How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Saha Your Own Question

Dr. Saha
Dr. Saha, Doctor (MD)
Category: Health
Satisfied Customers: 15851
Experience:  35 years of experience
8227957
Type Your Health Question Here...
Dr. Saha is online now
A new question is answered every 9 seconds

Hello, Ive been having a strange, tightening feeling in

Resolved Question:

Hello,

I've been having a strange, tightening feeling in the upper portion of my chest/heart area for about a month now. The pain comes and goes, and some days are worse than others. The first day it was so strange and made me very uncomfortable that I went to the ER. I had an EKG and X-Ray and the doctor said I looked fine, and said it is probably just stress.

I went back a week later for a follow-up appointment because I still was feeling strange, though the pain was much better. Another doctor looked at my history and said that my EKG came back textbook perfect and thought it is just minor arrhythmia.

This morning on my way to work I noticed a very strange sensation in my neck, close to my left jugular. It felt almost like I was being strangled. The pain subsided after a few hours, but then about six hours later came back. My left hand is also a little numb.

I guess I am just a bit nervous that I have an undiagnosed cardiovascular issue. My family has a history of heart disease and cardiovascular issues, and I had an uncle die in his mid 30s due to undiagnosed cardiomyopathy.

Regarding my overall health, I am a 35 year old male and had a full physical less than a year ago came back fine. I am lean but my blood pressure is slightly high. I am very active. I run between 40 - 60km per week, participate in trail races and marathons every few months, and regularly cycle 150 - 200km in the mountains. I exercise vigorously 4-6 days per week. The doctors I saw said that I would not be able to exercise like I do if I had any cardiovascular problems, but that seems strange to be because I've read of athletes who have succumbed to undiagnosed cardiovascular issues.

Would you recommend I get this looked into further, or could it just be stress/overreacting to something normal?

Thank you in advance for any help!
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Saha replied 1 year ago.

Dr. Saha :

Hello,

Dr. Saha :

Welcome to Just Answer.

Dr. Saha :

Do you feel any symptom during exercise?

Customer:

Hello, no, I actually feel fine when I exercise.

Dr. Saha :

How is your blood pressure numbers?

Customer:

I don't remember exactly...last time it was 127/78, but it was 134/90 a few months ago.

Dr. Saha :

Do you take any medicine?

Customer:

No, I'm not on any medications.

Dr. Saha :

Did you have any other test besides EKG?

Customer:

Just an X-Ray and a CT Scan, both came back normal.

Dr. Saha :

How was cholesterol levels?

Customer:

One of my levels is on the high side. The doctor said I am fine now, but I should watch out. I don't remember exactly what level that was, though.

Dr. Saha :

Similar symptoms can occur in heart diseases like angina but when you can exercise & have normal EKGs, CT, it is unlikely to be related to heart.

Dr. Saha :

Anxiety, stress can be factors.

Dr. Saha :

Still I would suggest to have a consultation with a cardiologist.

Dr. Saha :

He can take tests like Holter monitor, stress echo etc.

Dr. Saha :

Holter monitor can record EKG when you have the symptoms.

Customer:

Okay. I live in Japan and Japanese doctors are very conservative when it comes to ordering more testing, etc.

Dr. Saha :

Have you consulted any cardiologist there?

Customer:

Yes, I saw one on my follow up appointment. He said that I can't have any heart issues if I do this level of exercise and my EKG/XRay/CT looks okay.

Customer:

He said I could try a holter monitor, but didn't think I needed it. So you would say this is also probably not heart related?

Customer:

Would something like cardiomyopathy come up on an EKG/X-Ray?

Dr. Saha :

When you have been checked by a cardiologist, you should not worry.

Dr. Saha :

There can be some sign on EKG, echo is better for diagnosing cardiomyopathy than EKG. However, you had CT, which would also show changes.

Dr. Saha :

IMy goal is to provide you with excellent service today. If there’s anything else I can do, please let me know.

Dr. Saha :

Your CT was normal.

Customer:

Okay, thanks for your assistance! Hopefully this will not be serious, but if it continues I will go for an echo test.

Dr. Saha :

In my opinion, it is not serious. You should not worry.

Customer:

That's good to hear! All the best to you!! :)

Dr. Saha :
You are always welcome.
Dr. Saha, Doctor (MD)
Category: Health
Satisfied Customers: 15851
Experience: 35 years of experience
Dr. Saha and 5 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 

Related Health Questions

Chat Now With A Health Professional
Dr. Saha
Dr. Saha
9305 Satisfied Customers
35 years of experience