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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Stabbing Pain In The Chest. Diagnosed As A Somatiform Disorder. Chest X-ray Showing Clear Lung, Heart Not Enlarged. Suffer From Anxiety And Depression. Is The X-ray Report Normal?

a week ago i felt stabbing pain in the chest area left side , i went to my doctor he said i am suffering from a somatiform disorder physicaly i am fine , he asked for a chest x ray i got it today and the reoprt stated that 1- clear lung field and both costophernic angels with no evidence of active focal plumonary lesions. 2- no hailr or mediastinal adenopathy detected 2-the heart shadow appeards not enlarged 4- the osseous structure is intact. i did suffer from anexity and depression fro a long period in my life but the pain is reall and i have shortness of breath as well and loss of appettite and weight loss can you please help me understand the x-ray reoprt
Mon, 7 Jan 2013
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General & Family Physician,  's  Response
Dear Concerned.,

Thanks for writing to us.

Your CXR is normal or NRA-No radiological abnormality seen in roentgenogram.

The shortness of breath is due to Hyperventillation Syndrome which is an accompaniment of Anxiety Neurosis.

Loss of Appetite with loss of weight are also a sequelae of Anxiety Neurosis.

Do you have any anterior neck bulge/protruding eyeballs? Do you have constant sweating?

In your history you have not actually mentioned your most important Vital Parameters- Pulse Rate//Resting Pulse Rate., Blood Pressure and Respiratory Rate. These are very important to differentiate between Anxiety and Hyperthyroidism.In addition to CXR, you should have undergone Thyroid Function Tests /baseline blood and Urine Tests and a resting ECG in 12 leads.

If all the above are Normal, your Anxiety Neurosis will be confirmed., Pls take a consultation with Psychiatryst for "Talk Therapy" or Psychotherapy to analyse the root cause of anxiety and then "Medicine Therapy" or Pharmacotherapy as decided by your Psychiatryst.

Avoid hot //spicy//oily// food. Take over the counter antacids. Walk for 15 mins after food. These will help to regulate Hyperacidity which may cause above type of pain in Acid Peptic Disorder(APD).

Wishing you a speedy recovery.,

Best Regards.,

Dr Lt Cdr ASN Bhushan.,

Ex-Navy.



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Stabbing Pain In The Chest. Diagnosed As A Somatiform Disorder. Chest X-ray Showing Clear Lung, Heart Not Enlarged. Suffer From Anxiety And Depression. Is The X-ray Report Normal?

Dear Concerned., Thanks for writing to us. Your CXR is normal or NRA-No radiological abnormality seen in roentgenogram. The shortness of breath is due to Hyperventillation Syndrome which is an accompaniment of Anxiety Neurosis. Loss of Appetite with loss of weight are also a sequelae of Anxiety Neurosis. Do you have any anterior neck bulge/protruding eyeballs? Do you have constant sweating? In your history you have not actually mentioned your most important Vital Parameters- Pulse Rate//Resting Pulse Rate., Blood Pressure and Respiratory Rate. These are very important to differentiate between Anxiety and Hyperthyroidism.In addition to CXR, you should have undergone Thyroid Function Tests /baseline blood and Urine Tests and a resting ECG in 12 leads. If all the above are Normal, your Anxiety Neurosis will be confirmed., Pls take a consultation with Psychiatryst for Talk Therapy or Psychotherapy to analyse the root cause of anxiety and then Medicine Therapy or Pharmacotherapy as decided by your Psychiatryst. Avoid hot //spicy//oily// food. Take over the counter antacids. Walk for 15 mins after food. These will help to regulate Hyperacidity which may cause above type of pain in Acid Peptic Disorder(APD). Wishing you a speedy recovery., Best Regards., Dr Lt Cdr ASN Bhushan., Ex-Navy.