
Is Chest Pain Related To PCOD,pneumonia And Diverticulitis?

Hypertension with doubtful angina.Please describe unresponsiveness episode.
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
I have read carefully your sister's complete medical history and what key points I could make out from it are:
Your sister is a case of hypertension with possible angina(may be stable or unstable,as you have not mentioned whether the chest pain occurs on exertion or just at rest).Though, you mentioned about a few episodes of unresponsiveness during chest pain episode,I am doubtful that this unresponsiveness you are referring to is complete loss of consciousness or not?Please tell in details about the unresponsiveness you are talking about.
If ECHO and Stress test have turned normal,then possibility of angina becomes doubtful.
Polycystic ovarian disease,Pneumonia and diverticulitis in the past are unlikely to be related to these recurrent episodes of chest pain.Hypertension is possibly unrelated too.
However,ECHO and Stress test being normal,essentially rules out a major cardiac damage and your sister should be reassured about that.
Management-
1)Continue medicines as taking.
2)Please discuss with your treating physician about putting her on antiplatelets and statins,in view of the EKG changes.
3)A healthy diet and exercise regimen must be ensured.
Lastly,she should be taken into confidence and reassured.
Hope I have answered your query.If you have some follow-up questions,I shall be glad to answer else,please close the thread-rate it and write a review.
Dr.Ajay Panwar,
MD,DM(Neurology)


MRI Brain/EEG/Autonomic function tests/Serum electrolytes/UTI treatment.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up and providing further details.
If your sister would have presented to me as an outpatient with this medical history,I would have asked to get the following investigations done in order to arrive at a diagnosis:
1)Magnetic resonance imaging(MRI) Brain
2)Electroencephalogram(EEG)-preferably during unresponsiveness or atleast during the period closest possible,to unresponsiveness.
3)Autonomic function tests-Tilt table test,Cardiovagal test
4)Serum electrolytes-serum sodium and potassium
Please follow-up with the results of these tests,so that I can answer your query well,further.
Meanwhile,please get her evaluated for her urinary abnormalities by a urologist and get her treated for the possible Urinary tract infection(UTI).
Inflamed pancreas of the past and renal cyst should not be causing the present symptoms.
Please upload the Ultrasound report which suggested adrenal abnormality.Serum electrolytes may be deranged in adrenal abnormality.So,please follow-up with the electrolytes report.
Waiting for your follow-up with the results of investigations.
Dr.Ajay Panwar,
MD,DM(Neurology)

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