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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Chest Pain, Dizziness And Nausea. Test All Fine. What To Do?

Hello, For a good few months now I ve been getting pains in my chest at random intervals. It doesn t seem to correlate with anything, it can be before or after I eat, I can be as soon as I wake up or in the middle of the day and it can be when i m walking or sitting down. Sometimes it gets so bad that I get dizzy and usually I feel nauseous and find it hard to concentrateything on an. Occasionally it is coupled with a horrible lethargy, and the more I resist the urge the sleep the worse the chest pain gets. Once it got so bad that I went to A&E and they did a ECG , a chest x-ray , blood and urine tests and they could find anything apart from an elevated heart rate at around 100bpm resting rate and a low grade temperature, what should I do?
posted on Tue, 19 Mar 2013
Twitter Sun, 28 Jul 2013 Answered on
Twitter Mon, 29 Jul 2013 Last reviewed on
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General & Family Physician,  's  Response
Hello Good Evening,

A ECG is just a screening test for cardiac problem, and it can give false positive and false negative results.

Though you had a fine ECG, but if you have symptoms, then you can go for TMT and Echocardiogram of the heart.

You had mild fever, so you can also have possibility of your pain originated from respiratory tract or musculo-skeletal system.

So you should go through proper evaluation with proper clinical examination and following investigations:

-Blood tests
-X-ray chest
-EKG
-TMT
-2D Echo-cardiogram
-UGI Endoscopy

Further management will depend on final diagnosis.

Regards,

Dr. Naresh Jain.
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Have Chest Pain, Dizziness And Nausea. Test All Fine. What To Do?

Hello Good Evening, A ECG is just a screening test for cardiac problem, and it can give false positive and false negative results. Though you had a fine ECG, but if you have symptoms, then you can go for TMT and Echocardiogram of the heart. You had mild fever, so you can also have possibility of your pain originated from respiratory tract or musculo-skeletal system. So you should go through proper evaluation with proper clinical examination and following investigations: -Blood tests -X-ray chest -EKG -TMT -2D Echo-cardiogram -UGI Endoscopy Further management will depend on final diagnosis. Regards, Dr. Naresh Jain.