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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Frequent Attacks Of Chest Pain, Migraines And Nausea Mean?

hi,



i have a question for my mom. she is 55 and has had several "attacks" over the last 3 years of migraines, shortness of breath, chest pain, and nausau. first few times they passed, the last time she went to ER and they rain a full panel: ekg, cardiac enzymesand CATscan etc....all normal. said if she had them again to come back......



she was fine for a few weeks now its happening again. the migraines are to the pt of 10/10 pain and dibilitating, severe nausea and chest pain. she was scheduled for a stress test (they dont think it will show anything but more to "check that box and cover their bases"), but it was rescheduled due to her having another "attack."



.....thoughts?
Mon, 9 May 2016
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General & Family Physician 's  Response
Hi thanks for contacting HCM...

Noted your mother having repeated migraine attack....
Here chest pain might be associated with migraine as stress can aggravate her condition....

Yes stress test can be done....
Your ECG was normal so no cardiac cause present....
Stress induce panic attack can lead migraine and chest pain....

So avoid stress....
Avoid precipitating factors for headache like.....
-hypoglycemia
-skipped meal
-dehydration
-loud noise
-bright light
-sleep disturbance
-skipped meal etc......

For migraine sumatriptan can be helpful.

Take care.

Dr.Parth