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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should We Go To The Emergency If Having Chest Pain, Nausea And Dizziness?

Husband had severe chest pain yesterday. Drove himself to ER. Labs, EKG and x ray all normal. Follow up with GP In the morning. Had more chest pain in the adternoon yesterday that lasted about 20 minutes. Today on and off nausea as well as dizziness. Should we return to ER right away? Or see GP in the morning?
Mon, 23 Feb 2015
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General & Family Physician,  's  Response
Thank you for posting your query. I can understand your concern.

In any case of acute chest the worst possibility is acute myocardial infarction or A.M.I (heart attack) which in your case has been hopefully ruled out by the EKGs and Lab tests.

Now, 42% of the chest pains without Myocardial infarction occurs due to gastro-oesophageal causes like gastritis , gallstone. Other causes like inflammation of the covering of heart 9pericarditis) , pneumonia (infection of lung) , a bulging of the wall of a great vessel called aorta (aortic aneurysm) can also cause chest discomfort.


Look for alarming symptoms like chest pain radiating to the left arm, sweating ; in that case immediately take him to the E.R.

I would suggest you to give him a combination of Pantoprazole 40 mg and Domperidone 30 mg every morning in an empty stomach for 10 days.

I would also suggest you to take him to a cardiologist , who can correlate the labs and EKG clinically.

Hope this helps.

Post any other question. We will be happy to help.
Have a nice day. Regards.

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Should We Go To The Emergency If Having Chest Pain, Nausea And Dizziness?

Thank you for posting your query. I can understand your concern. In any case of acute chest the worst possibility is acute myocardial infarction or A.M.I (heart attack) which in your case has been hopefully ruled out by the EKGs and Lab tests. Now, 42% of the chest pains without Myocardial infarction occurs due to gastro-oesophageal causes like gastritis , gallstone. Other causes like inflammation of the covering of heart 9pericarditis) , pneumonia (infection of lung) , a bulging of the wall of a great vessel called aorta (aortic aneurysm) can also cause chest discomfort. Look for alarming symptoms like chest pain radiating to the left arm, sweating ; in that case immediately take him to the E.R. I would suggest you to give him a combination of Pantoprazole 40 mg and Domperidone 30 mg every morning in an empty stomach for 10 days. I would also suggest you to take him to a cardiologist , who can correlate the labs and EKG clinically. Hope this helps. Post any other question. We will be happy to help. Have a nice day. Regards.