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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tightening Feeling In Chest, Dizziness And Black Out?

I get a sinking, tightening feeling in chest, no pain anywhere, some nausea, dizziness and near black-out. In one case did black-out. ER showed normal EKG, normal blood pressure, normal pulse. Blood tests negative.
Age 61, no real medical history. I live with a kidney stone, I cough at night, have mild acid reflux. Height six feet, weight 180 lbs. I exercise regularly, can bike 25 - 30 miles and no problem, advanced weight-lifter.
Fri, 16 Sep 2016
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General & Family Physician 's  Response
Hi welcome to health care magic..

You have investigated for cardiac cause by EKG...

Have you investigated for bronchitis like respiratory causes????

Here your work up needed with....
-Auscultation
-Chest x ray
-spirometry if needed
-CRP
-ASO titer etc...

According to cause further treatment can be guided..

For congestion relief phenylnephrine can be given...

If needed suitable antibiotic course needed

As you have blackout history check your sugar level and neurological cranial nerve examination and muscular reflexes should be checked

Take care

Advise : physician consultation for examination and further work up
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What Causes Tightening Feeling In Chest, Dizziness And Black Out?

Hi welcome to health care magic.. You have investigated for cardiac cause by EKG... Have you investigated for bronchitis like respiratory causes???? Here your work up needed with.... -Auscultation -Chest x ray -spirometry if needed -CRP -ASO titer etc... According to cause further treatment can be guided.. For congestion relief phenylnephrine can be given... If needed suitable antibiotic course needed As you have blackout history check your sugar level and neurological cranial nerve examination and muscular reflexes should be checked Take care Advise : physician consultation for examination and further work up