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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dizziness, Breathlessness, Chest Pain. Tests Clear. What Can It Be?

I am 36 year ol female. Non Smoker and non drinking and not over weight. I was sent to hospital in October 2011 due to heart rate of 140 and breathless . Further tests showed nothing. Since this time I have had dizzy spells and a few more occasions of breathlessness but did not attend Dr, but feel fatigued constantly. But over the weekend whilst watching tv i had a sudden crushing pain in chest which went into back. Pain in chest lasted about 20 min but pain in back did not subside. Throughout night pain in chest kept coming and going. Went to GP in morning who agin sent me to hospital. Agin had raised heart rate, normal ecg . As i have flown in last few weeks they kept me in over night incase if blod clot. Following morning, Dr said tests had come back clear for a clot so could go home. He said i probably had reflux . I have been tested for that in the past and it came back clear. I just want to feel normal with energy.
Mon, 13 Aug 2012
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  User's Response
Hello.

I understand your concerns. Sudden onset chest pains, palpitations, fatigue and breathlessness are very likely to be the manifestations of psychological stress or physical overwork. This is especially a possibility since all your tests have come normal.

I would suggest a tranquilizer as well as an antacid (since stress does cause acidity and reflux), look in to probable stressful factor in your life and address it.

Hyperthyroidism, especially acute thyroiditis can present with similar symptoms. It is worth doing T3, T4, TSH levels on blood.

Dissection of aorta is another rare possibility but this can usually be picked up by clinical examination and a 2D echo

-Dr. Tushar
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Dizziness, Breathlessness, Chest Pain. Tests Clear. What Can It Be?

Hello. I understand your concerns. Sudden onset chest pains, palpitations, fatigue and breathlessness are very likely to be the manifestations of psychological stress or physical overwork. This is especially a possibility since all your tests have come normal. I would suggest a tranquilizer as well as an antacid (since stress does cause acidity and reflux), look in to probable stressful factor in your life and address it. Hyperthyroidism, especially acute thyroiditis can present with similar symptoms. It is worth doing T3, T4, TSH levels on blood. Dissection of aorta is another rare possibility but this can usually be picked up by clinical examination and a 2D echo -Dr. Tushar