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I%E2%80%99m Having Chest Tightness At Random When Walking, Sometimes Stairs,
Question: Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I understand your concern and would explain that this feeling could be related to the heart or a musculo-skeletal pain (local inflammation).
Do you feel this tightness during deep breathing? This could indicate possible musculo-skeletal pain, probably local inflammation or costo-chondritis.
I would also like to know more about your age and past medical history.
In order to investigate for the possible cause underlying your concern, I would recommend performing some tests:
- a resting ECG
- a chest X ray study
- complete blood count, PCR, ESR for inflammation.
An exercise cardiac stress test would be necessary to investigate for coronary artery disease, especially if you have cardio-vascular risk factors such as: arterial hypertension, smoking, dyslipidemia or diabetes.
You should discuss with your doctor on the above tests.
I remain at your disposal for any further questions whenever you need!
Kind regards,
Dr. Ilir Sharka
I would explain as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I understand your concern and would explain that this feeling could be related to the heart or a musculo-skeletal pain (local inflammation).
Do you feel this tightness during deep breathing? This could indicate possible musculo-skeletal pain, probably local inflammation or costo-chondritis.
I would also like to know more about your age and past medical history.
In order to investigate for the possible cause underlying your concern, I would recommend performing some tests:
- a resting ECG
- a chest X ray study
- complete blood count, PCR, ESR for inflammation.
An exercise cardiac stress test would be necessary to investigate for coronary artery disease, especially if you have cardio-vascular risk factors such as: arterial hypertension, smoking, dyslipidemia or diabetes.
You should discuss with your doctor on the above tests.
I remain at your disposal for any further questions whenever you need!
Kind regards,
Dr. Ilir Sharka
I%E2%80%99m having chest tightness at random when walking, sometimes stairs, and push ups.
What could this be?
What could this be?
I have had an echo-normal, calcium score-normal, and blood work.
Stress test in March-normal.
38 male w/ high blood pressure
Take lisinopril
Take lisinopril
No tightness with deep breathing.
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello again!
Thank you for the additional information!
Considering your performed cardiac tests, I would exclude any cardiac issues.
Coming to this point, I would recommend considering possible acid reflux or a hiatal hernia, which can trigger chest pain, especially after eating.
For this reason, I would recommend trying an anti-acid or PPI (omeprazole, pantoprazole) and see if it helps improve your situation. Performing a fibro-gastroscopy may be needed.
Another possible cause to consider would be a bulging disc in the cervical or thoracic vertebral column. For this reason, I would recommend performing a cervico-thoracic X ray study. A spine MRI may be needed.
You should discuss with your doctor on the above tests.
Hope you will find this information helpful!
Wishing all the best,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello again!
Thank you for the additional information!
Considering your performed cardiac tests, I would exclude any cardiac issues.
Coming to this point, I would recommend considering possible acid reflux or a hiatal hernia, which can trigger chest pain, especially after eating.
For this reason, I would recommend trying an anti-acid or PPI (omeprazole, pantoprazole) and see if it helps improve your situation. Performing a fibro-gastroscopy may be needed.
Another possible cause to consider would be a bulging disc in the cervical or thoracic vertebral column. For this reason, I would recommend performing a cervico-thoracic X ray study. A spine MRI may be needed.
You should discuss with your doctor on the above tests.
Hope you will find this information 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. Chakravarthy Mazumdar
Answered by
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