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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Tightness In Chest And Rapid Heart Beat

I am recovering from a fairly serious cellulitis infection for which I was hospitalized. When I was running fever I felt alot of tightness in my chest. No more fever, but I still feel the tightness even while resting. My heart seems to beat rather strongly when I move around. I have mild asthma and take medicine for that so my breathing is fine.My question is: is it normal to feel this when fighting a severe infection?
Tue, 13 Mar 2018
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Cardiologist,  's  Response
Hello,

I passed carefully through your question and would explain that it is necessary performing a comprehensive differential diagnosis between different possible causes that may lead to this clinical scenario: gastritis or acid reflux, anxiety, myocardial ischemia, increased pulmonary pressure, et cetera.

For this reason, I would recommend consulting with your attending physician and performing some further tests:
- A chest x-ray study
- A cardiac ultrasound to examine your heart function and structure
- Complete blood count, PCR, ESR for inflammation
- A resting ECG and cardiac enzymes to investigate for myocardial ischemia

You should discuss with your doctor on the above tests. Meanwhile, I would recommend trying an anti-acid or PPI (pantoprazole, esomeprazole) and see if it helps improve your situation.

If this happens, it would be indicative of possible acid reflux or gastritis. In such case a fibro-gastroscopy may be needed.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ilir Sharka
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Suggest Remedy For Tightness In Chest And Rapid Heart Beat

Hello, I passed carefully through your question and would explain that it is necessary performing a comprehensive differential diagnosis between different possible causes that may lead to this clinical scenario: gastritis or acid reflux, anxiety, myocardial ischemia, increased pulmonary pressure, et cetera. For this reason, I would recommend consulting with your attending physician and performing some further tests: - A chest x-ray study - A cardiac ultrasound to examine your heart function and structure - Complete blood count, PCR, ESR for inflammation - A resting ECG and cardiac enzymes to investigate for myocardial ischemia You should discuss with your doctor on the above tests. Meanwhile, I would recommend trying an anti-acid or PPI (pantoprazole, esomeprazole) and see if it helps improve your situation. If this happens, it would be indicative of possible acid reflux or gastritis. In such case a fibro-gastroscopy may be needed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka