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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Discomfort Radiating Towards Waist?

My coworker has had two episodes about a week and a half apart where she has been in a hot environment and she gets a sensation of pressure in her upper chest-very uncomfortable. It then travels down to her waist and dissapates. But then she gets a cold, clammy sensation on her upper back/shoulders that travels up her neck. She also feels kind of nauseous. This happened after eating Chinese and then shopping in a hot house for flowers. Then last saturday sitting outside helping at a garage sale. Her husband and coworkers all have mentioned it sounds like heart issues and encouraged her to call her doctor, a female family doctor, to try to get an appointment to see her as soon as possible instead of her regular appointment next tuesday. She does take blood pressure and cholesterol prescriptions and is age 62.
Tue, 20 Oct 2020
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General & Family Physician,  's  Response
Hello,

Chest discomfort associated with nausea and pain / discomfort radiating to the neck is indicative of developing CAD. Since she also complains of discomfort radiating down the waist and causing her to get cold and clammy, she urgently needs some rest. She is much stressed up and lack of adequate sleep and irregular mealtime may cause acid reflux that triggers chest discomforts.

Since she takes BP and cholesterol prescriptions, she is suggested to get clinically examined by a cardiologist, get repeat lipid function tests, stress tests, Echo, EKG, X-ray, etc done to detect any developing CAD. She should take home made food, avoid oily spicy junk food. Stay away from addictions if any. She will be treated accordingly. Neglect will only lead to worsening of the symptoms.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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What Causes Chest Discomfort Radiating Towards Waist?

Hello, Chest discomfort associated with nausea and pain / discomfort radiating to the neck is indicative of developing CAD. Since she also complains of discomfort radiating down the waist and causing her to get cold and clammy, she urgently needs some rest. She is much stressed up and lack of adequate sleep and irregular mealtime may cause acid reflux that triggers chest discomforts. Since she takes BP and cholesterol prescriptions, she is suggested to get clinically examined by a cardiologist, get repeat lipid function tests, stress tests, Echo, EKG, X-ray, etc done to detect any developing CAD. She should take home made food, avoid oily spicy junk food. Stay away from addictions if any. She will be treated accordingly. Neglect will only lead to worsening of the symptoms. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician