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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Migraine Symptoms, Breathlessness, Chest Pain And Tightness Be Treated?

I dont think my doctor is correct so I would like to get more additional advice. I had a traumatic car accident in 2006 and suffered from a completely crushed pelvis and left foot. I was diagnosed with MVP as well from taking over the counter diet pills and recently diagnosed with Interstitial cystitis. I've been on numerous medications throughout the years. I am not prescribed to Cymbalta, which I've been taking for 2 years now and I honestly do not think it helps, I am tired all the time and every time I tell the doctor, he just upper the dosages, I am on 60mg that I take once at night. I used to be on wellbrution as well but he took me off. A year ago, I had some tests ran and found out I had traumatic brain injury from my car accident. I used to be prescribed 30mg Adderall but as time went on, it wouldnt effect me as much as it use too and I would become completey tired before night began. I was recently on 40mg Vyvanse but the effectiveness decrease over time so my doctor upper the dosage to 70mg just recently, which I take once a day. From a lont time now, I suffer from constant headache/migraine symptoms and shortness of breath. Recently, I've been experiencing pain in my chest, I have a burning pain and tightness and it bothers me to talk and I have to take deep breathes. I would love to here some advice so maybe for once, I can feel good and have energy. Thanks!
Fri, 17 Nov 2017
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Pulmonologist 's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
I have gone through the detailed history you have given.
Possibility of stress, anxiety and panic disorder is more likely for all your symptoms.
Chest tightness, pain, shortness of breath, migraine like headache etc are characteristic symptoms of anxiety and panic disorder.
So better to consult psychiatrist and get done counselling sessions.
Try to identify stressor in your life and start working on its solution.
You will need anxiolytic drugs (propranolol and flunarizine combination).
Avoid stress and tension, be relax and calm.
Don't worry, you will be alright with all these.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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How Can Migraine Symptoms, Breathlessness, Chest Pain And Tightness Be Treated?

Thanks for your question on Healthcare Magic. I can understand your concern. I have gone through the detailed history you have given. Possibility of stress, anxiety and panic disorder is more likely for all your symptoms. Chest tightness, pain, shortness of breath, migraine like headache etc are characteristic symptoms of anxiety and panic disorder. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You will need anxiolytic drugs (propranolol and flunarizine combination). Avoid stress and tension, be relax and calm. Don t worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.