Hello Cathy, I am Dr. Arun and will be helping you today. How severe is / was your chest pain?Do you have cough, fever, shortness of breath, nausea, heartburn, food reflux?Are you a smoker. overweight?Any significant past medical illness or surgery?What are your medications apart from Baclofen?
The chest pain was under my left breast. It was very bad, about 7 to 8 out of 10, intermittent, and squeezing in sensation, not sharp. It was deep, not superficial and not tender to palpation. It didn't hurt with moving or breathing or coughing. I've had heartburn, no fever, no shortness of breath. I have had some coughing but not much. I'm a smoker trying to quit smoking about 1/2 pack per day, but used to smoke much more. I am starting the patch now. I am a little overweight, 155 pounds 5 feet 3 inches. I have had hypertension, but my blood pressure in the hospital was very low. I have sleep apnea, stable. I have multiple sclerosis, stable. I have hypothyroidism, stable. I have a history of nonobstructive coronary artery disease and supraventricular tachycardia. I also have a history of bipolar disease and mild COPD that is asymptomatic. The bipolar disease is stable on medication. I take Pristiq and Abilify, Aubagio for MS, metoprolol and Norvasc, potassium, topamax for pain, Vyvance, levothyroxine, pravachol, Klonopin, amantadine, Exelon patch and that's about it. I do take an inhaler (Symbicort) and do use a CPAP machine. I am legally blind and have had several surgeries on my eyes, a hysterectomy, lipoma removals, tubal ligation, lumpectomy, and tooth extractions. That's about all I got. Thanks.
You are welcome, Cathy.Thanks for the detailed reply. Your symptoms are suggestive of non cardiac chest pain. The most common causes are;1) Esophagus movement disorder2) Hiatal hernia3) Gastroesophageal reflux disease.A barium esophagogram and 24 hours manometry with esophagus pH study are diagnostic for these conditions apart from upper gastrointestinal endoscopy. Please read about it;http://www.mayoclinic.org/medicalprofs/noncardiac-chest-pain-pudd0212.htmlPinched nerves in neck can cause radiculopathy pain and muscle spasm too may cause severe chest pain. Acute bronchitis which can be viral or allergic may also be responsible for your pain and present investigative findings.Please feel free for your follow up questions.
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Would like to know what it means to have an increased MCV, increased RDW and increased MPV all at once? Isn't that kind of strange?
The common causes of macrocytic anemia (increased MCV) are as follow