I am 32 years old, 318 pounds, 5'10

Patient

Q: I am 32 years old, 318 pounds, 5'10" and I have type 2 diabetes and high blood pressure. I'm currently taking metformin, insulin, hydrochlorithizide, metoprolol, loratadine, pantoprazole. I recently have been experiencing shortness of breath and Adema in my left leg. I'm breastfeeding my daughter and trying to eat well. I'm concerned about my health. My insurance is lapsed right this moment. Is this a major concern or can it wait?

Doctor

A:   Hello.
Welcome to Ask The Doctor.

I understand your concern.
I have following diagnosis for you:
1. Cardiac Chest pain.
2. Acid reflux.
3. Muscular pain.

It is important to differentiate between the all as the treatment course is entirely different.
The Muscular chest pain aggravates with movement. It is dull, diffuse and continuous in nature.
However, the Cardiac chest pain is severe and crushing in nature. It increases with activity like walking, exercising. It also radiated to left arm.
In such scenario, I would advise an ECG and a Chest X-ray. This will give an idea that pain is cardiac in nature or not.
If the ECG and Chest Xray are normal, the pain is probably Muscular or due to Acid reflux.
For acid reflux, I would advise you to take a combination of Pantoprazole and Domperidone once a day.
I suppose, you should get an evaluation done for Anginal pains.

I would advise you following:
1. Treadmill Test
2. Repeat ECHO.

If any abnormality is found, then an angiography should be performed.
Share my opinion with your Doctor before acting upon it.

I hope it helps.
Stay Healthy

Related Q&A

Q: My 68 year old father has been diagnosed with an unknown virus. Prior to this diagnosis, he was generally healthy, wi...

Q: Ive been so tired for months now! Out of the blie this morning I tested my fasting blood sugar level and it was 164. ...

Q: When my sugar is low I experience exaggerated movements. Why

Q: When my sugar is low I get exaggerated movements. This has happened 3 times now Why?

Q: Think have diabetes..dont have medical insurance nor a primary physician. Found a lab that will test for diabetes sho...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews