
What Causes Episodes Of Chest Pain, Arm Aches And High BP?

Need endocrine work up
Detailed Answer:
Good day,
Noted your concern. Sorry to hear about your symptoms. I suspect atleast some of your symptoms could be related to REMICADE side effects. However, we need to rule out thyroid diosrders and rare other hormonal conditions ( especially hyperthyroidism and pheochromocytoma) which maybe causing your symptoms.
May i suggest,
1) ECG and holter monitoring.
2) Thyroid blood profile
3) 24 hour urine Metanephrines and nor metanephrines ( some of your medicines may need to be modified for couple of weeks before doing this).
Noted that, stress test was okay before.
Having saiid this, anxiety plays a big role in such symptoms. Do you consider yourself being anxious/depressed ?
Discuss these point with your primary care doctor.
Regards
Binu


ENDOCRINOLOGY WORK UP
Detailed Answer:
Thank you for the reply.
Dont worry about that pulmonary nodule. But need follow up.
It is not clear what kind of urine test was done in you.
You need 24 hour Urine Metanephrines and metanephrines
Besides, you may also need to do 24 hour urinary HIAA levels, a blood Chromogranin-A levels, etc.
I feel yourself need an endocrinology evaluation. It is best to examine you and then to decide the tests .
Some tests other than CT may be required based on the above Urine and blood tests ( only if the urine/blood tests are suspicious).
By the way, you didnt answer my last question.Do you consider yourself being anxious/depressed ?


It could be TOS induced anxiety which increase BP
Detailed Answer:
Thank you for the reply.
Glad to know that the urine tests were normal.
Since all the said tests are normal, i would assume that TOS itself could be causing the chest/neck and left arm pain. When you get these pains, you tend to be anxious( panic state) which push up the blood pressure.
You may need to meet an endocrinologist in person to examine you to look for clues of any other hormone over secretion.

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