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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Asthma, With Shortness Of Breath And Chest Pain. History Of Bipolar And Anxiety. Is It A Heart Condition?

I am 19 years old , weight 145 pounds and am 5 foot 5. I was diagnosed with asthma about 6 weeks ago. My symptoms include chest pain and shortness of breath. I am using an inhaler , but it only helps with the shortness of breath. The chest pain has woken me up at night, and I am worried that it is a heart condition. I am bipolar and have had anxiety , but my anti anxiety medications don t relieve the chest pain either. Also, sometimes my heart will pound loudly and my chest will hurt. Is it a heart condition, or just the asthma?
Mon, 18 Mar 2013
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General & Family Physician 's  Response
Hello dear.

Chest pain can be caused by various reasons, including minor problem such as indigestion or stress, to serious medical emergencies such as a heart attack.

The symptoms as mentioned in your post suggest that it might be due to underlying cardiac pathology.
So, investigations like an Electrocardiogram or Stress Echocardiography can clinch the diagnosis.

Other causes of chest pain include:
1. Strained chest muscles due to overuse
2. Respiratory tract infection
3. Short-term, sudden anxiety with rapid breathing
4. Peptic ulcer disease
5. Pain from the digestive tract, such as esophageal reflux

So, it will be better to consult a Doctor & get a physical examination done to rule out other causes. So that proper management steps could be taken.

Wishing you a Good Health. Let me know if I need to clarify further.

Thanks & take care.
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Diagnosed With Asthma, With Shortness Of Breath And Chest Pain. History Of Bipolar And Anxiety. Is It A Heart Condition?

Hello dear. Chest pain can be caused by various reasons, including minor problem such as indigestion or stress, to serious medical emergencies such as a heart attack. The symptoms as mentioned in your post suggest that it might be due to underlying cardiac pathology. So, investigations like an Electrocardiogram or Stress Echocardiography can clinch the diagnosis. Other causes of chest pain include: 1. Strained chest muscles due to overuse 2. Respiratory tract infection 3. Short-term, sudden anxiety with rapid breathing 4. Peptic ulcer disease 5. Pain from the digestive tract, such as esophageal reflux So, it will be better to consult a Doctor & get a physical examination done to rule out other causes. So that proper management steps could be taken. Wishing you a Good Health. Let me know if I need to clarify further. Thanks & take care.