.
1)Cardiac involvement-Post prandial angina(Pain or discomfort in chest) after eating food in 89 years old male can be suggestive of Angina.Angina means pain due to improper blood supply to heart.Heart is supplied by 3 major vessels called coronaries.Blockage in one of the coronaries can cause angina.

I would strongly suggest him to go for few basic cardiology tests like 2d echocardiogram or Stress echo.They are highly sensitive tests to rule out coronary involvement.

2)Gastric involvement-Gastritis acid disorder and gases can mimic cardiac pain and can cause chest pain and heaviness.
Once cardiac cause is ruled out he can be treated for gastric problem.
Therapy with a proton pump inhibitor like Esomeprazole 40 mg twice daily along with a prokinetic drug would bd given for 21 days. This will provide you symptomatic relief from symptoms.Antacid like tums can be taken for few days along with it.

But as pain is recurrent initially cardiac cause is to be ruled out.

Thank you.

Above answer was peer-reviewed by : Dr. Prasad
Follow up: Dr. Sunil 1 hour later
Thank you for your reply. I told my dad about your response. He is a retired physician, and he believes that he has Guillain Barre. Are you familiar with this disorder? If not, could you please help us get find someone who is.

Many Thanks, XXXXXXX
Answered by Dr. Sunil 15 minutes later
Brief Answer:
Very unlikely.

Detailed Answer:
Hey there,
Going through his symptoms it can't be G.B syndrome.Guillain-Barre syndrome is a rare disorder in which your body's immune system attacks your nerves. Weakness and tingling in your extremities are usually the first symptoms.It is charactrised by ascending umbrella shaped paralysis.Starts from one leg ascends to abdomen and thej reaches the other leg.So an umbrella shaped area is involved.
I respect his opinion but its not G.B syndrome.

Above answer was peer-reviewed by : Dr. Raju A.T
Answered by
Dr. Sunil


Practicing since :1982

Answered : 351 Questions


The User accepted the expert's answer

Share on

Recent questions on  Chest pain

doctor1 MD

My 7 year old son and 29 year old husband are both sick with the same exact symptoms... They started with a sore throat about 9 days ago. They are...

doctor1 MD

I am a 42 year old female with many symptoms, dark patch on my leg, back of the neck area, joint pain, extreme exhaustion, sleep problems, no sex...

doctor1 MD

i have been taking losartan for six months. during that time, i have also been complaining of fatigue, breathlessness, chest pain, edema...

doctor1 MD

Yesterday i opened up a new soda and took a drink too fast.. it hurt when it went down and i started to have a chest pain and i was standing up and...

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...

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...

Get personalised answers from verified doctor in minutes across 80+ specialties

186 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Sunil
  • Q - What causes rapid abdominal weight gain?

  • Q - Is Voltaren effective in managing pain when with Barrett's esophagus?

  • Q - What causes black stool post a colostomy surgery?

  • Q - Suggest treatment for severe nausea and vomiting

  • Q - What are the repercussions of accidental ingestion of a plastic piece?

  • Q - What causes difficulty in swallowing food?

  • Q - Suggest treatment for profuse rectal bleeding

  • Q - What causes urinary retention after gallbladder removal?

  • Q - Suggest treatment for abdominal bloating and gastritis

  • Q - What causes upper right quadrant pain with bloating?