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escapin
New Member


Date Joined Aug 2014
Total Posts : 16
   Posted 9/14/2016 8:02 PM (GMT -7)   
I've been having strong chest pain on and off since last November, also some shortness of breath. I've seen my GI thinking it was GERD related, EGD was normal. Saw a pulmonologist, pulmonary function test, normal, stress echo and regular echo, normal. Symptoms are not consistent. I'm scheduled for a nuclear stress test. The cardiologist says maybe a vasospasm. After reading about it, this does not sound like me. I think if anything it could be microvascular disease, with esophageal spasms. Can a nuclear stress test show vasospasm or microvascular disease? I don't know which doctor to turn to. Cardiologist put me diltiazem, it's making me dizzy. GI offers meds too, but I don't like going on meds without a diagnosis. Anyone out there have microvascular disease or vasospasm, how was it diagnosed? I've also been experiencing fingernail changes. One fingernail has become clubbed and more are starting to be clubbed.they have all turned white, with no moons. I also have connective tissue disease and gastroparesis. Help, I'm desperate for any advice!

Pratoman
Veteran Member


Date Joined Nov 2012
Total Posts : 5143
   Posted 9/15/2016 7:05 AM (GMT -7)   
escapin, sorry for your troubles. I am not qualified to answer your questions, i know nothing about vasospasms. Except to say, it sounds like a clinical diagnosis, that is, a guess, since they couldn't find evidence of anything else.

If i were having chest pains and shortness of breath, i would want a CT Angiogram, which is a CT Scan of the heart. It will show the arteries, plaque load, and any blockages with about 95% certainty. And i would make sure wherever i went, it was a place with the newer machines that give off less radiation.
Dx Age 64 Nov 2014, 4.3
BX 3 of 12 cores positive original pathologyG6, G6, G8 (3+5)
downgraded to 3+3=6 by Dr Epstein, JH
RALP with Dr Ash Tewari Jan 6, 2015
Post surgical pathology – G7 (3+4), ECE, Margivns, LN, SV all negative
PSA @ 6 weeks 2/15, .<02, 4/15 <.02 7/15 <.02, 10/15 0.00 (new lab) , 1/16, 0.00, 6/16 0.00
My Story: tinyurl.com/oo9x4aq

escapin
New Member


Date Joined Aug 2014
Total Posts : 16
   Posted 9/15/2016 7:20 PM (GMT -7)   
Thanks for responding to me. I have had a chest CT it is normal. I am having a nuclear stress test next week. I'm not really wanting to do the ct angiogram because it's so invasive and my symptoms are not everyday. I may end up having that test though.

Pratoman
Veteran Member


Date Joined Nov 2012
Total Posts : 5143
   Posted 9/16/2016 8:41 AM (GMT -7)   
CT Angio is completely non invasive. Its not like a regular angiogram, aka cardiac cath. Its simply a CT scan of the heart and arteries, just like you had on your chest.
Dx Age 64 Nov 2014, 4.3
BX 3 of 12 cores positive original pathologyG6, G6, G8 (3+5)
downgraded to 3+3=6 by Dr Epstein, JH
RALP with Dr Ash Tewari Jan 6, 2015
Post surgical pathology – G7 (3+4), ECE, Margivns, LN, SV all negative
PSA @ 6 weeks 2/15, .<02, 4/15 <.02 7/15 <.02, 10/15 0.00 (new lab) , 1/16, 0.00, 6/16 0.00
My Story: tinyurl.com/oo9x4aq

escapin
New Member


Date Joined Aug 2014
Total Posts : 16
   Posted 9/16/2016 9:05 AM (GMT -7)   
Oh, good to know thank you. I will definitely look into thatπŸ‘πŸ»

wardtholsey951
New Member


Date Joined Dec 2015
Total Posts : 16
   Posted 12/17/2016 1:00 PM (GMT -7)   
@escapin

What was the results of all your testing services? What all did you have done? Any concrete diagnosis? We haven't heard back from you in months.
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