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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Breathing Difficulty And Pressure In The Chest Indicate?

This has been going on for some time now. Years in fact. I can’t seem to pinpoint what caused it to start, but it’s really causing me problems in my day to day life. I have had an echo, stress test, chest x-ray, holter and a zio. The cardiologist says I have pvcs and that my pulse gets low at night (50’s) and released me because there were no major issues. The problem is that I have several days out of the month (sometimes several a week) where I have to talk myself out of going to the ER. I have gone three or four times, but was sent home each time saying it was anxiety. I feel my chest pounding, I take my pulse with my finger oximeter and it is erratic. It runs low and I can feel the beating in my chest skip. I check my blood pressure and it’s in the normal range. I get extremely anxious and begin to worry that I’m going to have a heart attack. I am on a beta blocker and I take a 3mg alprazolam XR daily for anxiety. When these attacks happen I feel tightness in my chest, difficulty breathing, pounding, sometimes I’ll breakout in a cold sweat, sometimes tingly and lightheaded, and my anxiety goes through the roof. Sometimes I’ll feel a tingling sensation in my anus or testicles. I am incapacitated because I’m scared to do anything. The slightest thing in my chest scares me. I’ve had gastric bypass surgery around 19 years ago. I am still overweight. I take zegerid to help with acid reflux. I feel very gassy when these attacks happen and sometimes if I get in the right position I can open my mouth and not burp but instead it’s almost as if air is escaping. It makes a gurgle sound. I can do this for 30 minutes sometimes. Sometimes this alleviates the attack, other times not. I don’t know what other info to give. I’d just like help. My doctors act like nothings wrong and just brush it off, but it scares me to death. I don’t want to die and leave my wife and two kids behind. I don’t know if the one time I don’t go to the ER is going to be the one time I should have. I just want peace... can ANYONE help?
Fri, 13 Apr 2018
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General & Family Physician 's  Response
Hello,

As per your query, it shows that you are having anxiety which can cause such symptoms. As you already have done a work up and cardiologist opinion. There is nothing more to do you just need behavior therapy and if necessary psychiatric opinion.


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

Regards,
Dr. Bhadresh Lakhani
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What Do Breathing Difficulty And Pressure In The Chest Indicate?

Hello, As per your query, it shows that you are having anxiety which can cause such symptoms. As you already have done a work up and cardiologist opinion. There is nothing more to do you just need behavior therapy and if necessary psychiatric opinion. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhadresh Lakhani