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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Burining In Chest, Fluctuating BP, Episodes On Being Out Of Breath. History Of Heart Attack, On Blood Thinners. Just Heartburn?

I have been having chest burning for about a month now, with an occasional spiking or lowering of my blood pressure. It happens at weird times...nothing I can pinpoint....at rest, not at rest, before and or after I eat, etc. I have been really fatigued this last month and experienced several episodes of being out of breath. I had a heart attack last year, so I don't think that is it since I am on major blood thinners and I don't have the previous pain experienced. Should I be overly concerned? I think it is just heartburn, but hubby thinks I should get seen somewhere.
Thu, 5 Sep 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Since last year you got heart attack & now taking blood thinners.
Now you are having chest pain ,but you haven't mentioned the side of chest pain ?
Heart burn ,you yourself judges ,if you are right then take treatment .
In my opinion this pain may be,
1 Esophagitis due to tension and stress of old disease . Blood thinners also causes gastritis .
Simultaneously many factors may be the reason of heart burn or esophagitis.
2 May be due to heart pain ,if this pain is on the left side and radiates to left shoulder or chin ( left side).
In my opinion please consult a physician and get his opinion for both heart and gastritis.
Since one year passed ( of previous heart attack) so angiography may help to locate the disease in coronary arteries or its branches.
Upper endoscopy will confirm any disease in stomach or esophagus.
Good luck.
Dr. HET
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General & Family Physician Dr. Ramesh M.Vachharajani's  Response
Hi,
From your history it seems that you might be having gastritis or hypercidity.
But as you are having coronary heart disease, possibility of having coronary insuufficiency should be ruled out.
Go for EKG while having burning chest.
Meanwhile take Omiprazole twice a day.
Avoid fried, chillies and junk food.
Avoid heavy and strenuous exercise.
Ok and take care.
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Burining In Chest, Fluctuating BP, Episodes On Being Out Of Breath. History Of Heart Attack, On Blood Thinners. Just Heartburn?

Hello, Thanks for the query to H.C.M. Forum. Since last year you got heart attack & now taking blood thinners. Now you are having chest pain ,but you haven t mentioned the side of chest pain ? Heart burn ,you yourself judges ,if you are right then take treatment . In my opinion this pain may be, 1 Esophagitis due to tension and stress of old disease . Blood thinners also causes gastritis . Simultaneously many factors may be the reason of heart burn or esophagitis. 2 May be due to heart pain ,if this pain is on the left side and radiates to left shoulder or chin ( left side). In my opinion please consult a physician and get his opinion for both heart and gastritis. Since one year passed ( of previous heart attack) so angiography may help to locate the disease in coronary arteries or its branches. Upper endoscopy will confirm any disease in stomach or esophagus. Good luck. Dr. HET