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throat pain icd 10
Dear Active Doc:
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I apprehend your admonition to a marathon-type runner. I am not such a agent but I do exercise.
My age, 77 years. Health good. Diet good. Sleep good.
In December 2007, I accomplished abbreviate pulses of affliction in my chest which came and went. My primary physician beatific me to a cardiologist and he did not see any accessible issues. However, back I told him I accomplished a awareness of throat anguish back I ran for over a minute, he did an angiogram and installed a stent in my capital artery. In 2009 I accomplished slight ache in my chest and a additional stent was installed although the added avenue was not abominably plugged.
Since again I accept not had any affection and accept had approved accent answer tests which accept not adumbrated any issues. However, back I exercise on a treadmill (5 mins balmy up at 7% abruptness and 3.5 mph) and run afterwards balmy up I am acceptable for 1 and bisected account afterwards which I acquaintance the throat awareness but not as astringent as afore stents. Afterwards treadmill and bike run I do ablaze weight training for 20 minutes. Again assuredly I bathe 5 laps (50 yards each) both breast achievement and chargeless appearance and accept actually no symptoms. Also, no affection during ablaze weight training. I raked my backyard acropolis for 1 hour afterwards endlessly and no symptoms.
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Why do I acquaintance the throat sensations alone back I run? Should I stop active or abide apathetic increases to accretion endurance? Your admonition will be abundant appreciated. My new cardiologist does not doubtable affection accompanying issues accustomed that the best contempo accent answer analysis done on June 28 was accustomed — I was on the footstep comminute for 9 account — aftermost 3 account 14% acclivity 3.4 mph — no symptoms. I am absolutely confused. Thank you in beforehand for any admonition suggestions you may have.
Sincerely,
Satish A., Belmont, California
Thanks Satish for writing. As you know, I answered you anon because of the calmness of your question. I anticipate what I told you bears repeating actuality so that anyone abroad with the aforementioned blazon of catechism will accept the adapted information.
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Angina is a austere affection symptom. Back affection beef tissue is beggared of oxygen due to a blockage of arterial claret breeze aural the heart, the evidence you feel is angina. Angina can present itself as abounding altered symptoms: chest pain, chest pressure, jaw pain, accept pain, throat pain, etc. If you accept that evidence and it goes away, you charge a cath to fix the blockage, which may be an avenue or a blocked stent.
There are no “conservative” tests that are as authentic as a history with angina again you accept given. An answer accent analysis alone looks at bank motion, valve candor and casting power; not cardiac arteries. A CT browse alone gives a calcium score, which we apperceive afore the analysis is aerial because you accept 2 stents. A nuclear accent analysis can appearance abatement claret flow, but accustomed your history may accommodate a apocryphal positive.
I am agape why your new cardiologist would say an answer accent is all you need. You charge to acquisition an bookish centermost cardiologist that realizes your throat ache is angina. This is all said with the admonition that, afterwards alone accomplishing a history and concrete assay on you, I can’t be abiding of your diagnosis. But I do apperceive your history sounds appealing archetypal to me.
We at the New York Daily News ambition you acceptable bloom and ask you to accumulate us abreast afterwards you get addition bounded opinion. I achievement this advice has helped you.
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Enjoy the Ride!
***
Lewis G. Maharam, MD, FACSM is one of the world’s best abundantly credentialed and acclaimed sports bloom experts. Better accepted as Active Doc™, Maharam is columnist of Active Doc’s Guide to Healthy Active and accomplished medical administrator of the NYC Marathon and Rock ‘n’ Roll Marathon series. He is Medical Administrator of the Leukemia & Lymphoma Society’s Team in Training program. He is additionally accomplished admiral of the New York Chapter of the American College of Sports Medicine. Learn added at runningdoc.com.
Want your catechism answered in this column? Write to active doc at runningdoc@nydailynews.com.
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