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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Cure Pain Below Left Chest,nausea,vomiting And Low BP?

I am a 38 year old white male. Non-smoker, non-drinker.I have recently had a lot of pain below my left breast. I have had a lot of nausea, some vomiting, and have experience my left arm going to sleep now and then. I had my heart checked recently at an ER. They said heart looked good and found I had low blood pressure. I have also had a head MRI recently and everything looked good and was normal.Please help me.Could it be a cysts? Liver stone?
Thu, 10 May 2018
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Cardiologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

I passed carefully through your question and would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to your clinical situation: coronary artery disease, gastroesophageal reflux, costochondritis, gastritis, a lung disorder, etcetera.

For this reason, I would recommend performing further tests:

- An exercise cardiac stress test to investigate for possible coronary artery disease
- A fibrogastroscopy to investigate for gastritis or gastroesophageal reflux
- Complete blood count for anemia
- Liver and kidney function tests
- An abdominal ultrasound to exclude cholecystitis
- PCR, ESR for inflammation
- A cervical spine X-ray study to exclude any bulging intervertebral disc which may lead to irradiating nerve pain in the chest
- A chest X-ray study and pulmonary function tests.

You should discuss with your doctor about the above tests.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ilir Sharka
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How To Cure Pain Below Left Chest,nausea,vomiting And Low BP?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I passed carefully through your question and would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to your clinical situation: coronary artery disease, gastroesophageal reflux, costochondritis, gastritis, a lung disorder, etcetera. For this reason, I would recommend performing further tests: - An exercise cardiac stress test to investigate for possible coronary artery disease - A fibrogastroscopy to investigate for gastritis or gastroesophageal reflux - Complete blood count for anemia - Liver and kidney function tests - An abdominal ultrasound to exclude cholecystitis - PCR, ESR for inflammation - A cervical spine X-ray study to exclude any bulging intervertebral disc which may lead to irradiating nerve pain in the chest - A chest X-ray study and pulmonary function tests. You should discuss with your doctor about the above tests. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka