Angina
Question: I am 32 years old. Height 178 cm Weight 90 kg. Pressure on average 140/90. No clear reasons have pain in the chest – most stinging pain and a little oppressive. Severe weakness in the legs. The whole body is thrown into the heat and cold. All this lasted 40 minutes, was quiet, and after 10 minutes again. Took 2 times nitromint helped a little, and began again. Chest pain (burning) appears discomfort burning pain (swelling and palpation in the region of the stomach and navel hurt). Burning may be subject to the right. Burning of the day may be just 5-6raz or regular short intervals. Burning sensation in the chest does not depend on anything. Burning is very strong. At night and early in the morning everything is fine – nothing. Give that it is. In the Internet say that it can be spontaneous angina or spine or the gastrointestinal tract. What CAS is not excluded? 1) echo Doppler. PV-66%. 2) Pathology net3 ECG) treadmill test (3 times did) otritsatelnyy4), Chap. bottom – norma5) Holter-isolated supraventricular and ventricular ekstrosistoly. brief pause due to sinus tahikardii6) X-ray light-without focal infiltration patologii7) MRI of the brain-goal without signs of focal patologii8) FGS-difuzny gastritis. functional insufficiency of the cardia. chronic gastritis with erosions. hernia under. 9) echo-es mixing net10) duplex scanning e-artery disease net11) hollow. Scanning the abdominal aorta and its branches-pathology net12) EEG alone, without pathologies. cortical rhythm sohranena13) REG-dimensional pulse blood supply has not changed at all basseinah14) MRI of the spine-cervical-thoracic osteochondrosis with multiple Schmorl's hernia. thoracic kyphosis expressed. Skalioz. 15) vessels of the lower extremities, seals and atherosclerosis net16), thyroid gland, smooth contours. structure differentiation. Neodnorodna17) X-ray WGC-without focal and infiltrative izmeneniy18) Ultrasound of the kidneys and abdominal organs, without osobennostey19) cal I / fluke-not obn20) electrolytes-4. 6mmol / l sodium-14521) biochem anal blood creatinine-urea-100-5. 4mmol / L bilirubin-19. 3mkmol / l ast alt-17ed-19ed obsh protein 81g / L amylase-73 sugar-5. 1mmol / l cholesterol-6. 00mmol/Triglitseridy-1. 75mmol / l LDL-3. 99mmol/llpvp-1. 2mmol / L CA-4. 022) TSH for 16 months (4. 0 5. 8 6. 6 12. 1mmmol) t3svob (11. 2 12. 2 11. 7 11. 4) 23), coronary angiographic signs of coronary bed, no
Answer: We examined you, Sergey, specifically. Can you say with a high probability the following. 1. You do not have CHD. 2. Your symptoms – from hiatal hernia. Sleep with a raised head end, is not 3 hours before sleep, lose weight 10 kg, avoid fatty foods, chocolate, peppermint, alcohol, coca-cola, red wine, orange juice, smoking. Avoid compressing clothing. When you receive full-time physician you designate a group of drugs proton pump inhibitors like omeprazole. This should help. 3. If you lower your cholesterol, then in 10 years will really hurt my heart. This – the first bell. Hypocholesterolic diet (found on the Internet), exercise – brisk walking, biking, swimming, lose weight (!). 4. Spine bad, look for a competent specialist in degenerative disc disease, manualschika can be (but Target and reviews of friends, but not for advertising, it does not help everyone).
