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intermittent lightheadedness, chest pains

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Undiagnosed symptoms:

I am a 36y/o male with no significant med hx. Approximately 2 months ago, I experienced a sudden and brief pain in the lower left side of my chest immediately followed by a few seconds of lightheadedness. Went to ER and had blood work including thyroid and cardiac workup with no significant findings. In addition, chest x-ray, ECG were normal. Was noted to have slightly elevated BP (138/92). Was discharged with recommendation to follow up with a cardiologist.

No further symptoms were experienced for about two weeks. Then at work one day started feeling lightheaded with intermittent chest pain and returned to ER. All the same tests were performed with same results. Additionally a head MRI and chest CT with contrast were done which were also normal. Was prescribed 10 mg of Lisinopril for elevated BP (130/90). Since this visit I have had intermittent lightheadedness, chest pains and trouble focusing vision on almost a daily basis.

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replied January 16th, 2017
Neurological Disorders Answer A60066
Thank you for asking at Ehealth forum!

I read your question and i understand your concern. With labs clear, dizziness and chest pain all needs supportive care. Gastric discomfort should be treated for chest pain and dizziness needs some antivert. At blood pressure of just 138 systolic, i don't think any anti hypertensive is needed at this point, only diet and lifestyle adjustments will help.

I hope it helps. Stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor.
Take care

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