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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Costochondritis?

It has been suggested I have Costochondritis. When I looked up the symptoms, definition explained it can feel like a heart attack. I have been out of breath with chest pains during any and every activity since April 2014. My Dr. told me to stop riding my bicycle, working the vegetable garden etc.. and only do simple stretching for several weeks. Well, I couldn t do that, but I am not doing as much because the chest pain and shortness of breath when I run around with the dog and such is quite scary as I worry that I am about to have a heart attack. I am 56 and 25lbs overweight but my blood work is good. I had an EKG that was fine. My Dr. doesn t think I need a follow up with a Cardiologist, but I am still a bit worried that it might be heart related. COMPREHENSIVE MET PANEL - Collect Date/Time: 11/03/2014 11:35 Test Name     Code     Test Result     Test Units     Test Ref Range GLUCOSE     2345-7     101     mg/dL     L=65 H=125 BUN     3094-0     12     mg/dL     L=8 H=26 CREATININE     2160-0     0.67     mg/dL     L=0.40 H=1.00 AGE          56     Years      GFR          91          L=60 H=150 GFR FINAL          60          L=60 H=150 SODIUM     2951-2     139     mmol/L     L=136 H=144 OSMOLALITY          268     mOsm/Kg      POTASSIUM          4.2     mmol/L     L=3.6 H=5.1 CHLORIDE     2075-0     104     mmol/L     L=101 H=111 CO2     2028-9     29     mmol/L     L=22 H=32 ANION GAP          10.2     mmol/L     L=10.0 H=20.0 CALCIUM     17861-6     9.1     mg/dL     L=8.9 H=10.3 TOTAL PROTEIN     2885-2     6.7     g/dL     L=6.5 H=8.1 ALBUMIN     1751-7     4.1     g/dL     L=3.5 H=5.0 GLOBULIN          2.6     g/dL     L=2.3 H=3.5 A/G RATIO          1.6           SGOT/AST     1920-8     23     U/L     L=15 H=41 SGPT/ALT     1744-2     18     U/L     L=14 H=54 ALKALINE PHOS     6768-6     70     U/L     L=32 H=91 TOTAL BILI     1975-2     0.50     mg/dL     L=0.30 H=1.20 RACE          WHITE     N/A      HEMOGLOBIN A1C - Collect Date/Time: 11/03/2014 11:35 Test Name     Code     Test Result     Test Units     Test Ref Range HGB A1C     17855-8     5.6     %     L=4.6 H=5.8 Est Ave Gluc          114     mg/dl      LIPID PROFILE - Collect Date/Time: 11/03/2014 11:35 Test Name     Code     Test Result     Test Units     Test Ref Range CHOLESTEROL     2093-3     143     mg/dL     L=0 H=200 TRIGLYCERIDES     2571-8     151     mg/dL     L=0 H=200 HDL     2085-9     53     mg/dL      LDL     13457-7     60     mg/dL     L=0 H=130
Mon, 23 Feb 2015
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Internal Medicine Specialist 's  Response
Hi,

Costochondritis is the most common causes of anterior chest musculo-skeletal pain. Precise cause is unknown.
Costochondritis chest pain may mimic cardiac or upper abdominal causes of pain.
However your TG (Triglycerides) & LDL -cholesterol are high.Need to take fenofibrate and atorvastatin for that.







Regards

Dr. T.K. Biswas M.D.
Mumbai
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What Causes Costochondritis?

Hi, Costochondritis is the most common causes of anterior chest musculo-skeletal pain. Precise cause is unknown. Costochondritis chest pain may mimic cardiac or upper abdominal causes of pain. However your TG (Triglycerides) & LDL -cholesterol are high.Need to take fenofibrate and atorvastatin for that. Regards Dr. T.K. Biswas M.D. Mumbai