HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Severe Heaviness Of Chest, Chest Pain And Sweating?

default
Posted on Mon, 14 Apr 2014
Question: I m 37yr female 77 kg n 5"4' . I m facing severe heaviness on chest , pain on chest and left arm along with sweating that occurred on 17/3/14 . Dr Have done ECG n trip in I test which came out ok so he ruled out the possibility of heart problem , acc to him gas has struck in food pipe for that he has given me Razo D 20 mg OD , razo easy XXXXXXX BD n restyl .25 OD . But still the problem is their , presently I'm feeling heaviness on chest n left hand , breathless on talking n walking . Could u pls suggest me what to do ?
doctor
Answered by Dr. Rakesh Karanwal (2 hours later)
Brief Answer: TMT/Stress Echo/X-ray chest required for diagnosis Detailed Answer: Hi there, Thanks for posting your query on this forum. The presentation of symptoms suggest an angina attack. ECG and Troponin I (I hope you meant Trop I instead of Trip in I) done after the episode are usually negative and do NOT exclude underlying ischemic heart disease. You need to get TMT/Stress ECHO and 2-D Echo to rule out/diagnose underlying heart disease. As such, you have a risk factor in the form of overweight. I presume that your blood pressure is normal as you have not made any mention about it. However, the other possibilities can be collection of fluid (due to infection) in the Pleural cavity ( a bag-like structure surrounding each lung; impending heart failure (in view of breathlessness on minimal exertion); or, cervical spondylosis with bulging discs compressing the nerves of left arm and chest. Hence, additional tests required to exclude/diagnose these possibilities are : * MRI of cervical spine * Chest X-ray * Blood sugar and Thyroid hormone assay to rule out Diabetes and under-active thyroid, respectively. Consult your doctor and apprise him of my opinion. I am certain that he will agree with me; order required tests, and- based on the reports- will arrive at a certain diagnosis and prescribe suitable treatment as advised. Hope I have addressed your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any. Take care, Col (Dr.) Rakesh Karanwal
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Rakesh Karanwal

Internal Medicine Specialist

Practicing since :1980

Answered : 1357 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Severe Heaviness Of Chest, Chest Pain And Sweating?

Brief Answer: TMT/Stress Echo/X-ray chest required for diagnosis Detailed Answer: Hi there, Thanks for posting your query on this forum. The presentation of symptoms suggest an angina attack. ECG and Troponin I (I hope you meant Trop I instead of Trip in I) done after the episode are usually negative and do NOT exclude underlying ischemic heart disease. You need to get TMT/Stress ECHO and 2-D Echo to rule out/diagnose underlying heart disease. As such, you have a risk factor in the form of overweight. I presume that your blood pressure is normal as you have not made any mention about it. However, the other possibilities can be collection of fluid (due to infection) in the Pleural cavity ( a bag-like structure surrounding each lung; impending heart failure (in view of breathlessness on minimal exertion); or, cervical spondylosis with bulging discs compressing the nerves of left arm and chest. Hence, additional tests required to exclude/diagnose these possibilities are : * MRI of cervical spine * Chest X-ray * Blood sugar and Thyroid hormone assay to rule out Diabetes and under-active thyroid, respectively. Consult your doctor and apprise him of my opinion. I am certain that he will agree with me; order required tests, and- based on the reports- will arrive at a certain diagnosis and prescribe suitable treatment as advised. Hope I have addressed your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any. Take care, Col (Dr.) Rakesh Karanwal