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What Causes Severe Pain In Heart Leading To Unconsciousness?
Hi good morning doctor, I m here to discuss about my brother, he is 16yrs old and is appearing for his board exams..he is all rounder, medalist in acedmic, scores always good in class he is among top rankers in class he have 3 national hockey certificates. he was facing pain near to him heart from 2012, we thought it is gastic because earlier it last for only a minute or 2, and happens only twice or thrice in 3-4 months. but from this year it start happening almost every month and from past one week much frequently and pain last for 9-10mins. A week back he caught up with this pain and he found his lower body stopped functioning he fallen down with eyes open he was in semi concious state he can able to hear what other were saying but cannot able to response,some teacher thought he is no more but suddenly he again have that pain and he started moving, i have spoken to him he said it feel something is pinching him below his left ribs and pain gradually results him unconciousness and lower body stops working, legs cannot hold on pain. Yesterday we took him to GB Pant and had an ECO there, earlier also an year back we had an ECO from Fortis and ECG everything comes normal. Most of the doctors we consulted they said he is not having any severe problem and advice us to visit psychiatrist. We met one Yesterday he is good one referred by our family doctor in Delhi, the Dr. advice us that he is going through psychosomatic disorder, and no medicine can help him only proper consultation and aviod pain therapy can work. but my father insisted that this pain is so severe he cannot bear and he loose his conciousness can result him more physical damage, so he gave him pexep-cr 0.5mg, opiprol, and Zapiz. I have checked on net these medic have side effect also, the dr. advices us to give him these medicines for 10day and asked us to come back to him again after 10 days.. i want to help my brother and i don t want to make him more suffer from these side effects.. please help me out and advice me.. tmrw we have again anotherPsychiatrist visit and one Neuro visit in Pant
Tue, 24 Feb 2015
i would suggest a spine MRI for dorsal spine and chest should be added.This will give some clue for spinal cord and its vasculature to rule out block in spinal artery due to pressure.Also statusof aorta (whether dissecting)?. as of now take psychiatrist treatment for 10 days and later consult a neuro and vascular surgeons also. an aneurysm of aorta and spinal artery be ruled out by aortic angio test also
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