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

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Have Chest Pain, Dizziness And Nausea. Test All Fine. What To Do?

Hello, For a good few months now I ve been getting pains in my chest at random intervals. It doesn t seem to correlate with anything, it can be before or after I eat, I can be as soon as I wake up or in the middle of the day and it can be when i m walking or sitting down. Sometimes it gets so bad that I get dizzy and usually I feel nauseous and find it hard to concentrateything on an. Occasionally it is coupled with a horrible lethargy, and the more I resist the urge the sleep the worse the chest pain gets. Once it got so bad that I went to A&E and they did a ECG , a chest x-ray , blood and urine tests and they could find anything apart from an elevated heart rate at around 100bpm resting rate and a low grade temperature, what should I do?
Mon, 29 Jul 2013
Report Abuse
General & Family Physician,  's  Response
Hello Good Evening,

A ECG is just a screening test for cardiac problem, and it can give false positive and false negative results.

Though you had a fine ECG, but if you have symptoms, then you can go for TMT and Echocardiogram of the heart.

You had mild fever, so you can also have possibility of your pain originated from respiratory tract or musculo-skeletal system.

So you should go through proper evaluation with proper clinical examination and following investigations:

-Blood tests
-X-ray chest
-EKG
-TMT
-2D Echo-cardiogram
-UGI Endoscopy

Further management will depend on final diagnosis.

Regards,

Dr. Naresh Jain.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Chest radiograph


Loading Online Doctors....
Have Chest Pain, Dizziness And Nausea. Test All Fine. What To Do?

Hello Good Evening, A ECG is just a screening test for cardiac problem, and it can give false positive and false negative results. Though you had a fine ECG, but if you have symptoms, then you can go for TMT and Echocardiogram of the heart. You had mild fever, so you can also have possibility of your pain originated from respiratory tract or musculo-skeletal system. So you should go through proper evaluation with proper clinical examination and following investigations: -Blood tests -X-ray chest -EKG -TMT -2D Echo-cardiogram -UGI Endoscopy Further management will depend on final diagnosis. Regards, Dr. Naresh Jain.