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What causes vomiting, pain in left-sided neck and shortness of breath?

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Posted on Mon, 16 May 2016
Question: 47 year old male has been sick all day, thrown up 4-5 Times, has an ache in left side of his neck, and says he feels a little short of breath. Can you advise what we should do?
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Answered by Dr. Bonnie Berger-Durnbaugh (1 hour later)
Brief Answer:
Go in to be seen tonight.

Detailed Answer:
Hello and welcome,

The ache in the left side of neck may be from straining it from throwing up. And the vomiting may be from a stomach bug. And the shortness of breath may be from dehydration.

However, anytime I hear of a man with any kind of pressure type pain in the left side of the neck or jaw plus shortness of breath, I think it is important to make sure the cause is not from a problem with his heart. That can cause nausea too (although usually not that much vomiting).

So, I think he should be seem promptly - tonight.

If you are willing, please write me to follow up on how he is doing after he is evaluated.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Bonnie Berger-Durnbaugh (26 minutes later)
Thank you for your answer. He is also going back and forth with chills then sweaty hot flashes. Could that indicate a heart issue or flu virus?
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (13 minutes later)
Brief Answer:
more likely from a virus

Detailed Answer:
An actual fever would go more with having a virus, such as "stomach flu". But when people have cardiac ischemia (decreased oxygen to the heart such as with a heart attack), they definitely can have sweating and nausea.

If that pain in his neck feels tender to the touch and increases with movement of the neck in certain directions it may be a strain. But if it is an ache, like a feeling of pressure, please don't delay getting him evaluated. Better safe than sorry.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3135 Questions

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What causes vomiting, pain in left-sided neck and shortness of breath?

Brief Answer: Go in to be seen tonight. Detailed Answer: Hello and welcome, The ache in the left side of neck may be from straining it from throwing up. And the vomiting may be from a stomach bug. And the shortness of breath may be from dehydration. However, anytime I hear of a man with any kind of pressure type pain in the left side of the neck or jaw plus shortness of breath, I think it is important to make sure the cause is not from a problem with his heart. That can cause nausea too (although usually not that much vomiting). So, I think he should be seem promptly - tonight. If you are willing, please write me to follow up on how he is doing after he is evaluated.