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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes upper ribs pain and tachycardia with tingling in arms and leg?

I ve been exoeriencing a multitude of symptoms lately: - upper ribs pain, tachycardia, tingling in arms and legs, back pain etc; have been to the ER 6 times, have seen 8 doctors overall none was able to help - some said i need a beta blocker, some suggested anxiety attacks, and 2 mentioned costochondritis. All my tests - blood, x-ray, 24 h holter, echocardiogram, urine, thyroid hormones came back fine. Please advise.
Wed, 24 Jun 2020
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General & Family Physician 's  Response
Hello,

Tingling in the arms and legs are commonly due to developing peripheral neuropathy. Get Nerve conduction tests and if required nerve biopsy done. Take vitamin B6, B12 and vitamin E rich food or supplements. Get Imaging (X-ray, CT, MRI, EEG) tests done. Costochondritis does cause pain in the ribs & may trigger tachycardia. It goes away by itself but may take several weeks. Take NSAIDS, for relieve. Antidepressants are also effective.

Do stretch exercises. Nerve stimulation gives relieve, hot compression & rest are also helpful. Avoid stress, anxiety and cut on addictions if any to prevent tachycardia. Take adequate sleep and rest. Avoid constipation. Gastritis may trigger tachycardia.

Take antacid and PPI's to avoid acid reflux. Take healthy home made food. Get clinically examined by a Cardiologist, get stress tests, lipid function tests, Urinalysis, EKG, ECHO, etc done to detect any developing CAD to stay on the safer side.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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What causes upper ribs pain and tachycardia with tingling in arms and leg?

Hello, Tingling in the arms and legs are commonly due to developing peripheral neuropathy. Get Nerve conduction tests and if required nerve biopsy done. Take vitamin B6, B12 and vitamin E rich food or supplements. Get Imaging (X-ray, CT, MRI, EEG) tests done. Costochondritis does cause pain in the ribs & may trigger tachycardia. It goes away by itself but may take several weeks. Take NSAIDS, for relieve. Antidepressants are also effective. Do stretch exercises. Nerve stimulation gives relieve, hot compression & rest are also helpful. Avoid stress, anxiety and cut on addictions if any to prevent tachycardia. Take adequate sleep and rest. Avoid constipation. Gastritis may trigger tachycardia. Take antacid and PPI s to avoid acid reflux. Take healthy home made food. Get clinically examined by a Cardiologist, get stress tests, lipid function tests, Urinalysis, EKG, ECHO, etc done to detect any developing CAD to stay on the safer side. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician