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Pauline
Pauline, Doctor (MD)
Category: Health
Satisfied Customers: 8631
Experience:  Medical Doctor & Registered Pharmacist. Worked as Community pharmacist for 17 years.
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PILL..ULTRASOUND..SAID COME BACK IF YOU NEED TO..HEAVY CHEST FEELINGS

Customer Question

MY SISTER (46) HAD TO CALL 911 THE OTHER NIGHT FOR REALLY BAD CHEST PAINS, THE GAVE HER A SPARY OF NITRO AND THEN TOOK HER TO THE HOSPITAL, SHE THEN HAD A NITRO PILL 3 TIMES WHILE THERE, BUT HER EKG CAME OUT NORMAL AND SO DID THE ULTRASOUND, SHE THREW UP A FEW TIMES, BUT THE PAIN EASED UP EVERYTIME THEY GAVE HER A NITRO PILL, BUT SHE STILL HAD A HEAVY FEELING IN HER CHEST, BUT NOT AS BAD AS WHEN THEY GAVE HER NITRO. THEY SENT HER HOME AND SAID COME BACK IF YOU NEED TO. I FIND THAT HARD TO UNDERSTAND, WHY DIDNT THEY FIND OUT WHAT IS GOING ON WITH THE HEAVY CHEST FEELINGS, WE ARE SCARED. WHAT IS WRONG WITH HER
Submitted: 6 years ago.
Category: Health
Expert:  Pauline replied 6 years ago.

 

There are a number of reasons for chest pain.

1. Heart - angina or myocardial infarction will cause central crushing pain, often radiating upwards towards jaw and left arm. Clamminess, Shortness of breath, nausea, feelings of doom are also symptoms of an acute MI

Angina would occur periodically especially on exertion. A diagnosis of angina is usually made on a full history of when symptoms occur and what makes them better eg rest or Glyceryl trinitrate spray. There are other conditions relating to inflammation of heart muscle/valves and walls which can cause central chest pain.

2. Lungs- inflammation of lining/muscles might cause central chest pain although usually associated with shortness of breath. Also a Pulmonary Embolism would cause chest pain and usually shortness of breath

3. Esophagus/Stomach - problems with the digestive tract can cause central pain and discomfort. There are a number of different problems including esophageal stricture, hiatus hernia, trapped gas , stomach ulcer to name a few. Pain on right side may also be related to liver or gall bladder.

As you can see there are a variety of possible causes so treatment recommendations cannot be made until we identify exact cause. Anxiety and panic attacks can also be associated with chest pain.

The fact that it was eased with Nitro pills indicates a likelihood that there was a problem with constricted blood vessels, but the fact that the EKG was normal could suggest the pain is due to other causes. She should have her levels of cardiac enzymes checked. And a repeat EKG done if the pain returns.

 

Pauline, Doctor (MD)
Category: Health
Satisfied Customers: 8631
Experience: Medical Doctor & Registered Pharmacist. Worked as Community pharmacist for 17 years.
Pauline and 3 other Health Specialists are ready to help you
Customer: replied 6 years ago.
I FORGOT THE FACT THAT HER BLOOD PRESURE WAS LOWLIKE 85 OVER 57??? IS THAT NORMAL????
Expert:  Pauline replied 6 years ago.

For the blood pressure to be low that could cause the pain through reduced perfusion without an underlying problem like angina.

She must have this low blood pressure addressed. In the short term by increasing fluids however she needs investigation if the blood pressure does not stabilize at a higher level.

Do you know how the rest of her health is?

Does she drink much alcohol?

Customer: replied 6 years ago.
she dose not drink, she has RA ( all her life. )she's not lazy, she has low potasim. she is in alot of pain with RA (no pain pills just tyl) and they say she has a lower stomach hernia, they were going to do surgery on it, but nothing yet, its been a year. its on her left side.she dose not smoke anymore. she is a tiny girl.
Expert:  Pauline replied 6 years ago.

Thank you for the extra information. With a low potassium and low blood pressure then she will need to be evaluated by her family doctor. I would suggest kidney function tests and possibly a cardiac echo to see how effectively her heart is acting a pump.

If she appears unwell over the weekend with return of the pain or new symptoms such as shortness of breath then return to the ER.

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