Ask Lemmy

You definitely want to get that checked out

Vomit, burning, heart pain etc... Are all in the "pretty alarming" category

Here's some general life advice: if your body (especially your heart) starts doing things it shouldn't be doing you should probably talk to a doctor. You have insurance, this is what it's for. Hit up your nearest urgent care.

Could be a simple case of reflux - when some stomach valve doesn't stay completely closed during sleep and lets gastric juices and food creep upwards.

But the best medical advice is not to seek medical advice from randos online. Go to urgent care and see what they say, or at the very least lookup if there is a nurse hotline where you live and call it.

Get checked immediately chest pain and vomiting are signs of a heart attack

You have medical. Get checked out. Said the guy who hates going to doctors / hospitals. Be safe.

Hope you're doing better now. As someone who works in the medical field, it can be a real bitch to navigate everything.

For the future: Nobody here knows your baseline. If you tell any clinical medical worker you have had chest pain followed by difficulty breathing and vomiting they're very likely to tell you to go to the ED/ER (Emergency Department / Room). Speaking for myself only, that would depend how stable I feel following the vomiting incident and if the chest pain persisted, and baseline conditions and history (e.g., do you have a history of hypertension, high cholesterol, overweight, etc.? When was your last physical exam?).

We also don't know the full context on what you mean by couldn't breathe and feeling like you could die. For example, did you have a major GERD / Acid-Reflux incident (could explain mild chest pain)? Did you eat something and have an allergic anaphylactic reaction followed by a surge of adrenaline from your fear of death and a panic attack followed by vomiting? Have you had sinus congestion say from a cold and a glob of postnasal drip obstructing your airways? Do you take drugs? And yes, it's possible you also had a heart attack.

Worth noting: Urgent Care has limited resources beyond an X-ray machine, usually. The moment you mention chest pain, they'll hook you up to an ECG to take a reading. If your vital signs are okay (blood pressure, SPO2, heart-rate, temperature) and your ECG reads no active heart attack, then they might just refer you to a cardiologist follow-up. If on the other hand there are signals of a recent or active heart attack, they will pretty much demand you get loaded up into an ambulance and send you to the nearest hospital with a cath lab (due to liability on themselves). You'll thus be triple-dipping costs from urgent care, ambulance, and hospital when you might've been better off going straight to the ER.

ER will be a higher co-pay with insurance and absurdly costly without (but there are options, some ethical some not surrounding this). The good news is unlike Urgent Care, they cannot refuse treatment based on lack of insurance, if that's your predicament. Urgent Care will.

Also when you call 911 for a medical emergency, police aren't going to be involved. ACAB rhetoric aside, DO NOT REFUSE TO CALL 911 BECAUSE OF THIS. The moment the dispatcher sees this is a medical emergency, nearby fire departments or ambulances will be notified.

Welcome to America. Where medical advice is asked to a bunch of weebs on the internet over going to the fucking hospital when you feel ill because of money concerns... I hate it here.

I know its late for this but you can also start with Urgent Care. With insurance it could be a fairly cheap copay. They will advise on what to do next. You could have something like the flu (i had the flu and it fucked me all sorts of up) and theyd just prescribe you some medicine and rest

Frame 1: “Hey USA, how’s it going?”

Frame 3: this post

Frame 4: “Jesus Christ…”

Alright. Way too many socialists in this post who don't know how 'Murica works, god dammit. Here's real advice:

You woke up, so you aren't dead yet. In most cases, that's a good sign. Give it 30 minutes. If you feel better, great! This is where I preposterously tell you to follow up with your family doctor and we both have a good chuckle.

(Edit to explain: we have no idea who our family doctor is and we haven't been there in so long we would be considered a new patient.)

If you don't feel better, might well give it another hour. Most of the damage from a heart attack or stroke is done in the first 30 minutes, so you're probably not going to get any worse.

If you're still not dead after that, you're probably clear to make it through the weekend.

Next question is do you have sick leave? If not, congratulations, you're fine! If you do have sick leave, go ahead and make an appointment first thing Monday. They won't do anything, just send you for labs, maybe or just leave that part to the specialist they will refer you to.

So now it's 6 weeks later and the specialist is calling to confirm the appointment you're forgotten about. Do you feel better or are you out of sick leave? Congratulations, you're fine.

Next, is your deductible over 10% of your annual income? (5% if it's after Nov.15. You're gonna wind up paying that whole thing for diagnostic tests this year and the actual treatment will hit you after Jan 1 and you're double fucked.) If it is, congratulations, you're fine!

If you reach this point, you probably are in need of medical attention and can afford it. Congratulations on getting the help you need.

Bask in the superiority of the best healthcare in the world, you European nancies!

Obviously the tone is meant to be humorous, but this is basically the reality. The only thing I've omitted is that you can just go to the hospital and get the treatment you need and then avoid answering unknown numbers for 7 years. I have yet to see anyone sued over medical debt.

Do urgent care instead, if that's an option where you are.

Urgent Care vs. ER

Go to the ER. As someone with heart problems herself I always say that you only have one heart so I would absolutely get it checked out. At least get an ECG workup done. Nausea and vomiting alongside an irregular heartbeat can be a symptom of atrial fibrillation which would be confirmed with an ECG. I hate to worry people but the symptoms you mentioned can also be a sign of a heart attack and the longer that goes on the more damage this could be doing to your heart. Get to the hospital ASAP!

Medical debt in the US is an unsecured debt. You won't be thrown in jail or any impact on credit if it takes you forever to pay it off. Go to the emergency room and ask for a payment plan when the bills due. Then, do what you wish with the first sentence I wrote.

Taxi to ER. No medical office will touch you having complained of, even mild, chest pain and a weird feeling heart. Been there, done that. Walk in the ER talking of chest pain, and say that first!, they will throw you in a room and attach an EKG. Been there, done that.

I don't mean to alarm you, but taken together those symptoms smell like a mild heart attack. By some voodoo I don't understand, the EKG can tell, even if the event is not happening in the moment.

I say no medical office will touch you, but first time my doc sent me to the ER, second time they whipped out a portable EKG. Times change, I may be wrong.

> Makes thread asking if you should go to the ER

> Literally everyone says to go to the ER

> Doesn't go to the ER

ok

RIP I guess. Hopefully you don't reincarnate into a poor girl in a third world country.