 
                            Suggest Treatment For Severe Chest Pain
 
 
                                    
                                     Thu, 23 Jun 2016
                                                
                                            
                                                Answered on
                                                
                                                Thu, 23 Jun 2016
                                                
                                            
                                                Answered on
                                             
                                             Wed, 20 Jul 2016
                                                
                                                
                                                Last reviewed on
                                                
                                                Wed, 20 Jul 2016
                                                
                                                
                                                Last reviewed on
                                             
                                            I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would like to know more about your chest pain:
- Is it modulated by body movements or respiration? This could indicate possible musculo-skeletal pain or inflammation.
- Do you have any other symptoms like dizziness, shortness of breath, etc.?
- Is it related to eating? This could indicate possible gastritis or gastro-esophageal reflux.
- Do you have cardiovascular risk factors like hypertension, diabetes, smoking, dyslipidemia, etc.?
I would recommend consulting with your attending physician for a careful physical exam and performing some tests to investigate for the possible causes:
1- a chest X ray study
2- a resting ECG
3- some blood lab tests (complete blood count, inflammation tests, PCR, sedimentation rate, kidney and liver function tests)
4- A cardiac stress test may be needed if suspicions of possible coronary artery disease are raised.
If suspicions of a gastro-esophageal reflux or gastritis are raised, a fibrogastroscopy may be needed.
You should discuss with your doctor on the above tests.
Hope to have been helpful!
Kind regards,
Dr. Iliri
 
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