Discussions By Condition: I cannot get a diagnosis.

chest pressure/Fatigue

Posted In: I cannot get a diagnosis. 3 Replies
  • Posted By: Anonymous
  • December 2, 2009
  • 00:20 AM

Previous Hx of Hypetension (on atenolol 25 mg); also taking Yaz BCP. Current Issue: I woke up last week with mild nausea which then progressed to having a bit of a light-headed feeling (like a buzz only I hadn't had alcohol). A few hours later I began having chest pressure (not pain) in the sternal area along with feeling weak/rundown. Went to ER: Negative Troponin; mildly decreased creatinine, and potassium of 3.5. Felt a bit better laying down but symptoms returned immediately when I sat up. Was sent home with suspected pericarditis (no fever or other symptoms) and have been taking ibuprofen 600 mg TID since (1 week out from visit). Followed up with Primary and had CT angio which was negative. Have had general fatigue/rundown feeling since (nausea on rarely and no more lightheadedness since first day) with episodes of chest pressure like I need to get my ribcage off my chest. Cannot relate symptoms to eating (no reflux, epigastric or RUQ pain). Pressure sometimes radiates to pain between bilat shoulderblades (few rare episodes of pain/pressure seeming directly under left breast but usually centered around sternal area). Don't feel greatly short of breath, but find I take deeper breaths when I'm feeling the pressure like I'm trying to subconsciously lift my ribcage up. Chest Pressure can last seconds or hours before resolving but fatigue/rundown feeling seems more persistent. Any ideas? Also on Enbrel for psoriasis if that stirs the pot for anyone at all. Only other thing was a large filling at dentist the day before sxs started but have not have fever or anything like that. Pericarditis still possible or any other possibilities come to mind? Would appreciate any ideas that come to mind.

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3 Replies:

  • Gastroesophageal hernia. Previous Hx of Hypetension (on atenolol 25 mg); also taking Yaz BCP. Current Issue: I woke up last week with mild nausea which then progressed to having a bit of a light-headed feeling (like a buzz only I hadn't had alcohol). A few hours later I began having chest pressure (not pain) in the sternal area along with feeling weak/rundown. Went to ER: Negative Troponin; mildly decreased creatinine, and potassium of 3.5. Felt a bit better laying down but symptoms returned immediately when I sat up. Was sent home with suspected pericarditis (no fever or other symptoms) and have been taking ibuprofen 600 mg TID since (1 week out from visit). Followed up with Primary and had CT angio which was negative. Have had general fatigue/rundown feeling since (nausea on rarely and no more lightheadedness since first day) with episodes of chest pressure like I need to get my ribcage off my chest. Cannot relate symptoms to eating (no reflux, epigastric or RUQ pain). Pressure sometimes radiates to pain between bilat shoulderblades (few rare episodes of pain/pressure seeming directly under left breast but usually centered around sternal area). Don't feel greatly short of breath, but find I take deeper breaths when I'm feeling the pressure like I'm trying to subconsciously lift my ribcage up. Chest Pressure can last seconds or hours before resolving but fatigue/rundown feeling seems more persistent. Any ideas? Also on Enbrel for psoriasis if that stirs the pot for anyone at all. Only other thing was a large filling at dentist the day before sxs started but have not have fever or anything like that. Pericarditis still possible or any other possibilities come to mind? Would appreciate any ideas that come to mind.
    Liepins 4 Replies
    • December 2, 2009
    • 08:27 AM
    • 0
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  • Hey, I am wondering if you are still out there and if you can tell me what this ended up to be for you. I have many of the same symptoms.... a near constant pressure just behind the sternum and sometimes behind my right breast. I feel slightly nauseated and yesterday I was shaky and felt weak. My sisterinlaw took my blood pressure and it was 90/60 but then an hour later or so it was normal. I don't feel shaky today but I do still feel that light pressure...
    Kiradisa 1 Replies
    • November 3, 2010
    • 05:21 PM
    • 0
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  • Hey, I am wondering if you are still out there and if you can tell me what this ended up to be for you. I have many of the same symptoms.... a near constant pressure just behind the sternum and sometimes behind my right breast. I feel slightly nauseated and yesterday I was shaky and felt weak. My sisterinlaw took my blood pressure and it was 90/60 but then an hour later or so it was normal. I don't feel shaky today but I do still feel that light pressure...Gastroesophageal reflux diseaseMay be - omeprazolRtg thoraxgastroscopy
    Liepins 4 Replies
    • November 3, 2010
    • 06:34 PM
    • 0
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