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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Experiencing Palpitation With Chest And Back Pain And Excessive Sweating. Is It Due To Anxiety?

I'm 30 year old male with a family history of heart disease. For the past two or three weeks I've been experiencing mild chest/neck/ back pain that comes and goes. Occasionally I will have palpation s along with a warm sensation in my heart. The left side of my upper neck also has a small knot in it. I've also been having drenching night sweats, I'm always tired and I have a felling of not being well. I also have a couple rotten molars on the top and bottom of my mouth I'm not sure if they could be part of the problem too. My Dr. Thinks its anxiety and and its all in my head. At the er they did blood work an EKG and chest xrays which all came back fine but my bp was 170/90 and she said it that I needed to be on bp meds but my doc said I'm fine. I swear I'm on the verge of dying. Could it all be in my head or could it be more?
Mon, 29 Jun 2015
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General & Family Physician 's  Response
Hello
you are young to have hypertension, however with our changed lifestyle and the stress of professional life I am increasing seeing patients in your age to have hypertension. Considering this as newly detected BP, from today itself you should start on lifestyle modifications like cutting salt in your diet to less than 3 gas, bringing regularity in life and exercise, atleast 45 mins 5 times a week. Keep on tracking the pressures at different time on different days. See what is the trend. At the same time get yourself evaluated for secondary causes of increased BP and if founded treat the cause. If this doesn't help a single anti hypertensive in small dose should do the trick which at later stage we can gradually decrease and wean off if possible. Regards
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Experiencing Palpitation With Chest And Back Pain And Excessive Sweating. Is It Due To Anxiety?

Hello you are young to have hypertension, however with our changed lifestyle and the stress of professional life I am increasing seeing patients in your age to have hypertension. Considering this as newly detected BP, from today itself you should start on lifestyle modifications like cutting salt in your diet to less than 3 gas, bringing regularity in life and exercise, atleast 45 mins 5 times a week. Keep on tracking the pressures at different time on different days. See what is the trend. At the same time get yourself evaluated for secondary causes of increased BP and if founded treat the cause. If this doesn t help a single anti hypertensive in small dose should do the trick which at later stage we can gradually decrease and wean off if possible. Regards