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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Intermittent Chest Pain With Breathlessness?

I am M/47 yrs. Ht. 174 cms/Wt. 80Kg. Since last one year, I am having intermittent pain in my left chest like congestion, discomfort or squeezing. At times, it gets so worse that I feel breathless particularly during evening hours. Pain is also felt during/after exercise and also after taking meals. I am a teetotaler, non-smoker. Pain continues for some hours. It is somehow reduced on taking antacid tablet but persists thereafter. I have had rheumatic fever during childhood. I have been examined by several doctors and a number of tests/investigations like ECG, treadmill, trop T etc have been done but no specific disease has been found out and on all occasions, I have been told that this is due to acidity/gastric and given antacid tablets but the pain/chest discomfort continues even after taking the medicines. Please suggest/give valuable advice.
Tue, 1 Oct 2019
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General & Family Physician 's  Response
Hi,

If I were to treat you, I would have,
- got your ECG, stress test done.
- checked your blood pressure & to treat if it is high
- Got your H pylori test done & treated it if +ve

Give you instructions for diet (bland, non-spicy, non oily, small servings more frequently. Stop smoking/manage tension along with needful treatment(antibiotic,antacids proton pump inhibitors)
-check your chest with physical examination, X-ray, blood tests & start treatment as per need.

These things need consultation of a cardiologist, gastroenteritis &chest physician as per need. Please consult your family physician to start with & follow the advise given.

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

Regards,
Dr. Vasudha Jayant Athavale, General & Family Physician
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What Causes Intermittent Chest Pain With Breathlessness?

Hi, If I were to treat you, I would have, - got your ECG, stress test done. - checked your blood pressure & to treat if it is high - Got your H pylori test done & treated it if +ve Give you instructions for diet (bland, non-spicy, non oily, small servings more frequently. Stop smoking/manage tension along with needful treatment(antibiotic,antacids proton pump inhibitors) -check your chest with physical examination, X-ray, blood tests & start treatment as per need. These things need consultation of a cardiologist, gastroenteritis &chest physician as per need. Please consult your family physician to start with & follow the advise given. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Vasudha Jayant Athavale, General & Family Physician