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Hi Doc,

Tomorrow I am scheduled to have cardiac catheterization which still can be cancelled depends on my decision tonight.
To make things difficult is, I have kidney problem, my internist found that I have glumerulonephritis (foamy urine, EFGR - checked last week: 51%, ureum creatinin: 1.6 above standard 0.8-1.5).
I'm afraid after catheterization my kidney function will decrease rapidly but if not, I worry if there is attack while my kidney function has fallen to below 30%, catheterization is no longer a safe option.
The reason for catheterization is because for the last 1 month, I often experienced nausea, dizziness, pain in the left arm spread to my back, and have sensation of sharp pain in the upper left chest pain, usually after I eat fatty food. The symptoms also accompanied with gas, bloating.
I have several times go to emergency, EKG is normal, doctor said it was due to IBS. However I also have stress test, although generally normal, however on one occasion, my heart showed rapid jump, which raised concern to my MD, therefore we agree to do catheterization.
What is your say about my problem? is it due to heart problem or gas trapped?
My question is, what is my best option now? should I continue with cardiac catheterization to see whether there is a really a blockage or reassured myself that it was due to IBS?

Many many thank you Doc

Category: Cardiologist

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Category: Cardiologist
 21 Doctors Online

Thank you for your query at
You have atypical symptoms. You could also opt for a stress test instead if coronary angiography. It is not as dangerous kidney wise as you think. There is a small risk of contrast nephropathy if you are diabetic with borderline kidney function like yours. But adequate hydration and acetylcysteine 48 hours before procedure and minimum amount of dye of low osmolality contrast may help to avoid any such side effects. You may still undergo coronary angiography. Don't worry.
Feel free to discuss further,
Dr Vivek Mahajan
DM Cardiology

Dr. Vivek Mahajan
Category: Cardiologist
Fellowship: DM, Cardiology, PGIMER, 2013
Residency: MD, Internal Medicine, AIIMS, 2007
Internship: King Edward Memorial (KEM) Hospital, 2003 
Medical School: MBBS, Seth G.S. Medical College, 2002
Dr. Vivek Mahajan and 4 other Medical Specialists are ready to help you

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