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Interventional Cardiology (Expert Forum)
front neck pain that deepens with inhalation
Answered by
Darcy Green Conaway, MD - General Cardiology, Echocardiology
Truman Medical Center
Questions in the Interventional Cardiology forum are answered by medical professionals affiliated with the Truman Medical Center. Topics covered include acute coronary syndrome, angina , atrial fibrillation , cardiac catheterization , cardiomyopathy , drug abuse & cardiac disease, echocardiography , heart failure , hypertension & heart disease , lipid management , minorities and heart disease, peripheral vascular disease prevention, valvular heart disease , women’s heart health, and the warning signs of a heart attack.
front neck pain that deepens with inhalation
by Shui, Oct 31, 2007 11:16AM
Hi Doctor,
It is the morning after my father in law's funeral - it has been an extremely stressful five days-I feel I must preface what happened with this.
I was exhausted last night after the funeral and had been fighting waves of naseau for most of the day. I was sitting in front of the computer emailing when I realized I was having difficulty getting enough air. The deeper I tried to breath in the deeper the pain in the front left of my neck cramped and deepened. When I tried to tell my husband I had to whisper short bursts of words I was pressing in on it just above the collar bone trying to massage it away-I used my albuteral inhaler thinking maybe it would help ( I used to have frequent asthma from living in a house we discovered had black mold in the ceiling. Since moving out only have asthma only 1 every three or 4 months)This is not the first time this has happened. I was so tired I refused an ambulance and insisted on laying down.After 1/2 hour it receded and I fell asleep.
Recent diagnosis's Lyme's disease arthritis and a new diagnosis fibromayalgia and chronic fatigue I have a history of stabbing pains in chest and back,and once fainting while driving: my vision turned all to a fun house mirror before I drove slowly off the road..-..diagnosis major migrain of sorts..but my husband was terrified and I must admit so was I. I have super low cholesteral but the good cholesteral isnt very high either my blood pressure gets extremely low from time to time 60/80 ish if I remember correctly and I do experiance vertigo and some mental confusion at these times--
I had had a stress test 9 years ago which was fine although the doctor wanted to do a tilt table test for vasel vegel nerve which I thought was a joke and did not follow through. It is difficult for me to communicate to a doctor with all these vague ominous symptoms when nothing seems to show up on the tests- I feel like an idiot and that I am wasting my time and theres.Thanks, Shui
It is the morning after my father in law's funeral - it has been an extremely stressful five days-I feel I must preface what happened with this.
I was exhausted last night after the funeral and had been fighting waves of naseau for most of the day. I was sitting in front of the computer emailing when I realized I was having difficulty getting enough air. The deeper I tried to breath in the deeper the pain in the front left of my neck cramped and deepened. When I tried to tell my husband I had to whisper short bursts of words I was pressing in on it just above the collar bone trying to massage it away-I used my albuteral inhaler thinking maybe it would help ( I used to have frequent asthma from living in a house we discovered had black mold in the ceiling. Since moving out only have asthma only 1 every three or 4 months)This is not the first time this has happened. I was so tired I refused an ambulance and insisted on laying down.After 1/2 hour it receded and I fell asleep.
Recent diagnosis's Lyme's disease arthritis and a new diagnosis fibromayalgia and chronic fatigue I have a history of stabbing pains in chest and back,and once fainting while driving: my vision turned all to a fun house mirror before I drove slowly off the road..-..diagnosis major migrain of sorts..but my husband was terrified and I must admit so was I. I have super low cholesteral but the good cholesteral isnt very high either my blood pressure gets extremely low from time to time 60/80 ish if I remember correctly and I do experiance vertigo and some mental confusion at these times--
I had had a stress test 9 years ago which was fine although the doctor wanted to do a tilt table test for vasel vegel nerve which I thought was a joke and did not follow through. It is difficult for me to communicate to a doctor with all these vague ominous symptoms when nothing seems to show up on the tests- I feel like an idiot and that I am wasting my time and theres.Thanks, Shui
Doctor's Answer
by Darcy Green Conaway, MD, Nov 02, 2007 10:29AM
, Nov 02, 2007 10:29AM
I think a tilt table is actually a reasonable thought process given your symptoms-- if they are positive, you have a diagnosis.
It seems to me that you have many organ systems with issues: neurologic, respiratory, musculoskeletal, possibly orthopedic and cardiac. I often start worrying about depression, especially when there has been a death or some other major life altering event occur.
From a cardiac standpoint, there is a rare syndrome called apical ballooning that can occur in very stressful situations like yours, in which the heart transiently stops pumping well and people go into "heart failure". If you continue feeling short of breath and having trouble laying flat or are putting on any fluid, please discuss these issues with your primary doctor or visit your local emergency room. I would also discuss a possible underlying diagnosis of depression.
It seems to me that you have many organ systems with issues: neurologic, respiratory, musculoskeletal, possibly orthopedic and cardiac. I often start worrying about depression, especially when there has been a death or some other major life altering event occur.
From a cardiac standpoint, there is a rare syndrome called apical ballooning that can occur in very stressful situations like yours, in which the heart transiently stops pumping well and people go into "heart failure". If you continue feeling short of breath and having trouble laying flat or are putting on any fluid, please discuss these issues with your primary doctor or visit your local emergency room. I would also discuss a possible underlying diagnosis of depression.
