Brief Answer:
Demineralisation &
osteoporosis, spine pain.
Detailed Answer:
Hello XXXXXXX
You are a 56 years old healthy male. You have smoked for about 40 years & then quit about 8 months back.
Currently you are having problems of stomach pain, aches in abdomen, difficulty in breathing. You have consulted cardiologist & all heart tests are normal. Most of investigation including chest X ray are normal except mild demineralization of bone of chest & spine.
If we consider your age, then mild demineralization of bone may be a normal finding of unknown significance.
In immunoglobins reports there has been a finding of "ill defined band in globin region”. I would also like to go for
immunofixation electrophoresis to rule out any serious cause. In most of people it is insignificant finding but consider your age & smoking history, we should not ignore even a minor finding.
So please get yourself check up for immunofixation electrophoresis to rule out any immunoglobinpathic condition.
Now the other possibility, which is most likely in your case, is chronic anxiety. You have smoked for 40 years & then quit, so these chest pain & other symptoms, you are having can be due to long term tobacco
withdrawal symptoms.
It may manifest as fullness in abdomen,
epigastrium distress,
restlessness, chest pain.
Consult a psychiatrist to rule out anxiety as cause of these symptoms or alternatively you can start nicotine gums. These are commonly available & need no prescription. You can take these during chest pain& if you get relief in symptoms then most likely the symptoms were due to tobacco withdrawal.
Long lasing withdrawal symptoms of tobacco withdrawal can be distressed even after 6-12 months of cessation of tobacco.
Demineralisation or osteoporosis can be a possibility but don't cause pain so frequently & minor demineralization is insignificant, still there is rare possibility that these pains are due to osteoporosis.
Hope this helps you. If further, any question you can ask again.
Good luck. Dr. HET
Note: Revert back with your health reports to get further guidance on your gastric problems.
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