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Neurology (Expert Forum)
Re: chest pain
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Re: chest pain
by CCF MD GS, Jan 01, 1995 12:00AM
Posted By CCF MD GS on August 26, 1998 at 09:14:24:
In Reply to: chest pain posted by rick bivens on August 26, 1998 at 05:59:18:
Hi Doctor,
I am a 40 year old male who had no health problems until 1997.
In May 1997 I had chest pain and was admitted to the hospital for observation. My EKG was normal and no problems were found to cause the pain. The pain subsided with the use of Torodol.
In July 1997 I had a scope down my throat and the doctor found I had a hereditary hiatal hernia. The Doctors believed this was the cause of the pain. I changed my diet and increased my regular exercise. Note I ran a karate school for 10 years and kept in good shape.
In October 1997 after weeks of chest pain and fevers101 to 103 I was again admitted to the hospital this time with pneumonia. I spent 11 days in the hospital with 3 days in intensive care. I was diagnosed with peracarditis, plural effusion, anemia, two pulmanary embolisms upper left lung, situational depression, Temps from 101 to over 104. They could find no cause for all of these things happening and decide I had a viral infection that went wild.
I was on cumadin (coumadin) therapy for 6 months I have no risk factors for blood clots. I continued to have chest pain that waxed and waned. several ER visits where they found a low grade fever 101 and an increase in my sed rate.
My symptoms continued and I have been checked for heart problems stress test and ultra sound, lung scans, x-rays chest and neck, colon cancer, lupus, fungus infection and a battery of blood tests. All with negative results.
I continued to work and take a 100 mg of naproxen daily. The pain became constant with ranging from mild to severe. On April 28, 1998, I had a low grade fever 101 and severe chest pain I went to the ER and they found an elevated sed rate to 92, anemia, slightly elevated blood pressure. They prescribed percocet and I was released. I have not worked since 4 -28-98
I continue to have constant chest pain that sometimes radiates to my left shoulder and also my left arm is numb. When the pain is bad it is worse with deep breaths and is sharp.
My doctors have found no answers, I was taken off the naproxen for two weeks and my symptoms got worse chest and shoulder pain was severe for 9 days, I went back on naproxen and used percocet to dull the pain. Since then the pain has ranged from slight to moderate but always present.
Any help you can offer will be greatly appreciated.
Rick B
=
Sorry to hear about your problem Rick but I'm not sure that I hear anything that sounds like a neurologic problem. Your best avenue of finding an answer may be to see a rheumatologist since it has that flavor. The other issues is why you are having blood clots and I'm sure they have looked into clotting problems and if not that should be examined. Again at this point I would recommend a rheum workup. Good luck
This information is provided for general medical education purposes. Please consult your doctor regarding diagnostic and treatment options.
In Reply to: chest pain posted by rick bivens on August 26, 1998 at 05:59:18:
Hi Doctor,
I am a 40 year old male who had no health problems until 1997.
In May 1997 I had chest pain and was admitted to the hospital for observation. My EKG was normal and no problems were found to cause the pain. The pain subsided with the use of Torodol.
In July 1997 I had a scope down my throat and the doctor found I had a hereditary hiatal hernia. The Doctors believed this was the cause of the pain. I changed my diet and increased my regular exercise. Note I ran a karate school for 10 years and kept in good shape.
In October 1997 after weeks of chest pain and fevers101 to 103 I was again admitted to the hospital this time with pneumonia. I spent 11 days in the hospital with 3 days in intensive care. I was diagnosed with peracarditis, plural effusion, anemia, two pulmanary embolisms upper left lung, situational depression, Temps from 101 to over 104. They could find no cause for all of these things happening and decide I had a viral infection that went wild.
I was on cumadin (coumadin) therapy for 6 months I have no risk factors for blood clots. I continued to have chest pain that waxed and waned. several ER visits where they found a low grade fever 101 and an increase in my sed rate.
My symptoms continued and I have been checked for heart problems stress test and ultra sound, lung scans, x-rays chest and neck, colon cancer, lupus, fungus infection and a battery of blood tests. All with negative results.
I continued to work and take a 100 mg of naproxen daily. The pain became constant with ranging from mild to severe. On April 28, 1998, I had a low grade fever 101 and severe chest pain I went to the ER and they found an elevated sed rate to 92, anemia, slightly elevated blood pressure. They prescribed percocet and I was released. I have not worked since 4 -28-98
I continue to have constant chest pain that sometimes radiates to my left shoulder and also my left arm is numb. When the pain is bad it is worse with deep breaths and is sharp.
My doctors have found no answers, I was taken off the naproxen for two weeks and my symptoms got worse chest and shoulder pain was severe for 9 days, I went back on naproxen and used percocet to dull the pain. Since then the pain has ranged from slight to moderate but always present.
Any help you can offer will be greatly appreciated.
Rick B
=
Sorry to hear about your problem Rick but I'm not sure that I hear anything that sounds like a neurologic problem. Your best avenue of finding an answer may be to see a rheumatologist since it has that flavor. The other issues is why you are having blood clots and I'm sure they have looked into clotting problems and if not that should be examined. Again at this point I would recommend a rheum workup. Good luck
This information is provided for general medical education purposes. Please consult your doctor regarding diagnostic and treatment options.
