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What Causes Intermittent Tightness Between The Breasts While Treating Dyslipidemia And Hypertension?
Question: I am female, age 70 take medication for hypertension and high cholesterol. I have a tight feeling between my breast. It comes and goes since yesterday, ceases after about a minute. I can identify no exercise recently that might contribute
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that it is important to investigate for the presence of coronary artery disease as a possible cause of your complaints.
Considering your age and your cardio-vascular risk factors (hypertension, dyslipidemia), it is rational to rule in/ out this disorder first.
Other possible causes to consider would be musculo-skeletal pain, or gastro-esophageal reflux.
Is the pain triggered by deep breathing or body movements? This would indicate possible musculo-skeletal pain.
Is the pain associated to eating? Do you have burping? These features would indicate possible gastro-esophageal reflux.
Coming to this point, I would recommend consulting with your attending physician for a careful physical exam and some tests:
- a chest X ray study
- a resting ECG and cardiac enzymes
- a cardiac ultrasound
- complete blood count for anemia
- ESR, PCR for inflammation
- fasting glucose for diabetes.
An exercise cardiac stress test would help investigate for the presence of coronary artery disease.
You should discuss with your doctor on the above issues.
Kind regards,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that it is important to investigate for the presence of coronary artery disease as a possible cause of your complaints.
Considering your age and your cardio-vascular risk factors (hypertension, dyslipidemia), it is rational to rule in/ out this disorder first.
Other possible causes to consider would be musculo-skeletal pain, or gastro-esophageal reflux.
Is the pain triggered by deep breathing or body movements? This would indicate possible musculo-skeletal pain.
Is the pain associated to eating? Do you have burping? These features would indicate possible gastro-esophageal reflux.
Coming to this point, I would recommend consulting with your attending physician for a careful physical exam and some tests:
- a chest X ray study
- a resting ECG and cardiac enzymes
- a cardiac ultrasound
- complete blood count for anemia
- ESR, PCR for inflammation
- fasting glucose for diabetes.
An exercise cardiac stress test would help investigate for the presence of coronary artery disease.
You should discuss with your doctor on the above issues.
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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