Hello, I Have A Chest Pain And Sometimes It Come

Posted on Mon, 22 Jun 2020

Question: Hello, I have a chest pain and sometimes it come with shortness in breath specially if I am doing any effort or stressed, also I have denseness feeling. I went to pulmologist and made ex-ray the result came as follows:
-Both lung fields showed exaggerated bronchovascular markings.
-Free costophrenic angles.
-Cardiac shadow is within normal limits of size and configuration.
-Normal both diaphragmatic copula.
-Normal bony framework.
Can you please assist. Thank you.

Answered by Dr. Ilir Sharka (1 hour later)

Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

I passed carefully through your X ray report and would explain that it in general normal. The exaggerated bronchovascular markings could be indicative of chronic infection / inflammation or smoking.

For this reason, I would recommend performing pulmonary function tests.

I would also like to know if deep breathing triggers the pain? This could be indicative of local musculoskeletal pain ( inflammation).

It is also important performing a resting ECG and an exercise cardiac stress test, if the chest pain is triggered by physical exertion.

Hope you will find this answer helpful!

I remain at your disposal for any further questions whenever you need!

Wishing all the best,

Dr.Ilir Sharka, Cardiologist

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Ilir Sharka (27 minutes later)

I did a normal ECG it was ok but the doctors scheduled me for an exercise test but due to corona situation everything was postponed.

The pain increase with the following:
Exercise, stressed or being angry, taking a deep breath which I can't finish it because of shortness in breath when I try to.

The pain also comes with a feeling of something strong pressing on my chest.

Could you please let me know what tests exactly I need to make?

and if this is something I need to make action immediately or can wait. Since I am a mother of 3 kids and has a lot of duties to make every day.

Thanks a lot.

Follow up: Dr. Ilir Sharka (10 minutes later)

Please note also that I am not smoking

Answered by Dr. Ilir Sharka (1 hour later)

Brief Answer:
My opinion as follows:

Detailed Answer:
Hello again!

Thank you for the additional information !

Based on your description, it doesn't seem to be related to the heart, as the pain is triggered by deep breathing.

So, the exercise cardiac stress test can wait.

I don't think that anything serious is going on.So, try to relax and don't worry too much about it!

I would also recommend performing pulmonary function tests, in order to exclude a possible lung disorder.

Anxiety can mimic this situation too.

Hope you will find this answer helpful!

Wishing all the best

Dr.Iliri

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Ilir Sharka (51 minutes later)

Thank you for your reply.

Could you also have a look at my recent blood tests and let me know if there's anything related to my complaint.

FYI: I a small basilar artery aneurysm in brain.

Thanks again.

Answered by Dr. Ilir Sharka (4 hours later)

Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

Your blood lab tests are indicative of a possible bacterial infection ( increased white blood cells and neutrophils). This could be related to your symptoms, but before considering antibiotics, I would recommend repeating complete blood count after a week, as emotional stress and pain can also increase white blood count.

There is chronic anemia, probably iron deficiency. I recommend checking iron levels and performing a Hemoglobin electrophoresis for possible thalassemia minor ( which means that you carry a gene of thalassemia). Nothing serious.

Regarding the slightly increased D-Dimmer levels, they are caused by inflammation or infection, nothing specific.

Hope you will find this answer helpful!

Wishing all the best,

Dr.Iliri

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Raju A.T