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Dr. Andrew Rynne

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My mother is experiencing shortness of breath while resting, chest pain

My mother is experiencing shortness of breath while resting, chest pain and numbness in the arm. What is this
She has seen several cardiologists to no avail. Her blood work always comes out fine. The only thing they can diagnose is higher than average cholesterol. She could not tolerate Lipirtol and is seeking homeopathic remodies...
Fri, 11 Dec 2009
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It does sound like a heart attack or resting angina, except for numbness and not pain of the arm. If she had been cleared for heart disease by a cardiologist, such as stress test, and maybe even a cardiac cath, then consider along shot that she has thoracic outlet syndrome or cervical disc syndrome. She needs an MRI cervical spines, and a x-ray for cervical rib. Rosita D
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doctor1 MD

lately i been experiencing some chest pain and a little shortness of breath. i feel like i cant take deep breathes and my chest feels like its caving in. I been to a caridologist and and internal doctor many times. Did Ekgs, did a stress test with the holtor hooked up during workout , had 2 holtor monitors. All these test came back normal with nothing wrong what so ever. i have a slow heartbeat. resting at 60 but thats it. all my doctors and cardiologist said its normal and all my test are fine. well i go running i feel some shortness and caving of my chest. what can this be. Im 23yr olds male, good shape , workout everyday. no family heart problems. I have developed a lot of anxiety and stress over the past year and its been on going. my doctor thinks a psychiarist should help me out bc i been through a lot. what do u think this can be i dont want to keep going back to doctors since they all run all these test and they always come back negative. any ideas?

doctor1 MD

okay so heres my story. Im 24years of age, weigh 150lbs, workout reguraly, and eat healthy. I also quit smoking 2 years ago due to chest pain, and headaches while i would smoke. I do not do any drugs or drink, because i get very sick. I also have a five year old son. I remember the day i first experienced chest pain. It was about 4years ago, and i was pumping gas, when all of a sudden a sharp stabbing pain came threw my chest, by my heart area. At first I wanted to call an ambulance, but decided to drive my self to ER. Chest xrays, EKG, and blood came back normal, except my potassium level was extremely low. SO they gave me this big horse, see threw pill, and sent me on my way. Meanwhile, something else seemed to be happening in my body. I was having excuriating headaches, that would come on very dull, and then explode like a firecracker near my temples. They sometimes would affect my vision. MY wieght was going from up to down, and it just seemed like i was just a wreck. Finally the one thing doctors could rule out, is that i had a very ugly diseased gall bladder that needed removal. During the examination before surgury, I explained to my doctor, of headaches, chest pain, dizziness, extreme fatigue, nausea and upset stomach and weight gain where among my symptoms. She ordered up a few tests, inlcuding an ECHO, in which it was discovered that I did have a heart murmur with LOW regurgitation(but at that time still my EKGS where normal), and a cyst on my kidney. In all I was able to get my gall bladder removed, and was told to have heart and kidney followups. Well that was 3 years ago. In the between time I was suffering, feeling like im dieing, my EKGS went from normal to Abnormal, and was told only because of age. It was ruled out aniexty was the diagnose. Now, I have in total went to the ER on 7 different occasions, where one time my EKG was showing a slight heart attack, so the doctor says, but blood work was fine. On all occasions my symptoms where shortness of breath, chest pain, and headaches. my blood pressure on this one occasion was very high, in which they took me back right away, and put me on a heart monitor, and all was fine. I actually have walked out the ER 3x times before speaking to the doctor, because i felt like they didnt care, or wasnt listening to my symptoms because of my AGE. Today has been the worst of my pains ever. I was driving then all of a sudden i couldnt breathe, and i got so weak i felt like i couldnt drive. I literally feel like my life is slipping out of me, and im dieing from heart failure. My primary doctor knows my history. but hasnt sent me to see a cardo doctor yet, only a nero doctor. He also prescribed me migrane pills, and zololoft(which he promised that it would take away my chest pain 100%) I have stopped taking all his medicine because it doesnt work. Im utterly confused, and lost at the point. My mother died at 44 of a heart aneurysm, and my grandma(from dads side) is suffering from heart failure right now. The last 3x times i came down with these crazy espisodes(atleast thats what i call them), i felt like i was going to die, but i didnt even bother to go to ER, because how can you diagnose a condition if there not even ordering tests to determine the underlying cause? If anybody could help me understand, please reply to this message

doctor1 MD

I am a 40-year-old, 159 pound, white female. I only smoked when I was a teenager occasionally and as a an adult, I would only smoke when I drank (which now I do not smoke at all). I drink occasionally on the weekends but not much. My father had a history of heart disease, emphysema and diabetes. He had his first heart attack in his mid-30s and had a triple bypass in 1983. At age 72, he passed away due to a massive heart attack he suffered as a result of the stress of having surgery to remove colon cancer. Over the past year or so I have been experiencing chest pains almost every day either at rest or after some activity. Sometimes when I am leaning over, I can get the pain in the center of my chest which can feel almost like muscle pain. Sometimes I experience the chest pains with a feeling of shortness of breath yet when I take a deep inhalation, it seems as though my breathing can be restored to normal. Sometimes with the chest pains I also experience some upper back pain across my shoulders. My neck, jaw and arms never really hurt or go numb. Oftentimes, I can feel my heart racing or feeling as though it is going to pound out of my chest. I have had numerous EKGs done all of which have come back normal. I went to the ER in February of 2009 and was admitted due to chest pains. Upon arrival at the ER, I had bloodwork done including my cardiac enzymes tested (which were all normal), an EKG done which was normal, BP (usually maintains at 112/80), pulse and heart rate were all normal. They kept me overnight so I could have a stress done. I completed that the next morning. The stress test I had was where they took pictures of my blood flow while at rest, then they shot me with some dye, then I ran on the treadmill and then more pictures were taken after that. The results were that I had a heart of a 28 year old, and I was in the top 90% of women my age. Then that afternoon, I had an endoscopy done to rule/out any gastro problems. That, too, was normal. I was seen by a cardiologist while an inpatient and he told me that everything was normal and it is very unusual of a woman my age, even with a family history, to have heart problems. It definitely was not a heart attack nor did he feel it was heart-related. Then I had an abdominal ultrasound completed outpatient which was normal as well as which was normal. I also wore a heart monitor for 30 days which allowed me to record all of my episodes. Upon review of that monitor, they told me I had sinus arrhythmia and tachycardia but there was nothing for me to do about it because it was nothing to worry about. My cholesterol is 195 and I can t remember my exact LDL or HDL but I believe the good cholesterol level was 5 points lower than it should be and the bad was good. My triglycerides were over 300 but at my last blood check they came down to a bit below 200. I am still working on lowering those. I know I do not always eat right nor do I exercise very often. I have cut back on fatty, greasy foods and am losing weight little by little. I continue to have these pains either at rest or after exerting myself. Sometimes I take Prilosec and the pain goes away. I mentally make the pain and heart pounding worse because I start to think there is something wrong with me that my PCP and the tests missed. (My PCP is my cousin who is very familiar with my family history and I truly believe he is doing everything possible to find an answer. Yet he keeps telling me that he is 99.9% sure it is NOT my heart. The only other thing he could do is a catheterization. He doesn t want to do it because there is a 1% risk that something could actually go wrong and cause me a real problem. He did say if I had the catheterization, it would completely give me a 100% answer. I actually gave myself such bad anxiety this past weekend that I actually started believing that I am dying or will die soon. These episodes and symptoms are driving me crazy! I want to hope that it is all just stress or something else. I ve been crazily reading things where they say sometimes people can sense doom or feel anxiety right before something bad like a heart attack or death happens. Please! Any help or answer you could give me to lead me in the right direction to solving my problem would be GREATLY appreciated. Janel M.

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