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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain, Shortness Of Breath, Headaches, Insomnia And Sinus Congestion?

Chest pains, shortness of breath, headaches, sweaty palms &feet, salt cravings-rays, loss of appetite, insomnia, frequent sinus infections. I ve had all of these symptoms since January. I can t get answers. All of my blood work, chest x-rays, EKG, echocardiogram, MRI come back fine, other than sinus congestion shown on MRI. 37 years old 135lbs, 5 6
Tue, 11 Aug 2015
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Cardiologist 's  Response
Hello. Thank you for your question and welcome to HCM. I understand your concern.

Well, if the cardiac check-up came back fine, then we can exclude cardiac origin as the culprit of this situation. You are young to have angina, though it is not impossible. Therefore, I would recommend you to do a cardiac stress test, which has a high probability on confirming or excluding the coronary artery origin of this problem.

On the other hand, the other problems you reported, can come from a common situation which is called deviatio septi nasi. Septum nasi is located inside the nose, on the upper side, and is found deviated or deformed in a large number of people worldwide. It is totally benign and harmless. But, when it is deformed, it blocks the discharge route of one of the sinuses. It results in liquid accumulation within the sinus, its walls become inflammated, hence the headache, nose congestion and sinusitis. If this happens often, I would recommend you to see an otorhinolaringologist (ENT doctor) and discuss the possibility of repairing this deformation.

I hope I was helpful with my answer. Take care.

Best regards,
Dr. Meriton
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What Causes Chest Pain, Shortness Of Breath, Headaches, Insomnia And Sinus Congestion?

Hello. Thank you for your question and welcome to HCM. I understand your concern. Well, if the cardiac check-up came back fine, then we can exclude cardiac origin as the culprit of this situation. You are young to have angina, though it is not impossible. Therefore, I would recommend you to do a cardiac stress test, which has a high probability on confirming or excluding the coronary artery origin of this problem. On the other hand, the other problems you reported, can come from a common situation which is called deviatio septi nasi. Septum nasi is located inside the nose, on the upper side, and is found deviated or deformed in a large number of people worldwide. It is totally benign and harmless. But, when it is deformed, it blocks the discharge route of one of the sinuses. It results in liquid accumulation within the sinus, its walls become inflammated, hence the headache, nose congestion and sinusitis. If this happens often, I would recommend you to see an otorhinolaringologist (ENT doctor) and discuss the possibility of repairing this deformation. I hope I was helpful with my answer. Take care. Best regards, Dr. Meriton