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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Severe Chest Pain And Vomiting. No Heart Problems Detected. Low Potassium, CO2 Levels And High Chlorides.Have Sickle Cell Trait. Spleen Problem?

I just spent 24hrs in the hospital because of extreme chest pain . They tested everything and said my heart looks fine. I had low potassium and low CO2 and high chloride . I did get diagnosed with mono a couple of months ago and I am wondering if the chest pain can have anything to do with my mono? Also, I do have the sickle cell trait so I do always show up anemic. Is that a possibility? I didn t ask about my spleen . I have been throwing up for months off an on since before the mono was diagnosed through a blood test but I was in so much pain yesterday and I still have pressure in my chest but not too much pain. The pain came an went as far as intensity at the hospital but I did have a lot of vomiting. Let me know if it could have something to do with my spleen? YYYY@YYYY
Thu, 2 Aug 2012
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Internal Medicine Specialist 's  Response
Dear friend, welcome to HCM.
sickeling can sometime cause cause painful bony pain crises and sequestration crises. could be spleen infarcts if there is massive sequestration. should do blood smear exam to see for sickling, haemolysis, usg for spleen etc.
well, there can be other differentials. low chloride could be secondary to vomittings.
pl. consult your doc to check out the same.

take care and pl. keep me posted on your progress.
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Having Severe Chest Pain And Vomiting. No Heart Problems Detected. Low Potassium, CO2 Levels And High Chlorides.Have Sickle Cell Trait. Spleen Problem?

Dear friend, welcome to HCM. sickeling can sometime cause cause painful bony pain crises and sequestration crises. could be spleen infarcts if there is massive sequestration. should do blood smear exam to see for sickling, haemolysis, usg for spleen etc. well, there can be other differentials. low chloride could be secondary to vomittings. pl. consult your doc to check out the same. take care and pl. keep me posted on your progress.