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What could be my problem?
Dear Doctor,
I am 41 years old unmarried male.
I am 102kg and 5 feet 6 inches in height.
I am told I have GERD. Endoscopy done in January 19 report is fine.
I am on PPIs from January 19 till date.
I have chest pain on both sides of chest, I get redness stripes or spots.
I took photos had shown to Gastroenterologist but Doctor could not resolve it.I have uritcaria, asthma but that causes itching. This chest pain has been there for more than a year. I get shortness of breath. I consulted Senior Cardiologist did 2D Echocardiogram. Report is fine. I was wrongly diagnosed as PAH in Hospital Echocardiogram but in 2D Echocardiogram report showed I am fine. On walking high heartbeat of 175BPM. Resting Heart rate is 78BPM. What is my problem? No Doctor is able to resolve this issue? It looks like chest or lungs problem. I get high BP or Low BP. Please help me out.
Answers (4)
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hi please consult personally for proper guidance and help on this matter.
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Dr. Amrutha J H
Family Physician
13 yrs exp
Bangalore
Sir, I understand that you need medical help.
But the same question was asked by you on 7th Nov 2019, where multiple specialist including me have responded to your genuine concern and advised you and guided you as to what needs to be done.
Here is what I had replied for your query.
"Obesity is a silent yet very dangerous disease which is often over looked by Patient as well as their treating doctors.
The above history mentioned suggest excercise intolerance, which means your heart is not getting enough blood supply when you are walking fast/ Excercising, which in turn makes your heart beat twice the normal rate to over compensate it.
Though your lipid profile , ECG, 2D- ECHO reports are normal, excercise intolerance is a subtle sign of impending cardiac problem.
1. Kindly undergo Angiography.
2. Reduce your body weight by atleast 5% over next 6 months.
This will help you in maintaining good health ".
Kindly follow the same.
Don't get disheartened.
All of us here who have replied to you have always tried to help and resolve your health issue. But an online forum like this has its own limitations.
Hope this was of some help.
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Dr. Amit Kumar Poddar
Pulmonologist
44 yrs exp
Kolkata
You should go for polysomnography
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Dr. Ameya Phansalkar
Family Physician
11 yrs exp
Mumbai
GERD can cause pain in chest. Urticaria can be a manifestation of a severe gastritis. Gastritis can cause raised heart rate. Asthma shows that u r hyper responsive.
GERD doesn't have any significant solution as ur endoscopy is normal too so there isn't anything to rectify.
For 5 6, you are obese. Lifestyle modification is the main line of management to reduce gastritis.
Next Steps
Lose weight.
U r on PPI, which eventually reduces b12 so get ur b12 checked, start supplement.
Check with a psychiatrist whether there is any issue of anxiety as according to you no dr is able to help you.
Mild anxiolytic makes wonders.
Health Tips
Eat healthy
Exercise
Lose weight
See a good dietician
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.