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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain Followed By Feeling Of Dizziness?

I went into the ER thinking I was having a heart attack they did all the tests EKG stress test and blood work they said I was not having a heart attack and gave me some prilosec and cosaar for high blood pressure which I thought was weird cuz my BP was 161/91 all freaking out and once I was laying in the hospital bed it was no higher than 128/80. But I'm not a doctor and they are the boss. Anyway They sent me home with orders to follow up. Doctor took more blood to check thyroid glucose and cholesterol. Thyroid checked OK glucose 101. Cholesterol no so good. Triglyceride's 239 LDL 133 HDL 26 total. Cholesterol 207. Doctor scheduled the soonest appointment to fit me in one month from now almost 2 from the Er visit. Here is the deal since I got out of the er I still feel bad every 2 /4 days I've been getting a pain that goes through my chest starts on the left and goes to the right after that I get light headed and dizzy with an terrible fear that I'm going to die. I try to calm myself but it wont go away till I lay down. After that I'm wiped out for a day or so till I force myself to get up and go do some physical work. This weekend it happened again and I was wreaked all weekend I forced myself up for work and now I have pain just above my stomach or upper stomach but below my ribs or bottom rib again this pain will go away if I lay flat. I have had a lot of burping and gas since I started the prilosec and cozaar. I'm 37 years old and scared that I'm going to die from this. What is wrong with me.
Tue, 7 Feb 2017
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Cardiologist,  's  Response
hello,
First remove the fear of dying, nothing will happen as your cardiac work up is negative and also symptoms doesn't fit in heart attack.
I need to know more about the symptoms, like precipitating factors, factors that increases pain etc.
Mostly it's a gastritis and reflux disease. You have upper abdominal pain, nausea, bloating, burping, does there is increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis. You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any.
You can get prescribed tab Pan DSR 40 mg beforebreakfast once a day for 2 weeks instead of prilosec. Or you can DSR form of prilosec as well. Along with this you ll need syr sucral O two teaspoon three times a day for one week. Also, you can Eno sachet once in a while, if having severe pain.
Secondly does this pain increases on applying pressure over the area, if yes it could be costochondritis and it's a musculoskeletal type of pain and needs prolonged nsaid therapy.
Does this pain increases on deep breathing and coughing etc. if yes it a pain arising from lining of lungs and needs nsaids treatment and evaluation.
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What Causes Chest Pain Followed By Feeling Of Dizziness?

hello, First remove the fear of dying, nothing will happen as your cardiac work up is negative and also symptoms doesn t fit in heart attack. I need to know more about the symptoms, like precipitating factors, factors that increases pain etc. Mostly it s a gastritis and reflux disease. You have upper abdominal pain, nausea, bloating, burping, does there is increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis. You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg beforebreakfast once a day for 2 weeks instead of prilosec. Or you can DSR form of prilosec as well. Along with this you ll need syr sucral O two teaspoon three times a day for one week. Also, you can Eno sachet once in a while, if having severe pain. Secondly does this pain increases on applying pressure over the area, if yes it could be costochondritis and it s a musculoskeletal type of pain and needs prolonged nsaid therapy. Does this pain increases on deep breathing and coughing etc. if yes it a pain arising from lining of lungs and needs nsaids treatment and evaluation.