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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Nausea Along With Vomiting And Chest Pain Indicate?

I’ve been feeling nauseous since thanksgiving but never threw up, I had bad chest pains, heavy discharge, although I feel better now I’m still nauseous, just today is my first time actually throwing up. I’ve had my period that month and this month, both heavy. Can I be pregnant?
Mon, 19 Feb 2018
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Anesthesiologist,  's  Response
Hello! Welcome to HealthcareMagic!

The first question is are these nausea, chest pain in association with menstruation? If so, we can think of thoracic endometriosis. Of course it's very rare. So, I would like to explain the other probabilities in detail:

1) Heavy bleeding with nausea, vomiting, pelvic pain occur in :

a) Pelvic endometriosis
b) Adenomyosis
c) Ectopic pregnancy
d) Functional or neoplastic ovarian cyst

2) Nausea, vomiting, chest pain can occur in :

a) GERD (gastro esophageal reflux disease).
b) Gastric or duodenal ulceration.
c) An attack of myocardial infarction (heart attack). I can suggest you the following :

1) Pregnancy is mostly not positive in your case. Any how you can check it for yourself with urine pregnancy kits available on counter.
2) A pelvic ultrasound scan would help us in ruling out many of the above mentioned conditions.
3) Pelvic examination by a gynaecologist is necessary.
4) Sometimes breast pain may be confused as chest pain, breast pain is very common during menses.

Hope my answer clears your doubts. Any further queries, please do write to us. Thank you for the queries.

Take care

Regards,
Dr. Pallavi.m, Anesthesiologist
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What Does Nausea Along With Vomiting And Chest Pain Indicate?

Hello! Welcome to HealthcareMagic! The first question is are these nausea, chest pain in association with menstruation? If so, we can think of thoracic endometriosis. Of course it s very rare. So, I would like to explain the other probabilities in detail: 1) Heavy bleeding with nausea, vomiting, pelvic pain occur in : a) Pelvic endometriosis b) Adenomyosis c) Ectopic pregnancy d) Functional or neoplastic ovarian cyst 2) Nausea, vomiting, chest pain can occur in : a) GERD (gastro esophageal reflux disease). b) Gastric or duodenal ulceration. c) An attack of myocardial infarction (heart attack). I can suggest you the following : 1) Pregnancy is mostly not positive in your case. Any how you can check it for yourself with urine pregnancy kits available on counter. 2) A pelvic ultrasound scan would help us in ruling out many of the above mentioned conditions. 3) Pelvic examination by a gynaecologist is necessary. 4) Sometimes breast pain may be confused as chest pain, breast pain is very common during menses. Hope my answer clears your doubts. Any further queries, please do write to us. Thank you for the queries. Take care Regards, Dr. Pallavi.m, Anesthesiologist