Pericarditis questions? New to all of this Drs seem unsure...

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Date Joined May 2014
Total Posts : 32
   Posted 5/28/2014 12:36 AM (GMT -6)   
Hi everyone. I will condense this as best I can. 39 years old, had a low fever and upper respiratory symptoms on March 29 of this year. The two days before and after the fever I taught cardio classes at the gym and also a couple more the following week before being forced to rest due to my lungs tightening up too much. I started having a weird pressure feeling in my chest 8-10 days into the illness as my respiratory issues were clearing up and since I work in an Orthopedic surgeons office as an x-ray tech, I asked one of

We snapped a chest x-ray and it was fine, then I ended up seeing my Dr. the following week after worrying a ton over the weekend because my Ortho Dr. mentioned Pericarditis to me and I went google crazy and pretty much gave myself panic-attack like symptoms. I think on a normal day I am high-energy and mildly anxious person but I have never needed meds for it. I also want to say once about 6 years ago I had a bad kidney infection that went septic and I almost did have a heart attack and ended up in ICU etc... so it was a very bad experience and I had a lot of anxiety then while in the hospital and couldn't sleep for days. I know I am not a good patient.

I saw my regular Dr. 2x in one week and made him order some bloodwork and then he suggested a chest ct versus the echo since he did not believe it could be Pericarditis and it would show other things. I had the non-contrast CT, 5 tubes bloodwork,Chest x-ray and 3 ECGS and also just had the echocardiogram done two weeks ago and all was negative.

I started on some Indocin after all this but my body didn't tolerate it too well so I ended up vomiting after a few days of it and then my Dr. referred me to a Pulmonologist/critical care dr in the same clinic for a second opinion... That Dr. was very thorough in his history and went with a Pericarditis diagnosis but only put me on 400 ibuprofen 2x day and tylenol 2x day...

I ended up self-referring to a Cardiologist who was not very helpful or thorough and basically said wasn't sure I have Pericarditis but still gave me Colochine to take 1x day and now I have been doing 400 mg ibuprofen 3x day and the colochine 25 mg 1x day... it seems from what I read my dosages are too low...I take Prilosec too for my stomach and have tried xanex 25 mg just for sleeping purposes but I just feel like it helps me sleep through my symptoms and so I only took it for a week.

I think Drs are confused (and me too) because I don't have pain the way I read many people do, but I do have a pressure feeling when I lay down and i haven't been able to sleep lying down in bed flat for about 6 weeks now. I feel best standing up and then sitting I notice some "pressure" or tolerable discomfort or weird feeling in my chest and laying down is the worst. Occasionally I have a little bit of a choking sensation in my throat. I was completely fine prior to coming down with the likely viral infection and I wonder if the strenuous exercise I was doing during the time I got sick contributed to getting this or at least making it worse since I seem to not be having a "typical" case and going into 7 weeks or so of this...

I haven't felt like meds have made symptoms resolve and I have now been having heart palpitations for about 2 weeks since I saw the cardiologist and had the echo done. I see the Pulmonologist again tomorrow and I will be curious to hear what he thinks. I most definitely have had a moderate level of anxiety with all this and the sudden huge change in lifestyle since I am very active. My heart rate gets up really fast really quickly, due to anxiety and meds I suppose.

I also haven't felt like I am fatigued either, like many people mention. But I was probably in best shape I have been in because i have been teaching 3-6 hours of fitness classes at gym a week sometimes 2 hours in a row for the past year. So I also wonder do I just not have as severe symptoms, but still have this issue. Nothing else I can find could explain not being able to sleep flat and the pressure I feel on my heart. I really don't think it is chostrocondritis or anything like that. I did try to go back to gym and teach a class mid- April after a break and when I finished it felt like my heart was being squeezed and was tight right in center of my chest. I also notice when i take a really deep breath in- at maximum inspiration I feel a mid-chest tightness. I am doing a pulmonary function test tomorrow as well, the Dr. had scheduled that when I originally saw him 4-5 weeks ago.

Elite Member

Date Joined Apr 2007
Total Posts : 32602
   Posted 5/30/2014 10:34 AM (GMT -6)   
Good Morning,
I posted to your other thread so I am going to lock this one down.  That way all your answers will be located in one thread.
Keep on talking with us.
Moderator: Anxiety/Panic
and Heart/Cardiovascular Disease.

"She Stood in the Storm & When the Wind Did Not Blow Her Away, She Adjusted Her Sails."
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