HomeAnswersCardiologychest painHow to treat chest pain and breathlessness in my mother?

My mother has chest pain and breathlessness.What do we do?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At July 8, 2015
Reviewed AtMay 30, 2023

Patient's Query

Hello doctor,

My mother has the following complaints. She is feeling rotating chest pain. She has breathing difficulties while walking. I have uploaded her ECG for further investigations.

Hello,

Welcome to icliniq.com.

I have studied her ECG (attachment removed to protect patient identity) and there is no significant abnormality. I would like to know the following details regarding breathlessness and chest pain that she gets. Is it during walking or sitting position? Is it continuous or intermittent? Is there any previous history of diabetes or hypertension?

Patient's Query

Thank you doctor,

Here are the answers to your questions. She is diabetic for the past 10 years and not under control. Her blood sugar level is 200/250 mg/dL. As a part of her profession, she had been sitting in a chair for more than 18 hours per day. But nowadays, she used to spent only 8 to10 hours per day and that too twice or four times a month. After a long walk she will be panting, not so high but I can spot that out when she speaks. She is not getting proper sleep too.

Hello,

Welcome back to icliniq.com.

Diabetes is the biggest complication creating disease. So, she should take her medicines regularly to maintain her blood sugar levels. If she is less mobile, the possibility of cardiac issues and deep vein thrombosis increases. We should not rely on ECG (electrocardiogram) in her case. She should get a Tread Mill Test (TMT), echo, and doppler legs done. Moreover, she should be given blood thinners in the form of antiplatelet drugs like Aspirin. Your doctor would start her with an assumed dosage and will modify the medicines based on her blood sugar values. She would definitely require weight reduction. There are two ways of diabetes management. Lifestyle changes includes diabetic diet, daily exercise, cholesterol, and weight management. Drug therapy, if blood sugars are so high, they cannot be well controlled on any dietary measures. So the medicines are required based on the blood sugar levels. I would advise you to get her following investigations done such as HbA1c (Glycated hemoglobin), fasting lipid profile, serum creatinine, and urine for microalbumin. Stay healthy.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Anshul Varshney
Dr. Anshul Varshney

Internal Medicine

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