Hello Lesley!
Normally
gall bladder Infections present with
epigastric pain and are referred to tips of the shoulders, and cholestrols rise too but as you said pain is intermittent so it is more like a chronic history. then you said perspiration with anticipation of heart attack? how old are you ? above 40? i am suspecting 2 things
1) more likely it looks like
chronic cholecystitis ( your gall bladder)
2) inferior heart MI also presents this way
so here is what we gonna do
-Do an ECG to rule out cardiac involvement, followed by echo and MR scan of the heart if required
if that area is clear
- then we need to clear hepatobiliary suspicion. to do that i advise
-U/S abdomen and pelvis
-serum
amylase, lipase, amylase to lipase ratio, urinary amylase, plain xray abdomen Ap view followed by a
CT scan if required, serum calcium ( both ionized and total) HBsAg and HCV.
Mean while trea yourself for symptoms
-get
Proton pump inhibitord like
omeprazole etc 40 mg once a day an hour before the meal or 3 hours after it
-Take some antispasmodics like Spasfon
-use less fatty meals
-lose weight
-Get a broad spectrum antibiotic if you have a fever
i am sure you will have your problem fixed with it
Good luck and get well soon :)
Regards
Doctor Shafi Ullah Khan
My Patient is my family