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What Causes Chest Pain, High BP And Dizziness With History Of Heart Disease?
Question: I am having severe pains in my chest right behind my sternum and down low about the top of my stomach.
I have been diagnosed for many years with GERD and may have a Hyatel Hernia. The pain just appeared out of no where about 5 days ago. sometimes it hurts so bad that I can barely stand it. I have a history of Heart disease but these symptoms do not indicated any cardiac problems. I have high blood pressure and recently it has been fluctuating from low to very high (190/96). I just had my left carotid artery overhauled and am scheduled to have my right artery cleaned out on Wed. the 10 of this month. I also have started to get extremely dizzy and almost black about 30 to 45 seconds after I stand. This now happens every time IO stand. I understand I should go to the emergency room but I have no one to take me, my wife is debilitated at this time and cannot walk without a walker. If you think I am leaving something out please ask. If you don't know what you are doing and are not a doctor, please don't bullshit me. This is a serious point in my life. I am 66 yrs old 6 ft wt 215 lbs.
I have been diagnosed for many years with GERD and may have a Hyatel Hernia. The pain just appeared out of no where about 5 days ago. sometimes it hurts so bad that I can barely stand it. I have a history of Heart disease but these symptoms do not indicated any cardiac problems. I have high blood pressure and recently it has been fluctuating from low to very high (190/96). I just had my left carotid artery overhauled and am scheduled to have my right artery cleaned out on Wed. the 10 of this month. I also have started to get extremely dizzy and almost black about 30 to 45 seconds after I stand. This now happens every time IO stand. I understand I should go to the emergency room but I have no one to take me, my wife is debilitated at this time and cannot walk without a walker. If you think I am leaving something out please ask. If you don't know what you are doing and are not a doctor, please don't bullshit me. This is a serious point in my life. I am 66 yrs old 6 ft wt 215 lbs.
Brief Answer:
Suggestions
Detailed Answer:
Hi,
I am Dr Mittal.
I have read your message.
I think I can help you.
The symptoms of the query are quite suggestive of a cardiac problem.
Sudden onset of retrosternal pain does indicate cardiac problem.
I agree GERD can cause similar symptoms. Difference between the two cannot always be made out clinically.
Looking at the list of medicines , you don't seem to be on antiplatelets.
I would suggest that you start with an antiplatelet agent like aspirin or clopidogrel.
However, I would suggest talking to your cardiologist before starting it since you are scheduled for a procedure.
Also I would suggest taking Neksium twice a day. Addition of Sucralfate syrup 2 tsf 4 times a day will help you further. Take the syrup 1 hour AFTER the other medicines.
I have tried to make it as simple as possible. I hope that the information contained in this message will be able to help you find the best solution for your problem. Best of luck. Dr Mittal.
Suggestions
Detailed Answer:
Hi,
I am Dr Mittal.
I have read your message.
I think I can help you.
The symptoms of the query are quite suggestive of a cardiac problem.
Sudden onset of retrosternal pain does indicate cardiac problem.
I agree GERD can cause similar symptoms. Difference between the two cannot always be made out clinically.
Looking at the list of medicines , you don't seem to be on antiplatelets.
I would suggest that you start with an antiplatelet agent like aspirin or clopidogrel.
However, I would suggest talking to your cardiologist before starting it since you are scheduled for a procedure.
Also I would suggest taking Neksium twice a day. Addition of Sucralfate syrup 2 tsf 4 times a day will help you further. Take the syrup 1 hour AFTER the other medicines.
I have tried to make it as simple as possible. I hope that the information contained in this message will be able to help you find the best solution for your problem. Best of luck. Dr Mittal.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Prasad
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