Are chest flutters and high D-dimer linked to breast cancer?

Question

Hello doctor,

I am a 39-year-old female. I am fatigued, sluggish, have difficulty concentrating, migraines, and difficulty regulating temperature. I have periodic tightness in the chest and a fluttering sensation. My EKG(electrocardiogram), CT(computerized tomography) chest, and chest X-ray are normal, and the COVID test is negative.

My vitamin B12, folate, and vitamin D levels were low. I started supplements last month, and levels are in the normal range now, but I still have symptoms. Borderline low white count, ABS lymphocyte count, and slightly high platelets. I was diagnosed with lupus as a teenager, but then in my early 20s, I was told that I do not have it. My father died at the age of 59 of a sudden, catastrophic event, possibly a heart attack. Also, my D-dimer was slightly elevated, and so was my sedimentation rate.

I have a history of cancer in the family, especially breast cancer. So, I am more concerned about cancer. I am currently on  Lamictal, Lexapro, and a birth control pill.

Answer 1

Hi,

Welcome to icliniq.com.

Your reports are normal, nothing seems worrisome (attachment removed to protect patient identity).

Since you have a family history of breast cancer, you should get a mammogram. Also, get your BRCA gene (breast cancer gene) tests done. It is a blood test, and if it is positive, then it means a high chance of getting cancer in the future. If it is negative, it is good.

Also, you should take supplements and stop taking birth control pills, as they can also cause cancer sometimes. You should use a mechanical method of contraception like condoms, and you should do regular exercise to reduce your weight, too.