hi, i started having chest pain about 11 hours ago. it is still hurting. my right arm became numb also. i am taking adderall (dextroamphetamine and racemic amphetamine) xr once a day. 18y-female?

Question

I never had chest pain this extreme or ever even close till i just recently started taking Adderall (dextroamphetamine and racemic amphetamine) XR could that be causing this irritable chest pain?

Answer 1

Chest pain: It's probably best to see your doctor asap. While it is extremely unlikely to be related to your heart, there are both benign and serious causes for chest pain in young people.

Answer 2

Ddx: Your age is on your side but still -- you need a complete evaluation of this chest pain. Aderall can cause smooth or skeletal muscle spasm and tension that can cause chest pain among others or you may even have prinzmetal angina that is coronary spasm if you are prone to it --.

Answer 3

Other diagnosis: The pain is very unlikely to be from adderall (dextroamphetamine and racemic amphetamine). How long have you been taking it? Have you had stress? Are you using energy drinks? Do you have anxiety disorder? Unless you have sickle cell disease, heart disease or vasculitis, the likelihood of a cardiac problem is vanishingly low.

Answer 4

Yes: Bcp use is not associated with any significant incidence of breast cancer regardless of risk factors, however, certain breast cancers can grow in response to estrogen use. It is advised to begin cancer screening 10 years before your mother was first diagnosed with breast cancer. This should include yearly physician exam and mammography, ultrasound, and/or mri, depending on age and risk factors.

Answer 5

Biopsy when stable: The current studies suggest that there may be a cancer. The source could be the lung or thyroid. This could also be benign, but with the pe it will need further workup. After the pe is stabilized a biopsy is the only way to know.

Answer 6

Biopsy: Biopsy is needed to prove cancer. However, it cannot be done while on anticoagulation which he needs for the pe. You may consider a pet scan to find the easiest place to biopsy once the anticoagulation can be safely held. There are also alternative diagnoses to explain all of these findings, such as autoimmune diseases and infection. That said, you still need to rule out cancer.

Answer 7

Biopsy: The easiest in this case is to biopsy the thyroid nodules. You don't need to go off the anticoagulant to biopsy a thyroid nodule. The needles that we use is so small that bleeding is not a big concern with thyroid biopsies.

Answer 8

Caution advised: In the years I have been practicing I have yet to see anyone with significant lasting improvement after radio frequency ablation which is used to cauterize the small nerves supplying sensation to the spine. Assess the risks versus benefits carefully before deciding.

Answer 9

Consult physician: As you can imagine there are several causes for your symptoms, some severe and some not severe. But a physician needs to see you to question you about them and perform a physical examination. Test may/may not be ordered according to the physician's impression, but most of the time he/she will do. Good luck!

Answer 10

Weight loss: IF you are having persistent pain and weight loss you should be seen.

Answer 11

See doctor: Agree with Dr. Hickerson. Unintended weight loss warrants evaluation by a doctor. Wish you good health! - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex, if you have sex. Get HPV vaccine

Answer 12

Depends: During sexual activity there are many points when sperm containing sexual fluids can leak & contaminate fingers or end up at your vaginal opening apart from the main event. If none of this fluid had access to your vagina, you can't get pregnant from sex using an alternative site.

hi, i started having chest pain about 11 hours ago. it is still hurting. my right arm became numb also. i am taking adderall (dextroamphetamine and racemic amphetamine) xr once a day. 18y-female?

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