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This is Dr. David
if your ECG showed some pericarditis, you should get a cardiac echocardiogram ultasound of your heart to check your heart out and to check for fluid and inflammation around your heart.
yes i am seeing a cardiologist
but i remember you mentioning that I am to young to have issues with my heart
yes, most likely your heart is fine.
can you let me know a little about the pericarditiis
ECG can sometimes be mistaken
is it serious?
and you may not have pericarditis.
pericarditis is inflammation of the lining around your heart
what causes it? and is it serious?
in some cases it can be serious, in some cases it goes away on its own with anti-inflammatories such as ibuprofen or aleve
we don't know why some people get it and others don't.
that i am too young to have heart issues
as i was asking this to you last time we spoke
your heart most likely is fine.
again, ECG sometimes can be misleading.
but that is good you are seeing a cardiologist who will order more testing such as an ultrasound scan of your heart.
this will confirm for sure if you have pericarditis or not.
shoudl i be concerned
if i have pericarditis
no, you shouldn't be concerned.
i am quite worried
have you had any more episodes of that chest pain?
no i have not
i went running twice since then
i had an unltrasound in 2012 it showed a little fluid
that is good.
the cardiologist said to leave it that it would resovle on its own
so you have had a history of pericardial effusion before.
i went back in 6 months and it was gone
its happended before
yes, pericardial effusions can do this sometimes.
yes but what is worrying is having it again
you didn't tell me this before.
the recurrence could that not show something more serious?
yes, and it could go away on its own again as well.
i thought i had mentioned
yes but the fact that it re occurs
is that not a sign of something underlying?
no, it doesn't mean something is underlying.
it just means you are prone to getting pericardial effusions sometimes.
i have been told sometimes it happens after one has been ill with a cold or a virus
which i had about a month ago
i am quite concerned
as I dont know if this means I have an underlying heart issue
no, it doesn't mean you have an underlying heart issue.
you are still running for exercise.
i ran twice since that pain
and didnt have pain
the fluid most likely was from your cold virus a month ago.
can this happen?
yes, after a cold infection.
it was more a virus than a cold
i had a bout of tonsilitis
and also body aches and pains
so i think it was tonsilitis with a virus as well this was about a month ago
during that time i didnt play football
so when i went back to play thats when i felt the pain
does that indicate that the pericarditis formed after i was ill hence why i felt the pain the first time i played after being ill?
yes, that is what I said.
the fluid came out because you were ill from the virus.
i am still a little concerened
about the echo uncovering some underlying issue
my previous echo in march 2013 was fine
and i have not had any issues since then
its just that i am concerned that what if the echo uncovers somethign underlying
ar eyou still available?
I bet your echo will be fine.
it may show a bit of fluid
but it will resolve like it did before.
if you are running for exercise, it means your heart is functioning well,
probably better than most
and able to pump blood efficiently
which is the purpose of the heart.
are you still aviaible
i thougth you had left the chat hence why i did not send a message
yes, I am here.
i hadnt finished
as you had not responded
how woudl i know if there was an underlying issue
woudl it be that i woudl not be able to run
i just wanted a little insight into the pericarditis
the heart echo test will tell if you had an underlying heart issue.
an exercise stress test can tell if you have an underlying heart issue.
you would be able to pass an exercise stress test with flying colors because you can exercise and run without chest pain.
in my casse
i am just wondering what causes the pericaditis to occur
in our earlier conversation
you said i am too young to have heart issues
do you still think that is the case
given that there might be percaditis
do you think i will require some sort of surgert?
it is the cold virus which caused the pericarditis to occur.
you don't need surgery.
the fluid went away on its own before.
it will go away again if it is there this time
but what about what you said regarding my age?
you are too young to have heart issues.
having some fluid around the heart in pericarditis after a viral infection is not a heart issue that is going to affect how well your heart will function.
you don't have to worry about this
should i be concerned in general?
no, you don't need to be concerned.
i had an echo two years ago and it was fine do you think a lot wold have changed in that time?
i mean i have not had any symptoms or anything
if somethign had changed in that time i would have had some symptoms?
no, a lot would not have changed from your echo from 2 years ago.
yes you would have symptoms if you had new heart problems.
you would not be able to run for exercise if you had serous heart problems.
okay so what do i need to do now?
can i still exercise with pericarditis?
or play footbal?
would you say the pain i felt last week was cause of the pericarditis?
yes, you can exercise with mild fluid around your heart.
you ran and did fine.
yes, most likely you had a bit of fluid around your heart.
and your football play which was quite strenuous irritated that fluid
but the fluid will go away.
maybe it has gone away already.
you ran and didn't have chest pain.
so you will be fine.
okay just one more question on this
in what instances can this be serious?
the chances of this being serious are super super super super super small
about one in 100,000
let me know if you have other questions.if done for now, please leave positive rating below the chat box so I can get credit for helping you todayyou can always reach me with "a question for Dr. David" if you have any other questionshere is my website if you need to reach me again:http://www.justanswer.com/medical/expert-dr-david/Thanks for using JustAnswers.com
do you have any other questions?
are you still available
i had one final question on this
what is your question?
are you available
what woudl you advise i do for now
and what are the complications of pericarditis?
I would advise you see the cardiologist.
and get a new ultrasound of the heart.
and it might see a bit of fluid around the heart
but it will go away with time.
I think you just have pericardial effusion for now.
pericarditis is inflammation or infection of this fluid.
you don't have signs of pericarditis right now.
what is the difference between the two?
and is pericardititis more serious?
pericardial fluid is just fluid around your heart.
pericarditis means inflammation of the pericardial lining of the heart.