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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Be Concerned About Stiff Painful Chest Which Worsens When I Lie Back?

Hi, I was just worried, I m 16 and just recently I feel my tight and heavy and mild pain in my chest , it hurts a little more when I lie on my back and a lot worse when I swallow food but not when I drink, it only hurts when I seem to expand my chest. Do you think you can tell me the problem? Should I see a doctor?
Fri, 10 Apr 2015
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General & Family Physician,  's  Response
Hi welcome to HCM.
I understand your query and concern.
Your symptoms are related to to elevated blood pressure or cardiac dysfunction.This needs extensive monitoring of your heart and eyes through 2 dimensional echocardiography and baseline ECG.The blood pressure in your case needs an immediate resolution in the form of urgent institution of antihypertensive therapy in the form of beta blockers.Complete eye examination in the form of fundoscopy will help to document simultaneous changes in the eye.Reduction of your body weight is advisable to weight around 60 kgs.Antivertigo medications can be occasionally helpful.A complete 24 hr holter ECG can also be an efficient tool to detect the heart conduction blocks if any.Coronary angiogram with or without stenting is the procedure of choice in your case.Consult an expert cardiologist for further help.
Post your further queries if any,
Thank you.
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Should I Be Concerned About Stiff Painful Chest Which Worsens When I Lie Back?

Hi welcome to HCM. I understand your query and concern. Your symptoms are related to to elevated blood pressure or cardiac dysfunction.This needs extensive monitoring of your heart and eyes through 2 dimensional echocardiography and baseline ECG.The blood pressure in your case needs an immediate resolution in the form of urgent institution of antihypertensive therapy in the form of beta blockers.Complete eye examination in the form of fundoscopy will help to document simultaneous changes in the eye.Reduction of your body weight is advisable to weight around 60 kgs.Antivertigo medications can be occasionally helpful.A complete 24 hr holter ECG can also be an efficient tool to detect the heart conduction blocks if any.Coronary angiogram with or without stenting is the procedure of choice in your case.Consult an expert cardiologist for further help. Post your further queries if any, Thank you.