What Causes Chest Discomfort With Shortness Of Breath In A Diabetic Hypertensive Patient?
 
                                    
                                    
                                          
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                                           Tue, 15 Jul 2014
                                           
                                        
                                        
                                        
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                                                Tue, 15 Jul 2014
                                                
                                            
                                                Answered on
                                             
                                            
                                                
                                                Thu, 31 Jul 2014
                                                
                                                
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                                            Question : Hi Doctor. Kindly do read through the medical history and current medication column to get a background of the patient. Patient has been a very heavy drinker and tobacco consumer for the last 20 years along with having a very volatile mental nature/thinking (ex. Occassional yearly bouts of continuous heavy binge drinking for 4-5 days without consuming any food till the patient reaches a stage of hospitalization, tends to overthink and take too much tensions for small things, anti-social, very negative and pessimistic outlook towards life, sleeplessness in absence of alcohol, tends to shout and remains irritated, refuses to listen to doctor and family's advice). Patient has occassionally tried to quit alcohol permanently but has failed due to lack of self-control after 2-3 weeks of trying on 3 occassions till date in last 4 yrs. Offlate since last 15 days, has experienced attack/fit of sorts for 3 times which has lasted for around 25-30 mins with following symptoms - breathlessness, heavy breathing and sweating, heavy coughing with no discharge, feeling of vomiting with no discharge, pain/heaviness sensation on left side of chest, blockage of left nostril. 
Kindly advice.
                            Kindly advice.
                                    Brief Answer:
please see below
Detailed Answer:
Dear Sir
1. Episodic chest discomfort associated with shortness of breath in a diabetic hypertensive patient along with nausea has a strong possibility of heart related cause. This may be an episode of heart rhythm disorder or angina. Please take him to the physician / cardiologist on priority.
2. Such patients are also prone to develop weakness of heart muscles due to alcohol (alcoholic cardiomyopathy). Early recognition of this entity is important as it may be reversible after stopping alcohol. Please get him to the doctor at earliest.
Feel free to discuss further.
Sincerely
Sukhvinder
 
                                    
                                    
                                    
                                    
                                    
                            please see below
Detailed Answer:
Dear Sir
1. Episodic chest discomfort associated with shortness of breath in a diabetic hypertensive patient along with nausea has a strong possibility of heart related cause. This may be an episode of heart rhythm disorder or angina. Please take him to the physician / cardiologist on priority.
2. Such patients are also prone to develop weakness of heart muscles due to alcohol (alcoholic cardiomyopathy). Early recognition of this entity is important as it may be reversible after stopping alcohol. Please get him to the doctor at earliest.
Feel free to discuss further.
Sincerely
Sukhvinder
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr.  Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Sure. Thanks Sir! Could you also please recommend a good and reasonably expensive cardiologist in XXXXXXX (U.P.) ?
                                
                            
                                    Brief Answer:
please see below.
Detailed Answer:
Dear sir
It is unethical and against policy of website to refer to individuals. However XXXXXXX has two reputed and very good institutes. SGPGI XXXXXXX and LAARY cardiology, a part of KGM college XXXXXXX Both these have good cardiology departments. Please contact any of these.
Sincerely
Sukhvinder
                                    
                            please see below.
Detailed Answer:
Dear sir
It is unethical and against policy of website to refer to individuals. However XXXXXXX has two reputed and very good institutes. SGPGI XXXXXXX and LAARY cardiology, a part of KGM college XXXXXXX Both these have good cardiology departments. Please contact any of these.
Sincerely
Sukhvinder
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr.  Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
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