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 ...
I am having a sharp pain in the left top side of my head. Its like a dime size spot. It sometimes runs a tingle up toward the front. My daughter said it could be mini strokes, is that possible? Pam.
Although it's more likely that these pains are something else, yes, they could be indicative of a TIA or some kind of stroke activity.
Unexplained head pain should always be investigated. Please see your doctor.
Good luck, John Claude Krusz and Teri Robert
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About Ask the Clinician :
Dr. Krusz is a recognized expert in the fields of headache and Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more a...
Congestive heart failure - left
Shortness of breath
Difficulty lying down; need to sleep with the head elevated to avoid shortness of breath
Sensation of feeling the heartbeat ( palpitations )
Irregular or rapid pulse
Cough (produces frothy or blood-tinged mucus)
Fatigue, weakness, faintness
Weight gain from fluid retention
Decreased urine production
Infants may have poor feeding, weight loss, and failure to thrive
Signs and tests
may reveal an irregular or rapid heartbeat
and increased rate of breathing. Listening to the heart may reveal heart murmurs or extra heart sounds, and listening to the lungs may reveal crackles or decreased breath sounds at the bottom. The skin of the legs may have excessive fluid and may remain dimpled when pressed.
Tests may include the followin...
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