How tall are you (feet and inches)?: 6'0
What is your weight in pounds?: 230
How old are you?: 40
How long has this been going on?: A week or two
Check all symptoms you are currently experiencing:
My husband has been complaining of a "knot" in his chest, a hair to the right of his xiphoid process. It hurts to push on it and when there's pressure applied it makes him VERY nauseous! He's a very tough man. He's not one to complain of pain at all which worries me enough to come here to you. We've been to the Dr. and she gave him clairatin and omeprazole. Its NOT indigestion! He was in the military so its a VA hospital. His Dr. ordered an ultrasound but haven't gotten a call back yet. Its been two three days. I used to be a paramedic and my first "field impression" is gallbladder. He's miserable! Unlike him! He's also exhausted everyday. Fatigued. Headaches daily.
What have you done so far to remedy this condition? Please include tests and relevant studies here.
: Waiting on ultrasound appoint.
Only meds he's on is Clairatin and Omeprazole.
Please list any chronic medical problems and also list any prior surgery: No medical problems. Has only had two surgeries. One for wisdom teeth six years ago. Before that three screws in his patella after falling and shattering it. Over all excellent health. Low BP, good heart rate, typical high cholesterol.
Check all conditions present in your immediate family... :
Please list any medication allergies that you have : : Nka
Please list any medications you are currently taking (and dosage if known) :: Clairatin 10mg
Periodic tylenol and aleve for headaches and knee pain.
Are you currently using or do you have a history of tobacco use?: Yes
Are you currently using or do you have a history of illegal drug use?: Yes
Please describe your alcohol consumption :: Occasionally
I guess I just need to know if I need to FORCE him to the ER because he doesn't want to go. I'm also planning to pressure the VA to get him in sooner.
So hard to say without an exam. Would be nearly impossible to feel the gallbladder even if it was enlarged or inflamed. I have a very good friend who is a docot for the VA and I understand the delays. It's now up to one year for a hip replacement.
That being said I think the more important thing to realize is that just with what you have told me I do not thing delay is an appropriate thing in your husband's case. He needs that ultrasound but he needs a chest Xray and an EKG and yesterday. He needs a provider to examine him and these days the only place to get answers to complex medical questions in a timely fashion is in the ER.
Also, it's unclear to me from your question above if you are referring to yourself or your husband in many of the questions.
If his pain worsens, if he develops shortness of breath, fever, or vomiting you must get him to the ER. I can't put together this problem very well though I do agree that the Gall Bladder is suspect.
If you sish to clarify your responses or ask further questions in the comment section please feel free to do so.