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Chest pain, right side, gets worst while breathing - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2009
Answered : 544 Questions
User :   As you can see, I am up at 4:00 am. This is due to chest pain that started around 10:00 p.m. I am not able to sleep on my right side because of this sharp pain. Leaning over is also uncomfortable. Should I be planning to be in someone's emergency room soon?
Doctor :   Hi
Doctor :   I am
User :   Good morning doctor. I hope you're well. Were you able to read my concern?
Doctor :   from 10 till now u stilll have the pain?
User :   Yes. It's not a consistent pain though. It's only when I lean over or try to sleep on my right side. I have determined that sleeping on my stomach is bearable, but I'm still worried that it may be heart related.
Doctor :   does it get worse when breath?
User :   I can feel it, but the pain level when I breathe is not significant.
Doctor :   ok
Doctor :   do u have fevr?
Doctor :   cough?
User :   No cough. not sure about a fever. Let me check..
Doctor :   ok
User :   No fever. 97.8.
Doctor :   OK
Doctor :   How old are u ?
Doctor :   DO u have diabtetes, high BP?
Doctor :   hello
User :   35. No diabetes, but I do have high blood pressure. As of this month, high cholesterol also, but I'm not on medication for it. My primary care will re-evaluate in about a month.
Doctor :   it could be plerasy- irritation of lung covering , pleara-- rare
Doctor :   It is very it is heart attack
Doctor :   almosy zero. I am 100% confdent
Doctor :   it could be from pericardial infection of the heart
User :   doctor is that very unlikely?
Doctor :   or it could be from muskuoskeltal
Doctor :   yes pericardial infection is also very inlikesly
Doctor :   because it dioes get worse with breathing
User :   If it's an infection, what is the next course of action. So you're confident that it is not a heart attack? Obviously, that is my first concern.
Doctor :   yes it is not heart attack
User :   That's good to know.
Doctor :   Take Ibuprofen 8000mg now
Doctor :   sorry 800mg
Doctor :   and 600mg after 6 hrs
Doctor :   wait for the responce
Doctor :   if does not better, have chest x ray and EKG
User :   So, if I understand you correctly take 800 mg now. Then 600 at around 1030 . If not not better, than head to the emergency room.
Doctor :   Yes
User :   Got it. Other than taking ibuprofen, is there anything else that I can do (or should do) RIGHT now to ease the pain?
Doctor :   nothing
Doctor :   But I recommend u visit ER no relief
User :   Alright doctor. I will report to work as normal today, but I will make my boss aware of the situation. Do we think that this is just a passing thing? At this point, is there any reason to be truly worried? I know that some of this is just "wait and see."
Doctor :   right now , I am depending on clinical knddge
Doctor :   I have no objective data
Doctor :   based on history on deleted heart attack,
Doctor :   But there are other concersn
Doctor :   My #1 diagnosis is musculoskeletal pain
Doctor :   I can only tell u take Ibuprofen and if no relief get x ray and ekg
User :   Thank you so much. I'm taking the ibuprofen and heading back to bed. Is these any way to get a transcript of this conversation?
Doctor :   when u get relief , then I am sure it is not serious
Doctor :   if no relief , i need to worry
Doctor :   copy the chat
Doctor :   u can also print from ur account
User :   Thanks again. Have a good night/morning.
Doctor :   Good night
Doctor :   Take care
Doctor :   Bye
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