Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

173 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Should you trust your gut instincts over your physicians diagnosis?

I am 24 years old and as an infant I was diagnosed with a hole in my heart. My doctor told my parents that surgery wasn t necessary and that eventually the hole in my heart would close on its own which it eventually did. However I have had a slight murmur ever since. It is something that has never caused me any problems. I am very athletic, don t drink or smoke and eat healthy and at my last full physical was told that my health was good. Things changed about two weeks ago. I was lying down and suddenly I felt this sharp stabbing between my breast that lasted for a few seconds before disappearing. Afterwards, I had this strange heavy feeling in my chest that last for at least ten minutes. It was scary but I thought maybe I had gas or something and shrugged it off as nothing to worry about. Then two days later it happened again, only this time once the heavy feeling subsided, I had a feeling I could only describe as strange followed by this very hard forceful heartbeat. At this point I was scared. I made an appointment with a cardiologist when my scary experience turned terrifying. On the morning of my appointment all the same symptoms described above returned only when it was all said and done my heart was beating so fast I thought I was having a heart attack . My boyfriend rushed me to the ER where the cardiologist I made my appointment with worked. After several hours and diagnositc tests he told me that my heart murmur was just aggravated and that sometimes it happens due to overexcersion of excersize and other physical activities. He told me to rest and that I would be fine. However I don t feel fine. In fact I feel awful and I feel as if my doctor missed something. Although I haven t had any incidents since that day I feel tired all the time and my heart is beating slow yet forceful. A friend of mine who is a medical student frightened me the other day when he said it sounded like it was taking all the strength my heart had to keep beating. I m scared about it and unsure what to do. I mean I want to trust my doctor because he is a professional and he knows what he s doing, however I just can t shake the feeling that something is very wrong. Should I seek a second opinion or is it my fear over the original incident causing me to panic over something that I shouldn t be?
Tue, 15 Dec 2009
Report Abuse
Question is related to
Diseases and Conditions
  User's Response
's  Response
I would trust your Physician's diagnosis. The information he obtained would have come from different machines run by different technicians, who would have all been checking for the same types of issues. Medical care is not the result of one Doctor looking at your symptoms and guessing. It is a collaborative effort of all healthcare practitioners and corresponding diagnostic tests. The circulatory system is 1 of the most straight forward systems in the body, and operate very mechanically. An EKG or ECG (electrocardiogram) will show the electrical impulses around your heart. The paths that these impulses take will indicate if other conditions (not related to the electrical path directly) exist as well. Another valued diagnostic test is an echo or echocardiogram. This is an ultrasound of your heart, and will show the heart visually in real time, as well as obtain velocity values of the blood flow throughout the heart. It will determine the cause and quantify the severity of your murmur. There are other tests you could have as well, but these two would be the most relevant given your circumstances. Was the shunt (hole) in your heart an ASD (atrial septal defect) or a VSD (ventricular septal defect)? Both of these would be seen on an echo. It is more likely that your symptoms stem from anxiety from your perceived condition after it was aggravated as your doctor said. If you continue having anxiety (which often presents as cardiac symptoms, among other things) you may speak to your doctor about medication to treat the anxiety (A benzodiazepine for example) or practice breathing exercises, yoga, meditation, etc.) Hope this helps. Good luck and all the best.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

I have been suffering with sever joint swelling/pain in several fingers, both thumbs & in both feet at the 2nd toes & thebottom of feet near the little toes & in my achilles tendon & bottom of heels for over a year. This past summer it moved into both knees with the right one being the worst. I have tested positive for scleroderma & lupus since 2010 but my the 2 rheumatologist that I have seen don t think I have scleroderma because they can t see in signs on my skin. The local Rheumatologist thinks I have a connective tissue disorder just desn t know which one? So recommended I go on Plaquinel. In November my family physician tested me & told me I have Psuedo-Gout but the Predinisone and the gout medicine did not get rid of the symptoms. I did finally agree to try plaquenil & started that 2 wks ago. The prednisone does lessen the symptoms alittle,. Last Thursday she told me I have Poly Myalgia Rheumatica. I went in to see her because I am in such severe pain that I can t walk, climb the stairs in our house, use my hands for anything, can t sleep & the pain is literally driving me insane. I have shooting, searing pain in my hands & feet. On thursday she gave me a shot of solu-medrol. It worked by that very evening but within 24 hrs my symptoms were back with a vengence & now my elbows are affected too. I have suffered with severe Fibromyalgia for 30 yrs so I know what it is to live with a chronic pain illness but this is so far beyond Fibromyalgia. I am not sure my doctors really know what I have and are just using the Prednisone& Plaquenil because they hope it will help me but I don t want to use either of these drugs due to the terrible side effects. I am wondering if I should just leave Montana & go to one of the Mayo Clinics? I am the type of person who needs exact & detailed answers. So what ever information you can offer me will be greatly appreciated. I hope I have given you enough info with out dragging on too much. Thank you for your help.

doctor1 MD

I am 42 years old and I was diagnosed with Stable Angina in May 2007, and put on Nitrodur Patch 0.4mg. I also went through an angiogram in June 2007, which showed Minimal blockages x2. My family doctor has stated that for someone my age that is Normal . (I had a complete Hysterectomy in 1999) I have gone through many test (stress test, Echo, EKG) everything has been returned as normal. My last EKG was done on April 22, 2008. The hospital reported to my family doctor that there were Minimal Ischemic changes , but my doctor has reviewed and stated that he is doubtful that I even have Angina. His Diagnosis is that more than likely my chest pains are due to heart burn or irritable Bowel Syndrome. I have also been told by hospital staff that I have a very low heart rate 50-55 BPM, But when I go see my family physician my heart rate has been anywhere from 56-86 BPM. What is the possibility of getting normal readings from all these tests and still have angina

doctor1 MD

How to Tell the Difference Between a Normal Sore Throat and Strep Throat? I ve had a sore throat for the past three days. Other than a stuffy nose, I don t have any other cold symptoms. My throat hurts primarily on the left side. I m able to eat, swallow, and talk. During the day, my throat seems better. But at night it gets worse and I wake up with a scratchy and dry throat all over again. Several years ago I had a sore throat and went to the doctor to get it checked for strep. The doctor somewhat scolded me for asking for a strep test for something that was obviously (to her) not strep throat. My gut instinct is that what I have now isn t strep either, but I still worry. How can I distinguish between a sore throat that s nothing to worry about vs. one that is? As an FYI, I m in my early 50s, otherwise healthy, no tonsils, and have been treating this with echinacea/elderberry tea and oil of oregano drops so far.

Recent questions on  Heart attack

doctor1 MD

I am a 47 year old diabetic lady, who had a Gastric Band fitted three years ago, and lost 6 stones. Before having this procedure, I had slightly raised cholesterol, but not high enough for medication. Over the last three years my Total Cholesterol level has gradually increased from 5.4 to now 7.1 My Bad cholestrol is very high, but my good cholesterol is VERY good, I don t have the exact figures. My Dr put me on Simvastatin approx three years ago. I took them willingly, and carried on my life as best I could, not realising how tiered and exhausted they made me feel with lots of aches and pains, I thought my problems where early menopause. Anyway last year after much research on the internet, I discovered that statins could give bad side affect in concentration and tiredness and muscle weakness, so I decided to address this with my Dr. Who instead of listening, gave me another tablet to take on top of the statins, because my cholesterol had started to rise again. (Sorry don t have the name of this one) I took these for a month, and they made me almost incapable of getting out of bed, the tiredness was so debilitating. I decided to stop taking them, and the Simvastatins. So I gradually weaned myself off of the drugs. I had decided not to tell the Dr, so I did it on my own. Anyway, when I went back to the Dr about something else a few months later, I told them what I had done, they strongly advised me to take another type of Statin. This time Atrovastatin 10mg was to be taken. I said I would but if they made me feel bad, I would stop them straight away. I took them for 10 days and started to get all the same side effects so just stopped, and the Dr could not persuade me to re take them. Then this year I have had a cholesterol test, and I am now showing a total of 7.1 When they told me how high it was, I said I didn’t care, because Id rather die tomorrow, than spend any more time taking these drugs. Anyhow they persuaded me to have one more try, and have given me Fluvastatin 20mg. That was nearly a month ago, and I haven’t talked myself into starting to take them yet, but would just like some general advice about High Cholesterol. Does high cholesterol mean that I’m going to have a heart attack or does it just mean I might? I do have heart problems in my family, my mother died at 48 of a massive stroke, but she was very over weight, and my father has just been prescribed Simvastins, for his high cholesterol, and he like me now, is a very slight man, he is 74 years old, and has developed Altzimers. He has also started to complain about tiredness and weakness ( possibly the same side effects as me). He does not eat a lot of high fat foods, and often forgetting to eat at all unless it is put infront of him. Can cholesterol really be inherited? What can I do? I live in the Mediterranean most of the time, so I feel my life style is very healthy. I eat plenty of fruit and veg, I drink moderately and do not smoke. We cant get takeaway food here, so nearly everything is prepared from scratch. My only vice is butter, and that is only when I m worrying about all this. Is there any alternatives to Statins, I did read something about a dialysis machine for cholesterol? But that was a long time ago, and was in the early stage of development. Should I try these next ones, or just forget it and see what happens. I like my life now, When I was on the Simvastatins, I felt I had no life at all, almost like I was taking part in someone else s life, not quite mine. I don t want to go back to feeling like that. Please help....

doctor1 MD

hi , sir i am rahul (m) 28 years old 5.10 height and 96 kg weight .before few month i have felt a sudden discomfiture on the left side of my body. there was a feeling or sensations of burning and something disturbing . i also felt almost faint ans short breath. which i managed through deep breathing. i consulted my doctor and he asked eco test . wich recorded normal , my suger lvl , BP, all went normal. he told me not to worry and gave some acidity related medicine but this again repeated after 2 days i again went to the doctor and again the same test was done (ecg) it was again normal and all sugger, bp all was normal . this time he also asked for some more tests like TMT test , chest xrays, eco (ultra sound ) and sonography test all the test went normal . i again got the same problem burning in the chest and i almost had a egc test 12 time and all time the test are normal. now i am having a stiffness in the upper part of my body . since a month which includes stiff chest , solders, upper back . and some times back and both upper jaws . i am really confused that do i still need to be worried about the cardiac problem or its jus a common anxiety. and how long does its usually exists . and how can it be corrected my whole body keep cracking and i keep stretching it like made even while i am walking . i have started swimming, and walking . and also reduced the intake of the outside junk food, sweets, and coldrinks .( i dont smoke and drink . my cholesterol is 186 .i am really not able get out of it and draw the conclusion that weather i need to be worried or not .i do not make any heart attack or any heart related diseases in the family history.plz help me with the reply ..regards rahul

doctor1 MD

hi,i went through total thyroidectomy 3 months back.my heart is beating hard and i feel like i will have a heart attack..my tsh level is normal..i take 125 mg of thyroxine daily..also i am 20 years old..why is my heart beating like i will get a heart attack?

doctor1 MD

I had a legion on my face and after a month it began to cause me chest pain that increased as the sore grew. I was concerned about the chest pain and its size so i went to a clinic. i thought it was a spider bite. he said it clearly wasn t so gave me an ointment for acne. he told me the sore had absolutely nothing to do with my chest pain. I took the ointment for 3 weeks and the chest pain and sore grew. By then i knew it was causing me pain the got more severe. I went to the hospital 3 weeks later and he also told my it wasn t causing chest pain. he gave me a antibiotic for infection and when i was a week into the bottle a pain ripped through my chest which didn t last just one second, but about 3 or 4. When it happened i thought i was having a heart attack. i went home and lanced it myself, which they didn t offer to do. it grew outward in a circle and was slightly smaller than a quarter. not far above the skin, it grew deep into my cheek. it took a week to fight the infection out. the pain subsided from a 8 and some intense 10 to about a 3 with occasional 10 stabbings. its comes and goes throughout the day. I didn t get blood test for the sore from either doctor. now the sore is gone but over the past 2 years ive been to the doctor for my chest pain and they have taken blood samples related to checking my heart. i havent told them about that infection because those first 2 doctors said the sore wasn t causing the pain, but how would they know since they never took a blood test. i know it caused the pain then and the aftermath now. Should i tell the heart doctor about the infection? Will he shrug me off like the other 2? and is it possible the infection is still there or gone but damaged something? what was the infection?

doctor1 MD

A cat scan for the lungs revealed atherosclerosis of the great vessels , aorta and coronary arteries. Aorta and pulmonary arteries are normal in caliber. Heart and and pericardium are within normal limits. There are no significant mediastinal or...

doctor1 MD

My father is 91 and his systolic is 228. Don't know the other number. Should I worry?

doctor1 MD

Hello Doctor, I have had some wisdom tooth pain and went to doctor, he advised me to use hydrogen preoxide one week and lets try the infection go. He took xray of wisdom tooth and said all other looks good. He further said as I have never been to...