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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Shortness Of Breath And Pressure In The Chest Indicate?

My son is away in graduate school in NY and I am in Mississippi. He s been having shortness of breath, heaviness in his chest, and muscle shaking in his arms and legs. Hypertension and heart disease are extremely prevalent in our family history. Everything from aneurysm repairs, to bypasses, to heart attacks. He is only 23 years old. He went to a clinic and they said he does not have the flu or pneumonia, and referred him to a neurologist for the shaking of the extremities tomorrow. His blood pressure was 150/90 at the time of the visit. I told him to get a bp monitor and start a log, taking his bp and pulse every morning and every evening, and also at the time of these symptoms. And then go back to the clinic and show them if there is a pattern. I thought he might possibly benefit from taking a daily blood pressure medication. Please advise.
Fri, 16 Feb 2018
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General & Family Physician 's  Response
Hi Ma'am

You have advised rightly to maintain log
He should visit neurologist as he appears to be suffering from anxiety as shortness of breath and chest tightness are classic symptoms of anxiety . As far as his BP is concerned as 150/ 90, I will advise that he should first start some non pharmacological measures for 3 months as
1 Go for morning or evening walk
2 Avoid coffee and fast foods
3 Avoid alcohol and smoking
4 Try meditation
5 Cut salty and fried foods
If these measures do not yield result and do not bring BP below 140/90 then he should start tab Amlodipine 5 mg once a day .

If you have any further query then you can come back to HealthcareMagic. I will definitely help you


With Regards

Dr Varinder Joshi
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What Do Shortness Of Breath And Pressure In The Chest Indicate?

Hi Ma am You have advised rightly to maintain log He should visit neurologist as he appears to be suffering from anxiety as shortness of breath and chest tightness are classic symptoms of anxiety . As far as his BP is concerned as 150/ 90, I will advise that he should first start some non pharmacological measures for 3 months as 1 Go for morning or evening walk 2 Avoid coffee and fast foods 3 Avoid alcohol and smoking 4 Try meditation 5 Cut salty and fried foods If these measures do not yield result and do not bring BP below 140/90 then he should start tab Amlodipine 5 mg once a day . If you have any further query then you can come back to HealthcareMagic. I will definitely help you With Regards Dr Varinder Joshi