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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pains With Dizziness And Nausea?

Hi, I'm Taylor. I'm 17, 5'3 and 120lbs. I was diagnosed with a vasculitis about 3yrs ago. It affects my aorta and it's enlarged. My doctors put me on remicade as an up keep medicine but my vasculitis is under control. However recently had some symptoms that are stumping my doctors. I have random chest pains that are sharp, I also have hot flashes, dizziness, disorientation, and extreme nausea. The chest pains are random but the other symptoms happen after showers and I start to black out when they occur. It lasts about 2min and nothing helps it. I don't know what the problem is but it seems to be getting more frequent and lasting longer
Mon, 11 Jul 2016
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
In my opinion, we should rule out thromboembolism in your case.
Vasculitis patients are at increased risk of thromboembolism. So they may dislodge and cause Coronary artery blockage (chest pain) or retinal artery blockage (blackout) etc.
So better to consult your doctor and get done
1. Ecg
2. 2d echo
3. D dimer study
4. CT angiography
You may need blood thinners like warfarin.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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What Causes Chest Pains With Dizziness And Nausea?

Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should rule out thromboembolism in your case. Vasculitis patients are at increased risk of thromboembolism. So they may dislodge and cause Coronary artery blockage (chest pain) or retinal artery blockage (blackout) etc. So better to consult your doctor and get done 1. Ecg 2. 2d echo 3. D dimer study 4. CT angiography You may need blood thinners like warfarin. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.