Having Huge Alcohol Sessions Feeling Dizzy And Having Chest Pain. Done With Several Tests. Had Panic And Anxiety Attacks. Risk Of Heart Attack?

Posted on Mon, 2 Sep 2013

Mon, 2 Sep 2013 Answered on

Wed, 18 Sep 2013 Last reviewed on

Question : Hello Doctor,

I am having huge alcohol sessions since last 9 months... Yesterday after i woke up i was feeling dizzy and chest pains here and there which comes and goes in seconds. Went out and got a BP Monitor and was monitering my BP since last 12 hours on an average its 150/100... I have done few tests which ruled out normal (EKG LFT LIPID and KREATENINE). In last october I had a knee surgery, at that time my BP was normal.. To add i have a history of panic and anxiety attacks.... Current situation: mild chest pains, BP is still at 145/98.... With a nurse sugestion near by my home had a 150mg of ecospirin.... I am obese... Am I going to have a heart attack? Will the BP come down if i take any precautions with out medication?

Answered by Dr. Dr. Praveen Tayal (1 hour later)

Brief Answer:
You need proper medication for relief.

Detailed Answer:
Hello,
Thanks for posting your query.
The feeling of dizziness and chest pains with a persistent high blood pressure and obesity is a worrisome finding and is suggestive of a cardiac problem. Taking only ecosprin will not help you much. Only diet control and regular exercise will not be sufficient.
Hence you would benefit by consulting your primary doctor and getting evaluated with a few tests as mentioned below-
‎
‎1. Complete blood counts
‎2. ECG in all leads with a rhythm strip in lead 2
3. Lipid profile , Blood sugar (Fasting and Post prandial), HBAIC,
4. Thyroid function tests
5. Chem 14 panel
‎
In case the above tests indicate any abnormality, further tests need to be done which include:-
‎
‎1. Holter monitor
2. Echocardiography
3. Chest Xray
4. Lung function tests
5. Tread mill test

It is important to find out the exact cause after physical examination and above mentioned ‎investigations for proper treatment.
‎
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Praveen Tayal (25 minutes later)

Do I need them to be done immediately or can wait till i detoxify my body for a week stopping alcohol.

Answered by Dr. Dr. Praveen Tayal (51 minutes later)

Brief Answer:
It is best to get these done now.

Detailed Answer:
Hello.
Thanks for writing again.
Detoxification for a week will not help you much. Since you are having a chest pain now, it is best to get yourself evaluated as soon as possible.
Hope my answer is helpful.
If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Praveen Tayal (3 hours later)

Thank you very much sir, but i have lot of gas and i can clearly pin point the pain.. Its off and on... I read in one of the heart magazine that the pain which we can pinpoint might not be cardiac... As it has been already 24 hours since I had alcohol my current BP is 110/90....please suggest.

Answered by Dr. Dr. Praveen Tayal (3 hours later)

Brief Answer:
Cardiac cause cannot be ruled out like this.

Detailed Answer:
It is difficult to pin point the cause of chest pain without proper investigations. Cardiac cause must be ruled out if the pain is persistent.
It is good that your BP has come down. The diastolic BP is still on a higher side.
Do restrict your salt intake and consider doing a regular exercise after the pain subsides.
Take care.
Regards.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar