Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
183 Doctors are Online

Chest pain and numbness in the chin - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 1706 Questions
User :   Hi. I had severe pain in my chest last night, right in the centre which bored through to between my shoulder blades. I haven't felt it before but I have been having an almost constant numb feeling in my chin and lower lip. Could this be cardiac or muscular?
Doctor :   Hi
User :   Hi
User :   Can you see the problem I mentioned above?
Doctor :   yes
Doctor :   Do you have the pain even now?
Doctor :   What iss your age?
User :   No but I still have the numbness in my chin and across my chest and in my cheeks a little.
User :   I am 44
Doctor :   Do you smoke?
User :   No, but I only quit a year ago.
Doctor :   Did you have a bout of alcohol last night
User :   A couple of beers, not much.
Doctor :   Do you have high Blood pressure and blood sugar?
User :   No, quite low blood pressure. No blood sugar problems.
Doctor :   Did similar complaints happen in the past?
User :   I have been having the numb chin and face for several months but the pain last night was the first time.
Doctor :   Did you have giddiness, sweating, short of breath along with the pain or any of the above now?
User :   No, but the pain woke me up in the night and I was lying down so I didn't feel giddy etc.
Doctor :   When was you last complete health exam with ECG, Tread mill, Cholesterol tests?
User :   I have had lots of ECGs, a 24 hour monitor which showed a short P-R interval, I have slightly raised cholesterol at 6.1 but the good cholesterol is very high, GP wasn't worried about that.
Doctor :   The symptom that you say is consistent with cardiac origin but there are no associated symptoms, hence I would evaluate you completely again.
User :   Okay.
Doctor :   As you were a smoker once
Doctor :   The second thing is a bout of alcohol can cause such pain which can be gut or pancreatic related
User :   So you can get chest pain which goes through to between the shoulders from the gut etc? Could that cause the chin and jaw numbness too?
Doctor :   I think chin and jaw numbness can be related to this or a completely different thing altogether
Doctor :   If it is related I can relate to cardiac pain
User :   I have the chin and jaw numbness and pressure almost all the time now for a few months. It hardly ever goes. Does that sound cardiac?
Doctor :   As I told you, they may or may not be related with cardiac nature of the problem
User :   So what should I do?
Doctor :   Complete cardiac evaluation again
Doctor :   Meeting your GP once again
Doctor :   Every chest pain episode should be completely evaluated as a new onset pain
User :   So it woudn't be unusual to get chest pain radiating to the back in the night?
User :   I mean that would be usual for a cardiac problem?
Doctor :   Cardiac pain is precordial on the chest wall, referred to jaw, left shoulder and arm sometimes
Doctor :   A chest pain radiating in between the shoulders could be aneurysmal or pancreatic in nature
User :   What does precordial mean?
Doctor :   Chest wall
Doctor :   localized to chest wall
User :   So is it serious?
Doctor :   It can turn serious if not evaluated early
User :   But I don't have it now. Should I expect it to come back if it's serious? Could this pain be caused by a pinched nerve?
Doctor :   Yes
User :   Which question is your yes for?
Doctor :   I would not suggest you to wait and then visit doctor if it recur
Doctor :   Pinched nerve pain is usually tingling in nature along with numbness, the nature of your pain does not say so
User :   My chin and jaw are numb - could this be related? Could it be muscular?
User :   You think I should see the GP immediately?
Doctor :   Yes you should see GP
Doctor :   It cannot be muscular
Doctor :   unless the examination is null
Doctor :   without any positive findings
Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor