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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chest Discomfort And High Cholesterol

Hi Doctor, I am a 40 year old man. I have a chest discomfort. As usual, I did ECG, BP, Sugar. Everything is normal. Cholesterol is a bit high (Total 219, LDL 167). This discomfort occurs usually at night. In the past 6 months i might have had good sleep for only few days. The discomfort is on the left side of the chest in the beginning. but nowadays it is also on the upper middle of the chest. The discomfort occurs mainly when you eat oily food. Also, from last week, I observed some dizziness when i am walking. But this happened only two times. I had a muscle pain before on the left side muscles of the chest. Since i am a left handed, I used to play badminton cricket with my left hand which was the cause of the muscle pain. But now i don t know what is happening in my chest. Is it a muscle pain? Gastric? Heart problem? This is really annoying. I have visited many doctors, but everyone satisfy me with the answer that your BP, ECG all are ok. You dont have any heart issues. May be i dont have a heart problem. But i wanna know what exactly is hurting my chest.
Tue, 23 Apr 2019
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General & Family Physician,  's  Response
Hello,

It is true that chest pains are usually cardiac, gastrointestinal or even muscular in origin. However, a normal ECG does not rule out an atherosclerotic heart disease considering your elevated cholesterol levels.

Chest pain associated with eating can either be cardiac or gastrointestinal in origin. And I suggest that since your resting ECG is normal, the next usual step is to do a treadmill stress test.

It is also prudent to do an ultrasound of the abdomen to check that there are no gallstones, for which the pain may mimic that of cardiac chest pain.

Still, the symptoms that would entail a cardiac cause of the chest pain, like easy fatigability and exertional chest pain which is relieved by rest. And I hope I can have more opportunities to know all of your symptoms.

But with this, I suggest a checkup with your doctor, to be able to check all of your risk factors, proper diagnosis and treatment, which may include a 2D echo, stress testing, medications to lower cholesterol, as well as possible initiation of antiplatlets to prevent cardiac events, if ever you would be diagnosed to have ischemic heart disease.

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

Take care

Regards,
Dr Daryl Derick B. Dizon, General & Family Physician
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Suggest Treatment For Chest Discomfort And High Cholesterol

Hello, It is true that chest pains are usually cardiac, gastrointestinal or even muscular in origin. However, a normal ECG does not rule out an atherosclerotic heart disease considering your elevated cholesterol levels. Chest pain associated with eating can either be cardiac or gastrointestinal in origin. And I suggest that since your resting ECG is normal, the next usual step is to do a treadmill stress test. It is also prudent to do an ultrasound of the abdomen to check that there are no gallstones, for which the pain may mimic that of cardiac chest pain. Still, the symptoms that would entail a cardiac cause of the chest pain, like easy fatigability and exertional chest pain which is relieved by rest. And I hope I can have more opportunities to know all of your symptoms. But with this, I suggest a checkup with your doctor, to be able to check all of your risk factors, proper diagnosis and treatment, which may include a 2D echo, stress testing, medications to lower cholesterol, as well as possible initiation of antiplatlets to prevent cardiac events, if ever you would be diagnosed to have ischemic heart disease. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Daryl Derick B. Dizon, General & Family Physician