What does one do if she experiences major chest pains and medical examinations reveal no heart or BP abnormalities? This is a particularly good question because it applies to all fields of medicine, and to all people who at some time in their lives will become patients (Yes, even doctors). If a person is experiencing symptoms that are not accompanied by signs of disease, or evidence in the form of an abnormal test, the diagnostic work-up will sometimes cease. Yet the patient still has the symptoms. What should be done? First, were all the elements of your complaint dealt with? Please see my prior posting about preparing for a visit to a cardiologist . It is appropriate for a visit to any physician. Second, what constitutes a full work-up for chest pain? This is actually different depending upon the likelihood of different processes causing the discomfort. Arteriosclerotic coronary artery disease is quite unlikely in very young people (but congenital disease may be more ...
Q. I’ve had a “questionable” mammogram, and I know the next step might be a biopsy. What exactly is a biopsy? A. A biopsy is acknowledged to be the single most important tool available for diagnosing cancer. It’s simply removal of some of the lump you’ve felt in your breast, or some of the tissue identified as “questionable” in your mammogram . This tissue is then examined by a pathologist, who can determine whether or not it includes cancer cells. Q. Are there different types of biopsy, or is it one size fits all? A. There are different types. Some are done with very fine needles under local anesthetic, leaving no scar; some are full-scale lumpectomies , i.e., a portion of your breast is removed surgically, with a resultant scar or “divot” left behind. And there are other types of biopsy between those two extremes. Q. So, what kind of biopsy will I be getting? A. It depends on what your mammogram looks lik...
I am 52, oxygen. asthema, and severe copd. I have started to have very sharp very painful stabbing pain on left side of my head temple area, almost above the ear. it stabs very quickly without warning. for a few seconds to a minute, then goes away for about 10 mintues and then it happens again. It started this morning. what can it be? Vonnie.
What you're describing could be ice pick headaches. You can find more information in Ice Pick Headaches - The Basics . That said, nobody can confirm that via the Internet, so you really should see your doctor about these pains.
Good luck, John Claude Krusz and Teri Robert
To review other questions from our Ask the Clinician Column, browse the Ask the Clinician archives .
If you need help finding a Migraine and headache specialist, visit our listing of Patient Recommended Specialists .
About Ask the Clinician :
Dr. Krusz is a reco...
You should knowAnswers to your question are meant to provide general health information but should not replace medical advice you receive from a doctor. No answers should be viewed as a diagnosis or recommended treatment for a condition. Content posted by community members does not necessarily reflect the views of Remedy Health Media, which also reserves the right to remove material deemed inappropriate.