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Causes and treatment for chest pains - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
User :   Hello- I have been having a pain in my chest for a couple of weeks. It has progressively gotten worse. It radiates from the top of my chest, slightly to the left from center- about 4 inches down from my collar bone, that is the main point, spreading all over the top almost to my shoulders. The pain feels like sore muscles. It doesn't really interfere or bother me much during the day, although the last day or so I am noticing it more during the day. Mainly at night when I am laying down or when I take a deep breath.
Doctor :   Hi
Doctor :   Iam.Dr.XXXXX
User :   Hello
Doctor :   Let mE read your query
User :   ok,
User :   I am 38, non smoker female
Doctor :   May i know your age and gender?
Doctor :   ok
Doctor :   So are you on any medicines
User :   I didn't know this site existed- I just couldn't sleep and decided to come check out some chest pain info
Doctor :   Did you have a history of fall or excessive work
Doctor :   ok
User :   nothing regular, sometimes I take something at night to help me sleep
Doctor :   Do you have pain at the site while pressing there?
Doctor :   ok
User :   mostly like benedryl sometimes a xanax if Im stressed
User :   yes I do
Doctor :   is your pain increasing with respiration
User :   have pain at the sight if I press
Doctor :   ok
User :   if I take a very deep breath, yes the pain increases
Doctor :   Do you have any history of cardiac disease
User :   but not normal breathing
User :   no
User :   nothing
Doctor :   ok
Doctor :   The pain at the left side of chest is to be investigated
Doctor :   for cardiac disease first
User :   thats scary
Doctor :   then comes the musculoskeletal problems
Doctor :   You will mostly have an musculoskeletal disease
Doctor :   But an EKG is necessary
User :   musculoskeletal disease? what is that
Doctor :   to rule out cardiac causes
Doctor :   it means muscular pain,pain at the cartilage site etc
Doctor :   called costochondritis
User :   it is treatable? fatal
Doctor :   Did you try taking any simple pain killers?
Doctor :   Not fatal
User :   yes, advil helps
Doctor :   musculoskeletal diseases are very common
User :   i took a vicodin about a week or so ago- it really helped but I don't like taking those
Doctor :   ok
User :   i've let our health insurance lapse. I was trying to get some insurance back before I went to the doctor
Doctor :   didnt it reduce the pain
User :   it could take a few weeks-
Doctor :   ok
User :   yes, it did reduce the pain
Doctor :   ok
Doctor :   Did you have any history of high cholesterol?
Doctor :   Did you have fever recently?
User :   but the soreness all over, do you think that it is an indication of the muslesketle (sp) thing you were saying. If I wait longer to see a doc, will it get worse or cause any futher health damage?
User :   no high cholestorol, no fever
Doctor :   Anyway an physical examination is necessary
Doctor :   ok
Doctor :   to rule out cardiac causes which is to be done first
Doctor :   that is the protocol
User :   yes, I figured that. I just keep thinking it will cease
Doctor :   But cardiac pain is assctd with seating etc
Doctor :   sweating etc
User :   sweating?
User :   or seating?
Doctor :   sweating
User :   im not sweating- you mean like exercise sweating?
Doctor :   Do try taking simple analgesic
Doctor :   yes
User :   ok, like aleve-
User :   naproxen
Doctor :   sweating is associated when cardiac pain come
Doctor :   yes
Doctor :   provided you are not allergic to it
User :   so, likely because I am not sweating it doesn't appear to be cardiac related?
User :   no not allergic
Doctor :   Most probably
User :   I know you can't say for sure but is that typical
Doctor :   since your are young and no cardiac disease in past
Doctor :   not necessary
User :   ok, well- I guess that's it. Thank you very much for your help
Doctor :   Chest pain is one of the most common complaints that will bring a patient to the Emergency Department.
Doctor :   Is there anything else i can help you with?
User :   yes, I know and I also know that they prioritize it at the ER
Doctor :   yes sure
User :   no, I think I'm good thank you again
Doctor :   Seeking immediate care may be lifesaving, and considerable public education has been undertaken to get patients to access medical care when chest pain strikes
Doctor :   ok fine
Doctor :   While each source of chest pain may have a classic presentation of signs and symptoms, there is significant overlap among the symptoms of each condition, and the symptoms may also be affected by age, gender and race.
Doctor :   Pain can be caused by almost every structure in the chest. Different organs can produce different types of pain but unfortunately the pain is not specific to each cause
Doctor :   The source of pain may arise from a variety of potential sources:
Doctor :   the chest wall including the ribs, the muscles, and the skin
Doctor :   the back including the spine, the nerves, and the back muscles;
Doctor :   the lung, the pleura (the lining of the lung) or the trachea;
Doctor :   the heart including the pericardium (the sac that surrounds the heart
Doctor :   the aorta;the esophagus; the diaphragm, the flat muscle that separates the chest and abdominal cavities; referred pain from abdominal organs like the stomach, gallbladder, and pancreas.
Doctor :   Hope you got it
Doctor :   So do take an appointment with your doctor
Doctor :   Topical ointments can be tried
User :   I could just visit an urgent care tomorrow
Doctor :   Yes sure
User :   like icy hot
Doctor :   Just to be on the safer side
Doctor :   No dont worry
Doctor :   Mostly you are having some muscular pain
User :   never had any health problems at all so it's kindof scary
Doctor :   Dont worry
User :   I will try- the health insurance thing is a concern
Doctor :   This is very common one
Doctor :   ok
User :   we've lost income so it's been tough to keep paying the premiums
User :   gotta figure that one out
Doctor :   ok
User :   thank you-
Doctor :   sure
Doctor :   Is there anything else i can help you with?
User :   no- I will go try some aleve and get some sleep thank you very muc
User :   much
Doctor :   Thanks for consulting ..Bye for now....Take care..
User :   You too :-)
Doctor :   Thankyou....
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