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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pressure In The Chest And Severe Fatigue?

My neice is 18 years old and she is attending high school. She has been complaining lately that she has a heavy feeling in her chest and it makes her feel tired when it comes on. This has happened 4 times in the past 2 weeks. She is a little overwhelmed with the amount of work in class/homework. She is doing the sciences. What could be the caused=
Sat, 21 Jul 2018
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Pulmonologist,  's  Response
Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

In teenage group, these symptoms are mostly due to stress and anxiety. But better to rule out heart diseases first. So get done ECG, 2d echo and stress test. If all these are normal then no need to worry for heart diseases. Take her to psychiatrist and get done counselling sessions. Try to identify stressor in her life and start working on its solution. She may need anxiolytic drugs (propranolol and flunarizine combination) too. Don't worry, she will be alright with all these.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Pressure In The Chest And Severe Fatigue?

Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In teenage group, these symptoms are mostly due to stress and anxiety. But better to rule out heart diseases first. So get done ECG, 2d echo and stress test. If all these are normal then no need to worry for heart diseases. Take her to psychiatrist and get done counselling sessions. Try to identify stressor in her life and start working on its solution. She may need anxiolytic drugs (propranolol and flunarizine combination) too. Don t worry, she will be alright with all these. Hope I have answered your query. Let me know if I can assist you further.