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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Left-sided Upper Chest Discomfort, Shortness Of Breath And Fatigue?

I have discomfort in my upper left chest area. My left carotid appears distended. I have shortness of breath and fatigue even when laying down. If I bend over the pressure causes pain in the sides of my head. My upper left chest area does not exhibit pain.
Tue, 23 Jun 2015
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Pathologist and Microbiologist,  's  Response
Hi. From your symptoms one of the possibilities is a condition called congestive cardiac failure. There may be many causes either related to the heart or lungs. You may get tests and investigations done such as B type natriuretic peptide . Echo cardiogram and chest XRay are also initial investigations. Certain types of lung diseases such as emphysema , bronchitis etc over a period of time put pressure on the right heart producing similar symptoms. Therefore investigations are necessary.
You may also require a Doppler study of your carotids to look for blocks in there. Medically called stenosis. ECG studies and imaging of heart blood vessels also . Best regards







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What Causes Left-sided Upper Chest Discomfort, Shortness Of Breath And Fatigue?

Hi. From your symptoms one of the possibilities is a condition called congestive cardiac failure. There may be many causes either related to the heart or lungs. You may get tests and investigations done such as B type natriuretic peptide . Echo cardiogram and chest XRay are also initial investigations. Certain types of lung diseases such as emphysema , bronchitis etc over a period of time put pressure on the right heart producing similar symptoms. Therefore investigations are necessary. You may also require a Doppler study of your carotids to look for blocks in there. Medically called stenosis. ECG studies and imaging of heart blood vessels also . Best regards