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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 45906
Experience:  Board Certified Physician
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, I am just following up from our previous conversation

Resolved Question:

Hello,
I am just following up from our previous conversation regarding pain in my chest when playing football. I saw a doctor and they did an ECG, which they said showed some signs of a little pericarditis. They didnt say this is what caused the pain but I wanted your insight on this and what can cause it and if it is a serious issue.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.
Dr. David :

This is Dr. David

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.

Customer:

yes i am seeing a cardiologist

Customer:

but i remember you mentioning that I am to young to have issues with my heart

Dr. David :

yes, most likely your heart is fine.

Customer:

can you let me know a little about the pericarditiis

Dr. David :

ECG can sometimes be mistaken

Customer:

is it serious?

Dr. David :

and you may not have pericarditis.

Dr. David :

pericarditis is inflammation of the lining around your heart

Customer:

what causes it? and is it serious?

Dr. David :

in some cases it can be serious, in some cases it goes away on its own with anti-inflammatories such as ibuprofen or aleve

Dr. David :

we don't know why some people get it and others don't.

Customer:

you mentioned

Customer:

that i am too young to have heart issues

Customer:

as i was asking this to you last time we spoke

Dr. David :

your heart most likely is fine.

Dr. David :

again, ECG sometimes can be misleading.

Dr. David :

but that is good you are seeing a cardiologist who will order more testing such as an ultrasound scan of your heart.

Dr. David :

this will confirm for sure if you have pericarditis or not.

Customer:

shoudl i be concerned

Customer:

if i have pericarditis

Dr. David :

no, you shouldn't be concerned.

Customer:

i am quite worried

Dr. David :

have you had any more episodes of that chest pain?

Customer:

n

Customer:

no i have not

Customer:

i went running twice since then

Customer:

i had an unltrasound in 2012 it showed a little fluid

Dr. David :

that is good.

Dr. David :

I see.

Customer:

the cardiologist said to leave it that it would resovle on its own

Dr. David :

so you have had a history of pericardial effusion before.

Customer:

i went back in 6 months and it was gone

Customer:

its happended before

Dr. David :

yes, pericardial effusions can do this sometimes.

Customer:

yes but what is worrying is having it again

Dr. David :

you didn't tell me this before.

Customer:

the recurrence could that not show something more serious?

Dr. David :

yes, and it could go away on its own again as well.

Customer:

i thought i had mentioned

Customer:

yes but the fact that it re occurs

Customer:

is that not a sign of something underlying?

Dr. David :

no, it doesn't mean something is underlying.

Dr. David :

it just means you are prone to getting pericardial effusions sometimes.

Customer:

i have been told sometimes it happens after one has been ill with a cold or a virus

Customer:

which i had about a month ago

Customer:

i am quite concerned

Customer:

as I dont know if this means I have an underlying heart issue

Dr. David :

no, it doesn't mean you have an underlying heart issue.

Dr. David :

you are still running for exercise.

Customer:

i ran twice since that pain

Customer:

and didnt have pain

Dr. David :

the fluid most likely was from your cold virus a month ago.

Customer:

can this happen?

Dr. David :

yes, after a cold infection.

Customer:

it was more a virus than a cold

Customer:

i had a bout of tonsilitis

Customer:

and also body aches and pains

Customer:

so i think it was tonsilitis with a virus as well this was about a month ago

Customer:

during that time i didnt play football

Customer:

so when i went back to play thats when i felt the pain

Customer:

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?

Dr. David :

yes, that is what I said.

Dr. David :

the fluid came out because you were ill from the virus.

Customer:

i am still a little concerened

Customer:

about the echo uncovering some underlying issue

Customer:

my previous echo in march 2013 was fine

Customer:

and i have not had any issues since then

Customer:

its just that i am concerned that what if the echo uncovers somethign underlying

Customer:

ar eyou still available?

Dr. David :

yes.

Dr. David :

I bet your echo will be fine.

Dr. David :

it may show a bit of fluid

Dr. David :

but it will resolve like it did before.

Dr. David :

if you are running for exercise, it means your heart is functioning well,

Dr. David :

probably better than most

Dr. David :

and able to pump blood efficiently

Dr. David :

which is the purpose of the heart.

Customer:

are you still aviaible

Customer:

i thougth you had left the chat hence why i did not send a message

Dr. David :

yes, I am here.

Customer:

i hadnt finished

Customer:

apologies

Customer:

as you had not responded

Customer:

how woudl i know if there was an underlying issue

Customer:

woudl it be that i woudl not be able to run

Customer:

?

Customer:

i just wanted a little insight into the pericarditis

Dr. David :

the heart echo test will tell if you had an underlying heart issue.

Dr. David :

an exercise stress test can tell if you have an underlying heart issue.

Dr. David :

you would be able to pass an exercise stress test with flying colors because you can exercise and run without chest pain.

Customer:

yes but

Customer:

in my casse

Customer:

i am just wondering what causes the pericaditis to occur

Customer:

in our earlier conversation

Customer:

you said i am too young to have heart issues

Customer:

do you still think that is the case

Customer:

given that there might be percaditis

Customer:

do you think i will require some sort of surgert?

Dr. David :

it is the cold virus which caused the pericarditis to occur.

Customer:

surgery**

Dr. David :

you don't need surgery.

Dr. David :

the fluid went away on its own before.

Dr. David :

it will go away again if it is there this time

Customer:

but what about what you said regarding my age?

Dr. David :

you are too young to have heart issues.

Dr. David :

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.

Dr. David :

you don't have to worry about this

Customer:

should i be concerned in general?

Dr. David :

no, you don't need to be concerned.

Customer:

i had an echo two years ago and it was fine do you think a lot wold have changed in that time?

Customer:

i mean i have not had any symptoms or anything

Customer:

if somethign had changed in that time i would have had some symptoms?

Dr. David :

no, a lot would not have changed from your echo from 2 years ago.

Dr. David :

yes you would have symptoms if you had new heart problems.

Dr. David :

you would not be able to run for exercise if you had serous heart problems.

Customer:

okay so what do i need to do now?

Customer:

can i still exercise with pericarditis?

Customer:

or play footbal?

Customer:

would you say the pain i felt last week was cause of the pericarditis?

Dr. David :

yes, you can exercise with mild fluid around your heart.

Dr. David :

you ran and did fine.

Dr. David :

yes, most likely you had a bit of fluid around your heart.

Dr. David :

and your football play which was quite strenuous irritated that fluid

Dr. David :

but the fluid will go away.

Dr. David :

maybe it has gone away already.

Dr. David :

you ran and didn't have chest pain.

Dr. David :

so you will be fine.

Customer:

okay just one more question on this

Customer:

in what instances can this be serious?

Dr. David :

the chances of this being serious are super super super super super small

Dr. David :

about one in 100,000

Dr. David :

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 today

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Thanks for using JustAnswers.com

Dr. David :

do you have any other questions?

Customer:

are you still available

Customer:

i had one final question on this

Dr. David :

what is your question?

Customer:

hello

Customer:

are you available

Customer:

what woudl you advise i do for now

Customer:

and what are the complications of pericarditis?

Dr. David :

I would advise you see the cardiologist.

Dr. David :

and get a new ultrasound of the heart.

Dr. David :

and it might see a bit of fluid around the heart

Dr. David :

but it will go away with time.

Dr. David :

I think you just have pericardial effusion for now.

Dr. David :

pericarditis is inflammation or infection of this fluid.

Dr. David :

you don't have signs of pericarditis right now.

Customer:

what is the difference between the two?

Customer:

and is pericardititis more serious?

Dr. David :

pericardial fluid is just fluid around your heart.

Dr. David :

pericarditis means inflammation of the pericardial lining of the heart.

Dr. David :

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 today

you can always reach me with "a question for Dr. David" if you have any other questions

here is my website if you need to reach me again:

http://www.justanswer.com/medical/expert-dr-david/

Thanks for using JustAnswers.com

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