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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain,weight Loss And Poor Appetite?

My son, who is 19, 5'9" tall and weighs just 120 pounds has been tested for TB, PE and heart problems, all of which have proved negative. But he is still getting severe chest pains, night sweats, has lost 20 pounds in weight over the last 6 weeks, and is constantly exhausted. His appetite is practically non-existant. What could possibly be wrong with him? Are there any further tests I can ask for?
Tue, 2 Aug 2016
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General & Family Physician,  's  Response
Hi welcome to HCM ...

The respiratory and heart problem is negative. ..

So I assume that you might have done investigation with chest x ray , EKG at least ....
Here your son having problem of weight loss and chest pain....

So his physical examination is needed in such case to decide investigation....

For weight loss hyperthyroid ruled out if suspected by serum t4 , TSH...
If history suspicious HIV than ruled out by ELISA ...

If taking excess stress than panic attack can lead also such presentation.
For which anxiolytic drug needed along with behavioural therapy ....

So consult physician for examination and subsequent investigation according to it..

Take care ....
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What Causes Chest Pain,weight Loss And Poor Appetite?

Hi welcome to HCM ... The respiratory and heart problem is negative. .. So I assume that you might have done investigation with chest x ray , EKG at least .... Here your son having problem of weight loss and chest pain.... So his physical examination is needed in such case to decide investigation.... For weight loss hyperthyroid ruled out if suspected by serum t4 , TSH... If history suspicious HIV than ruled out by ELISA ... If taking excess stress than panic attack can lead also such presentation. For which anxiolytic drug needed along with behavioural therapy .... So consult physician for examination and subsequent investigation according to it.. Take care ....