I have a member of my family, female 65 years old. She is a is experiencing unpleasent sensation upon waking up for the last 3 months... I am a medical student but i am unable to work out the problem so i call upon your help.
i would like to describe the problem in patients own words....
"I am unable to get up after waking up because i feel like my 'chest about to explode', i feel like i have no energy when i wake up. This problem does not appear when I go to sleep at 11 oclock at night and i have to wakes up at 6am... it appears when I sleep again at 8am and i wake up again at 12pm or when if I am woken up from sleep." The problem does not last all day (btw)
She does NOT describes the sensation as PAIN, she DOES NOT have difficulty in breathing then , Only the sensation as if the CHEST WILL EXPLODE (retrosternal area). Sensation was not described as pressure.
Here is some data about previous illnesses and current medical condition
Diagnosed with TB in her early 30's (1970) but received treatment for 1yr.
Hypertension diagnosed in early 90's
Benign tumour removal in 1998
Diabetes diagnosed soon after that
Recent CT scan has revealed
1. kidney stones
2. pancreatic stones
3. congenital missing gallbladder
4. calcification in thoracic and abdominal aorta.
Heart specialist consultation in July 08 revealved no heart abnormalities.
Her ECG/stress test were normal in july 08
Her cortisol levels was high in july 08 (8am test -> 200..way higher than normal values)
She has complained of exertional dyspnea that occurs from mild exertion for a long time
She is obese
current problem started 3 months ago
and a tablet for blood pressure
Is there any medical professionals that are able to point me in the right direction? your help will be much appreciated.
Thank you for your time/concern/help in advance.