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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dizziness, Tightness In Chest, Dry Cough. Nail Avulsion On Toe. What Is Going On?

Hi! I had a partial nail avulsion on my right big toe . I had local anesthesia . There were no issues at all during the procedure. The next day, however, I was dizzy most of the day and continued to be lightheaded for five days. On the fourth day, I also started to feel tightness in the upper part of my chest/lower part of my throat . It feels as if I smoked too much the night before and I have a dry cough. Were it not for the fact that the exact same thing happened a few years ago when I had arthroscopic surgery on my knee (and was put under general anesthesia), I would not have made the connection to my surgical procedure, especially since this one was done under local anesthesia. But the feeling in my chest is unlike any other. Anyway, I am just wondering what causes this? I didn t have anything put down my throat this time and only my toe was frozen, so how can that affect my throat/chest and cause dizziness? Thanks!
Sat, 3 Aug 2013
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General & Family Physician 's  Response
Hello.It is highly unlikely that your symptoms are in relation with local anesthesia.
I think you've had a psychic reaction with anxiety and vagal symptoms by surgical intervention.Dizziness, tightness in chest and coughing are symptoms of this.
The symptoms usually disappear in a few days.If it does not, see your doctor to be examined.I wish you good health.
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Dizziness, Tightness In Chest, Dry Cough. Nail Avulsion On Toe. What Is Going On?

Hello.It is highly unlikely that your symptoms are in relation with local anesthesia. I think you ve had a psychic reaction with anxiety and vagal symptoms by surgical intervention.Dizziness, tightness in chest and coughing are symptoms of this. The symptoms usually disappear in a few days.If it does not, see your doctor to be examined.I wish you good health. (If the answer has helped you, please indicate this)