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45 Year Old Woman Who Is Relatively Healthy. I Keep
Question: 45 year old woman who is relatively healthy.
I keep waking with shortness of breath and a feeling of tightness around my chest. What could this be?
I recently had blood work done, an ECG and chest xray, all were fine but these episodes keep happening
I keep waking with shortness of breath and a feeling of tightness around my chest. What could this be?
I recently had blood work done, an ECG and chest xray, all were fine but these episodes keep happening
45 year old woman who is relatively healthy.
I keep waking with shortness of breath and a feeling of tightness around my chest. What could this be?
I recently had blood work done, an ECG and chest xray, all were fine but these episodes keep happening
I keep waking with shortness of breath and a feeling of tightness around my chest. What could this be?
I recently had blood work done, an ECG and chest xray, all were fine but these episodes keep happening
Brief Answer:
Anxiety is likely the cause, please see details below
Detailed Answer:
Hello and welcome to 'Ask a Doctor' service.
I carefully read your query and here is my advice:
- the chest tightness is very likely due to anxiety, it is typical at night and when we are resting, it is not generally related to the heart problems which cause chest tightness with exercise first and after progressing might wake the patient at night.
- you will need to talk to your PCP to check for anxiolytic treatment which generally is started with SSRI (citalopram or sertraline or other medications in this class). They need to be taken daily and will give a good effect after the first week.
- Meanwhile, your doctor can give you some tranquilizers before bedtime (small dose of diazepam) to help you the first week the SSRI treatment needs to start its effect. Please do not use it for more than 2 weeks as it causes dependence.
- You can also try to avoid coffee, energy drinks, smoking and alcohol if you are using any of these because these make anxiety worse.
- going for walks, spending time with family and good friends, being active and having some exercises is also helpful.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj,
General & Family Physician
Anxiety is likely the cause, please see details below
Detailed Answer:
Hello and welcome to 'Ask a Doctor' service.
I carefully read your query and here is my advice:
- the chest tightness is very likely due to anxiety, it is typical at night and when we are resting, it is not generally related to the heart problems which cause chest tightness with exercise first and after progressing might wake the patient at night.
- you will need to talk to your PCP to check for anxiolytic treatment which generally is started with SSRI (citalopram or sertraline or other medications in this class). They need to be taken daily and will give a good effect after the first week.
- Meanwhile, your doctor can give you some tranquilizers before bedtime (small dose of diazepam) to help you the first week the SSRI treatment needs to start its effect. Please do not use it for more than 2 weeks as it causes dependence.
- You can also try to avoid coffee, energy drinks, smoking and alcohol if you are using any of these because these make anxiety worse.
- going for walks, spending time with family and good friends, being active and having some exercises is also helpful.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj,
General & Family Physician
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Brief Answer:
Anxiety is likely the cause, please see details below
Detailed Answer:
Hello and welcome to 'Ask a Doctor' service.
I carefully read your query and here is my advice:
- the chest tightness is very likely due to anxiety, it is typical at night and when we are resting, it is not generally related to the heart problems which cause chest tightness with exercise first and after progressing might wake the patient at night.
- you will need to talk to your PCP to check for anxiolytic treatment which generally is started with SSRI (citalopram or sertraline or other medications in this class). They need to be taken daily and will give a good effect after the first week.
- Meanwhile, your doctor can give you some tranquilizers before bedtime (small dose of diazepam) to help you the first week the SSRI treatment needs to start its effect. Please do not use it for more than 2 weeks as it causes dependence.
- You can also try to avoid coffee, energy drinks, smoking and alcohol if you are using any of these because these make anxiety worse.
- going for walks, spending time with family and good friends, being active and having some exercises is also helpful.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj,
General & Family Physician
Anxiety is likely the cause, please see details below
Detailed Answer:
Hello and welcome to 'Ask a Doctor' service.
I carefully read your query and here is my advice:
- the chest tightness is very likely due to anxiety, it is typical at night and when we are resting, it is not generally related to the heart problems which cause chest tightness with exercise first and after progressing might wake the patient at night.
- you will need to talk to your PCP to check for anxiolytic treatment which generally is started with SSRI (citalopram or sertraline or other medications in this class). They need to be taken daily and will give a good effect after the first week.
- Meanwhile, your doctor can give you some tranquilizers before bedtime (small dose of diazepam) to help you the first week the SSRI treatment needs to start its effect. Please do not use it for more than 2 weeks as it causes dependence.
- You can also try to avoid coffee, energy drinks, smoking and alcohol if you are using any of these because these make anxiety worse.
- going for walks, spending time with family and good friends, being active and having some exercises is also helpful.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj,
General & Family Physician
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
I torn my left shoulder blade about 2 years ago and it never healed properly.
It sits out of place.
Is it possible that this may also cause some of the symptoms?
I ask because I lie on my back at night and I do have upper chest pain due to my shoulder during the day.
Also, if you did feel it was more anxiety based, can it cause a very tight feeling around the upper part of the chest?
It almost feels like a vice it tightened around my chest and I cannot take in a deep breath.
It sits out of place.
Is it possible that this may also cause some of the symptoms?
I ask because I lie on my back at night and I do have upper chest pain due to my shoulder during the day.
Also, if you did feel it was more anxiety based, can it cause a very tight feeling around the upper part of the chest?
It almost feels like a vice it tightened around my chest and I cannot take in a deep breath.
I torn my left shoulder blade about 2 years ago and it never healed properly.
It sits out of place.
Is it possible that this may also cause some of the symptoms?
I ask because I lie on my back at night and I do have upper chest pain due to my shoulder during the day.
Also, if you did feel it was more anxiety based, can it cause a very tight feeling around the upper part of the chest?
It almost feels like a vice it tightened around my chest and I cannot take in a deep breath.
It sits out of place.
Is it possible that this may also cause some of the symptoms?
I ask because I lie on my back at night and I do have upper chest pain due to my shoulder during the day.
Also, if you did feel it was more anxiety based, can it cause a very tight feeling around the upper part of the chest?
It almost feels like a vice it tightened around my chest and I cannot take in a deep breath.
Brief Answer:
Anxiety causes chest tightness, it is actually typical of panic attack
Detailed Answer:
Hello again and thank you for the reply,
Chronic pain may contribute to anxiety, I don't think the chest tightness is related directly to the shoulder pain but being chronic may contribute to anxiety.
Actually one of the crucial symptoms of anxiety (panic attack) is that patients get short of breath with chest feeling tight and they feel like they are suffocating. Sometimes this causes the patient to even faint if it lasts for a while.
Other symptoms that may happen with panic attack is palpitations, shakiness, numbness, etc, and different patients may show all or a few of these symptoms. Most of the time it is worse at night and rest.
They generally last few minutes to half an hour, rarely may go on for longer.
To conclude:
- the shoulder pain may contribute indirectly by favoring anxiety for to chronic pain
- because of the chest tightness at rest, is the very reason I am considering panic attack especially if it not affected by laying flat
- if you have worse chest tightness when you are laying flat and better with pillows then a heart and lung issue should be ruled out, chest x-ray is needed in this case. This would cause tightness every time you lay down, even during the day and you would also have swollen legs
- so if no swollen legs, no chest tightness every time when you lay down and if it not affected by the number of pillows, this is very likely a panic attack.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj
Anxiety causes chest tightness, it is actually typical of panic attack
Detailed Answer:
Hello again and thank you for the reply,
Chronic pain may contribute to anxiety, I don't think the chest tightness is related directly to the shoulder pain but being chronic may contribute to anxiety.
Actually one of the crucial symptoms of anxiety (panic attack) is that patients get short of breath with chest feeling tight and they feel like they are suffocating. Sometimes this causes the patient to even faint if it lasts for a while.
Other symptoms that may happen with panic attack is palpitations, shakiness, numbness, etc, and different patients may show all or a few of these symptoms. Most of the time it is worse at night and rest.
They generally last few minutes to half an hour, rarely may go on for longer.
To conclude:
- the shoulder pain may contribute indirectly by favoring anxiety for to chronic pain
- because of the chest tightness at rest, is the very reason I am considering panic attack especially if it not affected by laying flat
- if you have worse chest tightness when you are laying flat and better with pillows then a heart and lung issue should be ruled out, chest x-ray is needed in this case. This would cause tightness every time you lay down, even during the day and you would also have swollen legs
- so if no swollen legs, no chest tightness every time when you lay down and if it not affected by the number of pillows, this is very likely a panic attack.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
Anxiety causes chest tightness, it is actually typical of panic attack
Detailed Answer:
Hello again and thank you for the reply,
Chronic pain may contribute to anxiety, I don't think the chest tightness is related directly to the shoulder pain but being chronic may contribute to anxiety.
Actually one of the crucial symptoms of anxiety (panic attack) is that patients get short of breath with chest feeling tight and they feel like they are suffocating. Sometimes this causes the patient to even faint if it lasts for a while.
Other symptoms that may happen with panic attack is palpitations, shakiness, numbness, etc, and different patients may show all or a few of these symptoms. Most of the time it is worse at night and rest.
They generally last few minutes to half an hour, rarely may go on for longer.
To conclude:
- the shoulder pain may contribute indirectly by favoring anxiety for to chronic pain
- because of the chest tightness at rest, is the very reason I am considering panic attack especially if it not affected by laying flat
- if you have worse chest tightness when you are laying flat and better with pillows then a heart and lung issue should be ruled out, chest x-ray is needed in this case. This would cause tightness every time you lay down, even during the day and you would also have swollen legs
- so if no swollen legs, no chest tightness every time when you lay down and if it not affected by the number of pillows, this is very likely a panic attack.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj
Anxiety causes chest tightness, it is actually typical of panic attack
Detailed Answer:
Hello again and thank you for the reply,
Chronic pain may contribute to anxiety, I don't think the chest tightness is related directly to the shoulder pain but being chronic may contribute to anxiety.
Actually one of the crucial symptoms of anxiety (panic attack) is that patients get short of breath with chest feeling tight and they feel like they are suffocating. Sometimes this causes the patient to even faint if it lasts for a while.
Other symptoms that may happen with panic attack is palpitations, shakiness, numbness, etc, and different patients may show all or a few of these symptoms. Most of the time it is worse at night and rest.
They generally last few minutes to half an hour, rarely may go on for longer.
To conclude:
- the shoulder pain may contribute indirectly by favoring anxiety for to chronic pain
- because of the chest tightness at rest, is the very reason I am considering panic attack especially if it not affected by laying flat
- if you have worse chest tightness when you are laying flat and better with pillows then a heart and lung issue should be ruled out, chest x-ray is needed in this case. This would cause tightness every time you lay down, even during the day and you would also have swollen legs
- so if no swollen legs, no chest tightness every time when you lay down and if it not affected by the number of pillows, this is very likely a panic attack.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj
Above answer was peer-reviewed by :
Dr. Raju A.T
Just to let you know that I did originally wrote that I had a chest xray, blood work and an ECG a day ago.
All came back with normal results.
Would this indicate that this is not a heart problem?
Do you feel I would need a stress test? Only asking because the doctor mentioned it.
All came back with normal results.
Would this indicate that this is not a heart problem?
Do you feel I would need a stress test? Only asking because the doctor mentioned it.
Just to let you know that I did originally wrote that I had a chest xray, blood work and an ECG a day ago.
All came back with normal results.
Would this indicate that this is not a heart problem?
Do you feel I would need a stress test? Only asking because the doctor mentioned it.
All came back with normal results.
Would this indicate that this is not a heart problem?
Do you feel I would need a stress test? Only asking because the doctor mentioned it.
Brief Answer:
The stress test might give peace of mind but very likely will come out normal. Some more explanation given
Detailed Answer:
Hello,
Thank you for the reply.
Having a stress test might give peace of mind but it is very likely it will come out normal in your case because you are otherwise healthy and you are only 45 years old which means it is very uncommon for healthy women at this age to have coronary artery disease (what the stress test tries to identify). Especially if you have still your menstruation, you do not have diabetes, hypertension, high lipids, or you are not obese (BMI over 30) the chances are very little the stress test will be positive.
By what I understand even the ER doctor was not sure you really needed the stress test. Still because it does not hurt (it does not cause radiation or other dangerous effects) you may have it done and make sure.
I have explained some of the characteristics of the panic attack? Do your symptoms seem similar to that? Do they fade within half an hour?
Another rare condition that might be related to the heart in younger women is prinzmental angina, which is spasm of the blood vessels of the heart which happens mostly at night. In this case diagnosis is difficult because the blood vessels are normal and will show normal in the ECG and stress test but these women respond well to calcium channel blockers. Many think this is related to stress as well.
To conclude:
You may choose to have the stress test, just to have peace of mind, very likely it will come out normal
Prinzmental angina is the one that most likely causes chest pains in younger women (compared to other anginas) but generally does no show in stress test. In this case if it is suspected (it is a very rare condition in itself) calcium channel blockers are tired and are very effective.
I still think that very likely anxiety is a possible cause of your symptoms and you would benefit from treatment for anxiety (checking your thyroid before treatment, TSH test, might be advisable as thyroid might favor problems with anxiety)
Another note: asthma generally happens in children and rarely starts after the age of 10 but there are rare cases it does start in adults and generally asthma is worse at night so if you have it more difficult to breath out it is very likely asthma should be considered and ruled out (anxiety causes you to have it difficult to breath in, breathing out is normal with anxiety).
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj,
General & Family Physician
The stress test might give peace of mind but very likely will come out normal. Some more explanation given
Detailed Answer:
Hello,
Thank you for the reply.
Having a stress test might give peace of mind but it is very likely it will come out normal in your case because you are otherwise healthy and you are only 45 years old which means it is very uncommon for healthy women at this age to have coronary artery disease (what the stress test tries to identify). Especially if you have still your menstruation, you do not have diabetes, hypertension, high lipids, or you are not obese (BMI over 30) the chances are very little the stress test will be positive.
By what I understand even the ER doctor was not sure you really needed the stress test. Still because it does not hurt (it does not cause radiation or other dangerous effects) you may have it done and make sure.
I have explained some of the characteristics of the panic attack? Do your symptoms seem similar to that? Do they fade within half an hour?
Another rare condition that might be related to the heart in younger women is prinzmental angina, which is spasm of the blood vessels of the heart which happens mostly at night. In this case diagnosis is difficult because the blood vessels are normal and will show normal in the ECG and stress test but these women respond well to calcium channel blockers. Many think this is related to stress as well.
To conclude:
You may choose to have the stress test, just to have peace of mind, very likely it will come out normal
Prinzmental angina is the one that most likely causes chest pains in younger women (compared to other anginas) but generally does no show in stress test. In this case if it is suspected (it is a very rare condition in itself) calcium channel blockers are tired and are very effective.
I still think that very likely anxiety is a possible cause of your symptoms and you would benefit from treatment for anxiety (checking your thyroid before treatment, TSH test, might be advisable as thyroid might favor problems with anxiety)
Another note: asthma generally happens in children and rarely starts after the age of 10 but there are rare cases it does start in adults and generally asthma is worse at night so if you have it more difficult to breath out it is very likely asthma should be considered and ruled out (anxiety causes you to have it difficult to breath in, breathing out is normal with anxiety).
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj,
General & Family Physician
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Brief Answer:
The stress test might give peace of mind but very likely will come out normal. Some more explanation given
Detailed Answer:
Hello,
Thank you for the reply.
Having a stress test might give peace of mind but it is very likely it will come out normal in your case because you are otherwise healthy and you are only 45 years old which means it is very uncommon for healthy women at this age to have coronary artery disease (what the stress test tries to identify). Especially if you have still your menstruation, you do not have diabetes, hypertension, high lipids, or you are not obese (BMI over 30) the chances are very little the stress test will be positive.
By what I understand even the ER doctor was not sure you really needed the stress test. Still because it does not hurt (it does not cause radiation or other dangerous effects) you may have it done and make sure.
I have explained some of the characteristics of the panic attack? Do your symptoms seem similar to that? Do they fade within half an hour?
Another rare condition that might be related to the heart in younger women is prinzmental angina, which is spasm of the blood vessels of the heart which happens mostly at night. In this case diagnosis is difficult because the blood vessels are normal and will show normal in the ECG and stress test but these women respond well to calcium channel blockers. Many think this is related to stress as well.
To conclude:
You may choose to have the stress test, just to have peace of mind, very likely it will come out normal
Prinzmental angina is the one that most likely causes chest pains in younger women (compared to other anginas) but generally does no show in stress test. In this case if it is suspected (it is a very rare condition in itself) calcium channel blockers are tired and are very effective.
I still think that very likely anxiety is a possible cause of your symptoms and you would benefit from treatment for anxiety (checking your thyroid before treatment, TSH test, might be advisable as thyroid might favor problems with anxiety)
Another note: asthma generally happens in children and rarely starts after the age of 10 but there are rare cases it does start in adults and generally asthma is worse at night so if you have it more difficult to breath out it is very likely asthma should be considered and ruled out (anxiety causes you to have it difficult to breath in, breathing out is normal with anxiety).
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj,
General & Family Physician
The stress test might give peace of mind but very likely will come out normal. Some more explanation given
Detailed Answer:
Hello,
Thank you for the reply.
Having a stress test might give peace of mind but it is very likely it will come out normal in your case because you are otherwise healthy and you are only 45 years old which means it is very uncommon for healthy women at this age to have coronary artery disease (what the stress test tries to identify). Especially if you have still your menstruation, you do not have diabetes, hypertension, high lipids, or you are not obese (BMI over 30) the chances are very little the stress test will be positive.
By what I understand even the ER doctor was not sure you really needed the stress test. Still because it does not hurt (it does not cause radiation or other dangerous effects) you may have it done and make sure.
I have explained some of the characteristics of the panic attack? Do your symptoms seem similar to that? Do they fade within half an hour?
Another rare condition that might be related to the heart in younger women is prinzmental angina, which is spasm of the blood vessels of the heart which happens mostly at night. In this case diagnosis is difficult because the blood vessels are normal and will show normal in the ECG and stress test but these women respond well to calcium channel blockers. Many think this is related to stress as well.
To conclude:
You may choose to have the stress test, just to have peace of mind, very likely it will come out normal
Prinzmental angina is the one that most likely causes chest pains in younger women (compared to other anginas) but generally does no show in stress test. In this case if it is suspected (it is a very rare condition in itself) calcium channel blockers are tired and are very effective.
I still think that very likely anxiety is a possible cause of your symptoms and you would benefit from treatment for anxiety (checking your thyroid before treatment, TSH test, might be advisable as thyroid might favor problems with anxiety)
Another note: asthma generally happens in children and rarely starts after the age of 10 but there are rare cases it does start in adults and generally asthma is worse at night so if you have it more difficult to breath out it is very likely asthma should be considered and ruled out (anxiety causes you to have it difficult to breath in, breathing out is normal with anxiety).
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj,
General & Family Physician
Above answer was peer-reviewed by :
Dr. Nagamani Ng
I need to have a tooth extracted on Saturday. Due to heart worries, would you think that it is okay to get the tooth pulled and no worries of HA?
I only ask because of possibilities such as Prinzemetal angina.
Also I do have a tooth absess, would this cause any of the above?
I sincerely appreciate your help and advice, it makes a lot of sense to me and I have asked more than one doctor.
Can never be too safe after the age of 40.
I only ask because of possibilities such as Prinzemetal angina.
Also I do have a tooth absess, would this cause any of the above?
I sincerely appreciate your help and advice, it makes a lot of sense to me and I have asked more than one doctor.
Can never be too safe after the age of 40.
I need to have a tooth extracted on Saturday. Due to heart worries, would you think that it is okay to get the tooth pulled and no worries of HA?
I only ask because of possibilities such as Prinzemetal angina.
Also I do have a tooth absess, would this cause any of the above?
I sincerely appreciate your help and advice, it makes a lot of sense to me and I have asked more than one doctor.
Can never be too safe after the age of 40.
I only ask because of possibilities such as Prinzemetal angina.
Also I do have a tooth absess, would this cause any of the above?
I sincerely appreciate your help and advice, it makes a lot of sense to me and I have asked more than one doctor.
Can never be too safe after the age of 40.
Brief Answer:
Teeth procedures are safe
Detailed Answer:
Hello again,
I am glad you are finding some answers, I understand you asking several doctors.
Teeth procedures are safe with heart conditions as long as you do not have prosthetic valves (surgery to substitute a valve with a prosthesis) and as long as no previous endocarditis (infection of the valves), so I would say there is nothing to worry.
A tooth abscess would cause jaw pain, swelling locally and maybe fever, rarely the infection may go in the blood and complicate with endocarditis (infection of the inner layer of the heart) but if it causes chest pain it is continuous chest pain worse with breathing, fever, joint pains, and get progressively worse. It is important that you do the right treatment of the tooth abscess though, maybe your dentist will give you some antibiotics before working on your tooth.
So as for the heart the dental procedures in your case are safe.
Teeth abscess can complicate with important heart problems so they need to be treated appropriately after taking some antibiotics first.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj,
General & Family Physician
Teeth procedures are safe
Detailed Answer:
Hello again,
I am glad you are finding some answers, I understand you asking several doctors.
Teeth procedures are safe with heart conditions as long as you do not have prosthetic valves (surgery to substitute a valve with a prosthesis) and as long as no previous endocarditis (infection of the valves), so I would say there is nothing to worry.
A tooth abscess would cause jaw pain, swelling locally and maybe fever, rarely the infection may go in the blood and complicate with endocarditis (infection of the inner layer of the heart) but if it causes chest pain it is continuous chest pain worse with breathing, fever, joint pains, and get progressively worse. It is important that you do the right treatment of the tooth abscess though, maybe your dentist will give you some antibiotics before working on your tooth.
So as for the heart the dental procedures in your case are safe.
Teeth abscess can complicate with important heart problems so they need to be treated appropriately after taking some antibiotics first.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj,
General & Family Physician
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
Teeth procedures are safe
Detailed Answer:
Hello again,
I am glad you are finding some answers, I understand you asking several doctors.
Teeth procedures are safe with heart conditions as long as you do not have prosthetic valves (surgery to substitute a valve with a prosthesis) and as long as no previous endocarditis (infection of the valves), so I would say there is nothing to worry.
A tooth abscess would cause jaw pain, swelling locally and maybe fever, rarely the infection may go in the blood and complicate with endocarditis (infection of the inner layer of the heart) but if it causes chest pain it is continuous chest pain worse with breathing, fever, joint pains, and get progressively worse. It is important that you do the right treatment of the tooth abscess though, maybe your dentist will give you some antibiotics before working on your tooth.
So as for the heart the dental procedures in your case are safe.
Teeth abscess can complicate with important heart problems so they need to be treated appropriately after taking some antibiotics first.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj,
General & Family Physician
Teeth procedures are safe
Detailed Answer:
Hello again,
I am glad you are finding some answers, I understand you asking several doctors.
Teeth procedures are safe with heart conditions as long as you do not have prosthetic valves (surgery to substitute a valve with a prosthesis) and as long as no previous endocarditis (infection of the valves), so I would say there is nothing to worry.
A tooth abscess would cause jaw pain, swelling locally and maybe fever, rarely the infection may go in the blood and complicate with endocarditis (infection of the inner layer of the heart) but if it causes chest pain it is continuous chest pain worse with breathing, fever, joint pains, and get progressively worse. It is important that you do the right treatment of the tooth abscess though, maybe your dentist will give you some antibiotics before working on your tooth.
So as for the heart the dental procedures in your case are safe.
Teeth abscess can complicate with important heart problems so they need to be treated appropriately after taking some antibiotics first.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj,
General & Family Physician
Above answer was peer-reviewed by :
Dr. Raju A.T
Thank you so much for your help Dr. Zotaj.
I got a letter today from an internist. Apparently the ER doc I seen a few days previous set an appointment up for me, although it won't be for another month.
I recall him saying I might consider getting a stress test, so wouldn't he have wanted me to see a cardiologist? Why am internist? I don't understand.
I was also wondering, once again going back to my dentist appointment. Do you feel that it is safe for me more on the grounds of me not having any heart issues more due to being over stressed?
I do suffer from Fibromyalgia and I have fatigue quite severe most days. I am out of shape and although I am 5'4 and 120 lbs, I am a healthy weight, I do feel that my body is quite weak most days.
I try to move around during the day but it's mostly around my apartment and I tire out very easily.
I am now obviously concerned about this possibly heart issue.
What worries me is if I go to this appointment, use energy I don't have and cause myself heart issues due to that.
Or do you think that being as I had tests recently and all were fine that I am worrying for nothing?
I do get pains in my chest and back but I am quite certain those are costochondritis as I do suffer from that as well.
It must sound like I worry a lot but I have gone from a healthy 40 something who walked miles per week to being disabled and barely moving in less than 3 years.
I got a letter today from an internist. Apparently the ER doc I seen a few days previous set an appointment up for me, although it won't be for another month.
I recall him saying I might consider getting a stress test, so wouldn't he have wanted me to see a cardiologist? Why am internist? I don't understand.
I was also wondering, once again going back to my dentist appointment. Do you feel that it is safe for me more on the grounds of me not having any heart issues more due to being over stressed?
I do suffer from Fibromyalgia and I have fatigue quite severe most days. I am out of shape and although I am 5'4 and 120 lbs, I am a healthy weight, I do feel that my body is quite weak most days.
I try to move around during the day but it's mostly around my apartment and I tire out very easily.
I am now obviously concerned about this possibly heart issue.
What worries me is if I go to this appointment, use energy I don't have and cause myself heart issues due to that.
Or do you think that being as I had tests recently and all were fine that I am worrying for nothing?
I do get pains in my chest and back but I am quite certain those are costochondritis as I do suffer from that as well.
It must sound like I worry a lot but I have gone from a healthy 40 something who walked miles per week to being disabled and barely moving in less than 3 years.
Thank you so much for your help Dr. Zotaj.
I got a letter today from an internist. Apparently the ER doc I seen a few days previous set an appointment up for me, although it won't be for another month.
I recall him saying I might consider getting a stress test, so wouldn't he have wanted me to see a cardiologist? Why am internist? I don't understand.
I was also wondering, once again going back to my dentist appointment. Do you feel that it is safe for me more on the grounds of me not having any heart issues more due to being over stressed?
I do suffer from Fibromyalgia and I have fatigue quite severe most days. I am out of shape and although I am 5'4 and 120 lbs, I am a healthy weight, I do feel that my body is quite weak most days.
I try to move around during the day but it's mostly around my apartment and I tire out very easily.
I am now obviously concerned about this possibly heart issue.
What worries me is if I go to this appointment, use energy I don't have and cause myself heart issues due to that.
Or do you think that being as I had tests recently and all were fine that I am worrying for nothing?
I do get pains in my chest and back but I am quite certain those are costochondritis as I do suffer from that as well.
It must sound like I worry a lot but I have gone from a healthy 40 something who walked miles per week to being disabled and barely moving in less than 3 years.
I got a letter today from an internist. Apparently the ER doc I seen a few days previous set an appointment up for me, although it won't be for another month.
I recall him saying I might consider getting a stress test, so wouldn't he have wanted me to see a cardiologist? Why am internist? I don't understand.
I was also wondering, once again going back to my dentist appointment. Do you feel that it is safe for me more on the grounds of me not having any heart issues more due to being over stressed?
I do suffer from Fibromyalgia and I have fatigue quite severe most days. I am out of shape and although I am 5'4 and 120 lbs, I am a healthy weight, I do feel that my body is quite weak most days.
I try to move around during the day but it's mostly around my apartment and I tire out very easily.
I am now obviously concerned about this possibly heart issue.
What worries me is if I go to this appointment, use energy I don't have and cause myself heart issues due to that.
Or do you think that being as I had tests recently and all were fine that I am worrying for nothing?
I do get pains in my chest and back but I am quite certain those are costochondritis as I do suffer from that as well.
It must sound like I worry a lot but I have gone from a healthy 40 something who walked miles per week to being disabled and barely moving in less than 3 years.
Brief Answer:
There is no worry related to the dental visit and procedures
Detailed Answer:
Hello,
I am so sorry to hear about your health issues and how they are affecting you.
I do not think you need to worry for the heart while you go to the dentist. The dentist will numb the area and you may also take some painkillers like 2 tablets of paracetamol 500 mg 1 hour before you see the dentist to assist with the pain.
An internist is a good choice because they do see heart patients but will assist you better than a cardiologist if other causes of your symptoms are possible so I would encourage you to see him. They are like the general doctor of the hospitals, meaning he will consider you as a total and not just a part of your body so will be of better help to you addressing your needs while they are very good at diagnosing and treating heart conditions.
You will need proper chronic treatment for the fibromyalgia, it can really affect your quality of life, most women do well with treatment.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
There is no worry related to the dental visit and procedures
Detailed Answer:
Hello,
I am so sorry to hear about your health issues and how they are affecting you.
I do not think you need to worry for the heart while you go to the dentist. The dentist will numb the area and you may also take some painkillers like 2 tablets of paracetamol 500 mg 1 hour before you see the dentist to assist with the pain.
An internist is a good choice because they do see heart patients but will assist you better than a cardiologist if other causes of your symptoms are possible so I would encourage you to see him. They are like the general doctor of the hospitals, meaning he will consider you as a total and not just a part of your body so will be of better help to you addressing your needs while they are very good at diagnosing and treating heart conditions.
You will need proper chronic treatment for the fibromyalgia, it can really affect your quality of life, most women do well with treatment.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
Above answer was peer-reviewed by :
Dr. Raju A.T
Brief Answer:
There is no worry related to the dental visit and procedures
Detailed Answer:
Hello,
I am so sorry to hear about your health issues and how they are affecting you.
I do not think you need to worry for the heart while you go to the dentist. The dentist will numb the area and you may also take some painkillers like 2 tablets of paracetamol 500 mg 1 hour before you see the dentist to assist with the pain.
An internist is a good choice because they do see heart patients but will assist you better than a cardiologist if other causes of your symptoms are possible so I would encourage you to see him. They are like the general doctor of the hospitals, meaning he will consider you as a total and not just a part of your body so will be of better help to you addressing your needs while they are very good at diagnosing and treating heart conditions.
You will need proper chronic treatment for the fibromyalgia, it can really affect your quality of life, most women do well with treatment.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
There is no worry related to the dental visit and procedures
Detailed Answer:
Hello,
I am so sorry to hear about your health issues and how they are affecting you.
I do not think you need to worry for the heart while you go to the dentist. The dentist will numb the area and you may also take some painkillers like 2 tablets of paracetamol 500 mg 1 hour before you see the dentist to assist with the pain.
An internist is a good choice because they do see heart patients but will assist you better than a cardiologist if other causes of your symptoms are possible so I would encourage you to see him. They are like the general doctor of the hospitals, meaning he will consider you as a total and not just a part of your body so will be of better help to you addressing your needs while they are very good at diagnosing and treating heart conditions.
You will need proper chronic treatment for the fibromyalgia, it can really affect your quality of life, most women do well with treatment.
I hope this answers your query. Let me know if I can assist you further.
Regards,
Dr. Antoneta Zotaj,
General and Family Physician
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Above answer was peer-reviewed by :
Dr. Raju A.T
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