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Chest pain with headache.

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Dear Doctor,I have been having the following symptoms:1. Pain in the left side of my chest and its intermittent, it gets worse when am working in the office which is air conditioned2. Lately it comes with headache especially at night. What could be the problem?I take alcohol (beer) but i dont smoke. I weigh 100kgs, cholesterol level of 3.74, sugar level of 6.0 with slightly higher diastoliic BP.

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Category: Family Physician-GP
 21 Doctors Online


It seems like you are suffering from chest infection although it's imperative that you get an ECG to rule out angina.

A chest infection is an infection that affects your lungs, either in the larger airways (bronchitis) or in the smaller air sacs (pneumonia). There is a build-up of pus and fluid (mucus), and the airways become swollen, making it difficult for you to breathe.

Before any other investigation I would recommend an ECG to rule out myocardial angina. Angina pain usually increases during work.

1) Start a broad spectrum antibiotic like Tab cefepime to prevent the progression of sepsis.

2) Go to the nearest laboratory and get a blood culture done to rule out sepsis. Also get a complete blood count. Based on the culture sensitivity the antibiotics can be changed.

3) Increase the intake of water and other fluids to prevent dehydration. If you cannot take enough fluids orally, I would suggest you get yourself admitted in the hospital and take I.V normal saline.

4) Check your temperature regularly and maintain a record to check the progression.

5) Get a chest X-ray to check for lung pathology.

If the severity of the symptoms increases kindly consult a doctor for the aforementioned recommendations.

Thank you.

Dr. John Monheit
Category: Family Physician-GP
Residecny: North Colorado Family Medicine
Medical School: The Chicago Medical Center
Dr. John Monheit and 4 other Medical Specialists are ready to help you

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