Dr. Vijay Thamman

M

chest pain right lung on inhalation may be caused by in a young person pleurisy,infection,costochondritis,chest injury,mvp,anxiety,cardiac arrhythmia Diagnosed by cbc,X-ray chest,EKG,holter monitor,echo,ct chest with pe protocol,venous doppler of lower extremities.

Treat the cause,psychiatric evaluation,xanax (alprazolam) for anxiety,pain medications.   

shortness of breath on mild exertion & sleeping on left side of chest may be caused by congestive heart failure,copd,cad,cardiomyopathy,hypertension,thyroid disorder,anxiety neurosis,pleuritis,pe,anemia,sleep apnea.

Diagnosed by physical exam,X-ray chest,echo,pft, stress echo,ct of chest with pe protocol,cvc,sma24,tshTreat the cause.   

Palpitation with 1 sec pause may be early sign of sick sinus syndrome.

left sided chest pains causes:mitral valve prolapse,costochondritis,coronary artery disease,pulmonary embolism,pleuritis,mitral regurgitation,rheumatic heart disease Advised to have EKG,X-ray chest,echocardiogram,echo stress test,ct chest with PE protocol,cardiac cath,venous doppler,cbc,chem screen24.

treat the cause.   

blood clleft arm pain with swelling may be due to blood clot,inflammation of muscles,tend,skin,bursitis or arthritis of shoulder,hypertension,winged shoulder,coronary artery disease.

29 years old female having rapid heart beat with hypothyroidism. further testing like tsh,thyroid hormones,ultrasound of thyroid,thyroid scan,EKG,holter monitoring,echocardiogram,cat scan of head for pituitary tumors,tests like TSH stimulating test.

treatment:treating the cause,synthroid,,cardioversion in case of atrial fibrillation, beta blockers,digoxin   

Breathing carbon monoxide may cause dilatation of external carotid arteries from vasodilator substances like kinins released from stomach causing migraine headaches with nausea & palpitations.

Headaches may be relieved by steam inhalation,fluoroee.,xanax,zofran (ondansetron).   

venlafaxine causes cardiac problems like heart attack by causing severe hypertension.