HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

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

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Causes Breathlessness And Chest Pain With Abnormal Vitamin B12 Levels?

I am a 50 year-old female with shortness of breath, limiting my activities, chest pain,extreme fatigue & tiredness, & recent leg & arm discomfort-tingling. Also have tongue glossitiss for 1+ year. Other symptoms been experiencing for5+ months, getting worse. Blood work is good except b12 levels were almost 2000! Slight liver enzyme elevation. Blood pressure 105/70. History of colitis, PFO, migraines & anemia (ice cravings). I am concerned about myself although doctors aren t. Thank you!
Mon, 2 May 2016
Report Abuse
General & Family Physician,  's  Response
Hello dear welcome to HealthcareMagic
Regarding your experience with chest pain tightness discomfort tiredness tingling sensations on the limbs with a history of anaemia migraine PFO and colitis I am suggesting that you have developed the following differential diagnosis

Anemia heart failure
Angina pectoris
Myocardial ischaemia
Coronary vasospasm
Costochondritis
Aortic Aneurysm
Aortic dissection

In view of this please do the following test
Chest x-ray
ECG
EKG
Serum electrolytes
Coronary angiography
Complete blood count

Meanwhile please see a cardiologist specialist with the result and for further clinical assessment and adequate drug prescription

Concerning your vitamin B12 deficiency I am suggesting that you have folate deficiency anaemia which can precipitate atrophic gastritis so please take multivitamins capsules to correct the anomaly

I hope this helps Regards

I find this answer helpful
Note: For further follow up on related General & Family Physician Click here.
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


Loading Online Doctors....
What Causes Breathlessness And Chest Pain With Abnormal Vitamin B12 Levels?

Hello dear welcome to HealthcareMagic Regarding your experience with chest pain tightness discomfort tiredness tingling sensations on the limbs with a history of anaemia migraine PFO and colitis I am suggesting that you have developed the following differential diagnosis Anemia heart failure Angina pectoris Myocardial ischaemia Coronary vasospasm Costochondritis Aortic Aneurysm Aortic dissection In view of this please do the following test Chest x-ray ECG EKG Serum electrolytes Coronary angiography Complete blood count Meanwhile please see a cardiologist specialist with the result and for further clinical assessment and adequate drug prescription Concerning your vitamin B12 deficiency I am suggesting that you have folate deficiency anaemia which can precipitate atrophic gastritis so please take multivitamins capsules to correct the anomaly I hope this helps Regards