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Hi This Is For Dr Sharks I Am Back So

Posted on Wed, 26 Jun 2019

Question: Hi this is for dr sharks I am back so as u know I have had cardiac work done in March echo and stress test all normal my question is I am 47 and these last few days I have been feeling hot at work usually I feel cold I do have to menstrate in 5 days I am wondering if this has anything to do with cardiac I mean I do have Costo last blood work for thyroids was the same has but changed blood pressure was good could it be cardiac or perhaps something else

Follow up: Dr. Ilir Sharka (0 minute later)

Hi this is for dr sharks I am back so as u know I have had cardiac work done in March echo and stress test all normal my question is I am 47 and these last few days I have been feeling hot at work usually I feel cold I do have to menstrate in 5 days I am wondering if this has anything to do with cardiac I mean I do have Costo last blood work for thyroids was the same has but changed blood pressure was good could it be cardiac or perhaps something else

Answered by Dr. Ilir Sharka (1 hour later)

Brief Answer:
Your symptoms are not related to the heart.

Detailed Answer:
Dear XXXXXXX

Welcome back to Ask a Doctor service!

I understand your concern and would like to reassure you that your symptoms are not related to the heart.

In my opinion, your situation could be attributed to the hormonal changes, due to your menstrual cycle.

I don't think that this is anything concerning!

Just try to relax and don't worry about it!

There is no need to perform any additional cardiac tests.

Hope you will find this answer helpful!

I remain at your disposal for any further questions whenever you need!

Wishing all the best,

Dr.Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Ilir Sharka (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (48 minutes later)

Hi thank you I am right now having a pain in upper left trap so above the left breast no breathing issues just comes and goes

Follow up: Dr. Ilir Sharka (0 minute later)

Hi thank you I am right now having a pain in upper left trap so above the left breast no breathing issues just comes and goes

Answered by Dr. Ilir Sharka (7 hours later)

Brief Answer:
I would explain as follows:

Detailed Answer:
Dear XXXXXXX

It seems to be costochondritis.

I don't think that it is related to the heart, as there are no other symptoms.

So, try to relax and don't worry about it!

Tylenol or ibuprofen can help reduce the pain.

Hope you will find this answer helpful!

Let me know about everything!

Wishing all the best,

Dr.Iliri

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Answered by Dr. Ilir Sharka (0 minute later)

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Ilir Sharka (3 hours later)

Thank u I just wanted to make sure it is not cardiac I mean the pain is on the same spot kind of hurts when I turn my head ans the pain is in the same spot
Just making sure as your opinion is appreciated

Follow up: Dr. Ilir Sharka (0 minute later)

Follow up: Dr. Ilir Sharka (24 minutes later)

Hi it looks a bit swollen and tender to touch could this be muscle not cardiac part of my Costo

Follow up: Dr. Ilir Sharka (0 minute later)

Hi it looks a bit swollen and tender to touch could this be muscle not cardiac part of my Costo

Answered by Dr. Ilir Sharka (5 hours later)

Brief Answer:
Your symptoms could be related to costochondritis.

Detailed Answer:
Dear XXXXXXX

Based on your description it seems to be just local inflammation, probably costochondritis.

So, there is nothing to worry about your heart!

I would just recommend taking ibuprofen or tylenol and have some rest.

Hope you will find this answer helpful!

Let me know about everything!

Wishing a nice weekend,

Dr.Iliri

Above answer was peer-reviewed by : Dr. Raju A.T

Answered by Dr. Ilir Sharka (0 minute later)

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Ilir Sharka (4 days later)

Hello this is for dr sharka I am wondering if u can help me out or guide me I am having upset stomach on and off since Sunday yesterday nothing and today it is back usually after I eat my concern is that this could be a sign of cardiac as I am aware women present differently .. again has stress echo done in March all was normal my dr is testing me for h palori no other symptoms

Follow up: Dr. Ilir Sharka (0 minute later)

Answered by Dr. Ilir Sharka (11 hours later)

Brief Answer:
I would explain as follows:

Detailed Answer:
Dear XXXXXXX

I understand your concern and would like to reassure you that your symptoms are not related to the heart.
You should know that cardiac chest pain is not related to eating.

Your symptoms are typical of the stomach.
For this reason I would recommend taking omeprazole in the morning every day for a week.

If this situation persists, I would recommend performing a fibrogastroscopy.

Hope you will find this answer helpful!

If you have any other questions, please don't hesitate to ask me again!

Kind regards,

Dr.Iliri

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Answered by Dr. Ilir Sharka (0 minute later)

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Ilir Sharka (2 hours later)

Hi thank u my gp trstrd me my hormone are fine ans I don’t have h palori she is concerned that it may be gastritis I again wanted to make sure I don’t need to follow up with more cardiac work as my sturnum ti ghe stimach also hurts ans I at times get pain
I have started taking tecta today please advise

Follow up: Dr. Ilir Sharka (0 minute later)

Answered by Dr. Ilir Sharka (20 minutes later)

Brief Answer:
There is no need for any additional cardiac tests.

Detailed Answer:
Dear XXXXXXX

I would exclude any possible cardiac issues based on your description of the pain.

So, just relax and don't worry about it!

There is no need to perform any additional tests.

Hope to have been helpful!

Wishing all the best,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Ilir Sharka (0 minute later)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (35 hours later)

Hello just an update I went to get an ultrasound and they said they believe I have gastritis that being said I am still getting pain in sturnim upper middle and also lower where the stomach opens tender to touch but also sometimes sharp pain that comes and goes no other symptoms once more I wanted to confirm if it can be related to cardiac

Follow up: Dr. Ilir Sharka (0 minute later)

Answered by Dr. Ilir Sharka (14 hours later)

Brief Answer:
I would recommend as follows:

Detailed Answer:
Dear XXXXXXX

I understand your concern and as a Cardiologist I would like to reassure you that your symptoms are not related to the heart.

In my opinion, your symptoms could be related to gastritis or costochondritis.

If ibuprofen helps improve your situation, I would conclude about costochondritis.

Otherwise, if ibuprofen does not help or even worsens your situation, I would recommend considering gastritis. In such case fibrogastroscopy would be necessary.

Hope you will find this answer helpful!

Wishing all the best,

Dr.Iliri

Above answer was peer-reviewed by : Dr. Yogesh D

Answered by Dr. Ilir Sharka (0 minute later)

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Ilir Sharka (28 hours later)

Hello thank you the only other question I have is that for the last week or so I have been having hot flashes and my menstrual cycle was not normal this month I find I am more anxious and irritable my dr did check my hormone levels she said they were normal so u think this can have anything to do with cardiac I am due to see my go again on Tuesday should I ask for additional tests

Follow up: Dr. Ilir Sharka (0 minute later)

Answered by Dr. Ilir Sharka (4 minutes later)

Brief Answer:
Your symptoms are not related to the heart.

Detailed Answer:
Dear XXXXXXX

I understand your concern and would like to reassure you that your symptoms are not related to the heart.

In my opinion, it could be due to the changes in the weather or sex hormone changes.

So, there is no need to perform any additional cardiac tests, as I am sure that they will result normal.

Hope you will find this answer helpful!

Wishing a nice weekend,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Ilir Sharka (0 minute later)

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar