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Suggest Treatment For Anxiety And Chest Pain When Diagnosed With Scoliosis

Posted on Sat, 20 Jun 2015

Question: Hi I just looked at my test results from an ER visit from mon 5/25/15... I am giving the information I am concerned about. I went in for anxiety and chest pain. Please help describe if there are any concerns and what I should do to resolve them.

1) glomerular filtration rate: non black 118, black 137
2) heparin therapeutic appt: 56 to 85 sec
3) Troponin-1 my result 0
4) epithelial cells: 30
5) urobilinogen: .2
6) leukocyte esterase: 1+
7) wbc: 313-845-98915
8) bacteria 1+
9) Mucous: present
10) "left lung base and the left costophrenic angle is obscured by overlying shield." Chest exray

I am 35 years old with scoliosis. I take Lexapro, ativan, and Norco. Please advise and give details if you feel I need to see someone for further care or anything you can suggest. Thank you. XXXX
YYYY@YYYY

Sorry, wbc 3-5

Answered by Dr. Indu Kumar (2 hours later)

Brief Answer:
Findings may indicate UTI.

Detailed Answer:
Hello

Your urine findings may indicate urinary tract infection(UTI).
Findings also need proper clinical examination and routine investigations.
Investigations include routine hemogram,random blood sugar,renal function test,ultrasound of abdomen,urine culture/sensitivity.
You may need to take full course of antibiotics depending upon culture/sensitivity report .
You should drink plenty of water.

Other findings are normal.

Get well soon.
Hope I have answered your question.
Further queries are most welcome

Take Care
Dr.Indu XXXXXXX

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

Follow up: Dr. Indu Kumar (33 hours later)

I went to an urgent care, he did urine test only, said it was ok but I told him the symptoms I was feeling And what you had said. He prescribed me ciprofloxacin 500mg one every 12 hours for 10 days. Thank you I feel so much better already. I have two questions
1) do you agree with his medication choice and treatment and
2) I have a suspicion I've had the infection for a long time and I took the fatigue and discomfort as being a part of my other health problems. What results in not having treatment for quite an extended time? Honestly if I hadn't reached out to you I would still be suffering and God only knows how long it would have continued. Thank you and I look forward to your response.

Answered by Dr. Indu Kumar (1 hour later)

Brief Answer:
Empirically ciprofloxain is rightly prescribed.

Detailed Answer:
Hello

Empirically ciprofloxain is rightly prescribed and you are feeling well means antibiotic is working.
Ideally antibiotic are prescribed based on culture and sensitivity report.
I also suggest for ultrasound of abdomen and routine investigations as discussed earlier.

Get well soon.
Hope I have answered your question.
Further queries are most welcome

Take Care
Dr.Indu XXXXXXX

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

Follow up: Dr. Indu Kumar (27 minutes later)

Thank you, I will ask for what you suggested when I find a new primary doctor soon. He also said to drink plenty of cranberry juice.
Thank you you are a sacred being for helping me.

Answered by Dr. Indu Kumar (2 minutes later)

Brief Answer:
Thanks for your comments.

Detailed Answer:
Hello

Thanks for your comments.
Feel free to ask questions any time.

Get well soon.
Further queries are most welcome

Take Care
Dr.Indu XXXXXXX

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

Follow up: Dr. Indu Kumar (5 minutes later)

I have one more question. I had an abnormal keg in 2012 which led them to giving me an echo which came out normal. I know if I get anxiety my heart beats feel completely uneven and worrisome and the muscle tissue swells above and around my heart, diagnosed before with chostochondris before, so I am being very good about taking my ativan. My question is can severe anxiety could have caused the abnormal EKG? any suggestions? It would just ease my mind. When i have panic attacks it literally has the same painful phyical components of having a heart attack.

Answered by Dr. Indu Kumar (6 minutes later)

Brief Answer:
Anxiety may cause ECG abnormality.

Detailed Answer:
Hello

Yes,anxiety may cause ECG abnormality and panic attack may mimic heart attack.
If you have frequent attack of panic then you may need medicines after evaluation by a psychiatrist.
You may need regular check up like random blood sugar,lipid profile,ECG,ECHO to exclude any cardiac problem.

Get well soon.
Hope I have answered your question.
Further queries are most welcome

Take Care
Dr.Indu XXXXXXX

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

Follow up: Dr. Indu Kumar (12 minutes later)

Thank you its been on my mind for years. I love this service because i can ask for help in the comfort of my own home and i feel that it is nicely annonymous, feeling as from the past i have been uncomfortably judged based on appearance, so yay. Have a good day. I have a neural (brain) question about testing regarding scoliosis, do I send you the question and you forward it? Or do I submit it differently. I have a spinal doc appt next friday and I need some answers to be aware of before I talk him.

Answered by Dr. Indu Kumar (44 minutes later)

Brief Answer:
You may ask question separately as orthopedics is a different specialty.

Detailed Answer:
Hello

You may ask question separately as orthopedics is a different specialty.

Get well soon.
Hope I have answered your question.
Further queries are most welcome

Take Care
Dr.Indu XXXXXXX

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj