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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain, Breathlessness, And Nausea?

I am a 14 year old girl with a history of unexplained medical issues. I am 5 5 and 120 pounds. Recently I have had shortness of breath along with chest pain around my rib cage. My abdomen has been rather uncomfortable with some pain as well. I have been slightly nauseous, and have started having night sweats about every other night. Also have been itching all over my body. Any answers?
posted on Thu, 13 Mar 2014
Twitter Thu, 11 Jan 2018 Answered on
Twitter Fri, 12 Jan 2018 Last reviewed on
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Cardiologist,  's  Response
Hello!

Welcome and thank you for asking on HCM!

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: a lung disorder, an allergic reaction, a metabolic disorder, an infection, etc..

Coming to this point, I would recommend consulting with your attending physician for a careful physical exam and some tests:

- a resting ECG
- a chest X ray study and pulmonary function tests
- complete blood count, PCR, ESR for inflammation
- thyroid hormone levels for thyroid dysfunction
- blood electrolytes
- an abdominal ultrasound
- a urine analysis
- allergy tests.

You should discuss with your doctor on the above issues.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri
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What Causes Chest Pain, Breathlessness, And Nausea?

Hello! Welcome and thank you for asking on HCM! 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: a lung disorder, an allergic reaction, a metabolic disorder, an infection, etc.. Coming to this point, I would recommend consulting with your attending physician for a careful physical exam and some tests: - a resting ECG - a chest X ray study and pulmonary function tests - complete blood count, PCR, ESR for inflammation - thyroid hormone levels for thyroid dysfunction - blood electrolytes - an abdominal ultrasound - a urine analysis - allergy tests. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Kind regards, Dr. Iliri