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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chest And Stomach Pain

Hi this Monday early morning I had slight pain was in between chest and stomach but disappeared after sometimes. But dizzy feeling, palms and feet cold; palms sweating were continued. Then I went to ICU. They tested for any heart attack but everything normal. I am diabetic and use tablet for pressure. But they said my pancreas is slightly enlarged. This morning also I have dizzy feeling coming on and off. What may be the problem?
Wed, 29 Oct 2014
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Diabetologist,  's  Response
Hi, welcome to our site. I am Dr Saumya Mittal, MD.

Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query

There is a strong possibility that the medicines for the sugars are either accumulating in your body, or are at a higher dose than needed by your body.
The sugars, when they are imbalanced, can cause symptoms of anxiety, pains in chest and stomach, sweating and a general discomfort. More severe fall in sugars can cause fainting.

Pancreas may be enlarged due to the medications. Still checking amylase and lipase will be a good idea.

Alternatively, this may have been an episode of severe gastritis. A course of antacids like rabeprazole 20 mg daily may help.

I am not considering the cardiac condition, cause as you have mentioned, they have already been tested.

I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further.

I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.

Please do understand that some details could be extracted from a detailed history and examination.

Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further.
(If the answer has helped you, please indicate this)
Best of luck.
Dr Mittal.
MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)
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Suggest Treatment For Chest And Stomach Pain

Hi, welcome to our site. I am Dr Saumya Mittal, MD. Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query There is a strong possibility that the medicines for the sugars are either accumulating in your body, or are at a higher dose than needed by your body. The sugars, when they are imbalanced, can cause symptoms of anxiety, pains in chest and stomach, sweating and a general discomfort. More severe fall in sugars can cause fainting. Pancreas may be enlarged due to the medications. Still checking amylase and lipase will be a good idea. Alternatively, this may have been an episode of severe gastritis. A course of antacids like rabeprazole 20 mg daily may help. I am not considering the cardiac condition, cause as you have mentioned, they have already been tested. I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this) Best of luck. Dr Mittal. MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)