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Musculoskeletal pain or gastric reflux - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 582 Questions
User :   I am feeling Chest Pain right over my heart area for the last 20 days or so, Pain is very mild but pretty consistent. Pain aggrevates when i bow down or move my left hand towards right. Is this any symptoms of heart disease or anything else. kindly help??
Doctor :   Hi
User :   Hello
Doctor :   May I know your age and gender?
Doctor :   Can you describe the nature of the pain?
User :   i am 30 and male
User :   Pain is mild..over my hear area
Doctor :   Do you have any other symptoms such as cough, fever?
Doctor :   Did you sustain any injury before the pain started?
User :   i had fever few months back
User :   but at that time no such pain was there
Doctor :   Did you sustain any injury before the pain started?
User :   no i dont think so
User :   when i press on my hear i can feel this pain
User :   or when i bend my body down wards, i feel this pain
Doctor :   Do you feel pain/tenderness if you press on the sternum(breast bone)?
User :   where is this brest bone
User :   ??
User :   i feel pain right over my hear area??
Doctor :   The bone in the middle over the chest?
User :   no
User :   i fell it in the muscle over heart area??
Doctor :   Do you have any other medical problems such as diabetes/hyertenion?
Doctor :   *hypertension?
User :   no..i am pretty healthy..infact i do not have to visit any docor in last 12 years
Doctor :   Do you smoke or consume alcohol?
User :   its only few months back i had visited doctor because of viral fever
User :   i do smoke??
Doctor :   Ok
Doctor :   let me brief you.
User :   k
Doctor :   Based on the description of the symptoms, there are two possible causes for your symptoms.
Doctor :   Its is unlikely to be a heart issue, as the description of the pain and duration of the pain is not similar.
Doctor :   The possible causes are
Doctor :   1. Musculoskeletal pain - which can occur due to inflammation or following an injury.
User :   k
Doctor :   2. A reflux gastritis referred to as heart burn.
Doctor :   Both the causes are of not major concern.
Doctor :   I shall suggest you few measures that will help you.
User :   yes
Doctor :   1. Use antacid syrups such as Syp Mucaine gel 2 tsp before meals thrice daily for a week.
User :   k
Doctor :   2. You may use mild analgesics such as paracetamol pain relief ( Dolo 650mg tablets or crocin pain relief) twice daily for 3 to 5 days.
Doctor :   3. Avoid hot and spicy food.
User :   pain is very mild
User :   k
Doctor :   The analgesics are for antiinflammatory purpose and not for pain control, hence you can use them.
Doctor :   4. Restrict smoking and caffeine consumptions (both of which can aggravate the reflux symptoms.
User :   yeah i ahve laready cut down my smoking..infact working hard to quit it
Doctor :   5. Good bed rest - regular sleeping habits( minimum of 6 to 8 hours of sleep)
Doctor :   6. Regular eating habits is also necessary.
User :   i hope this is not something serious doctor??
Doctor :   7. Avoid stressors.
User :   k
Doctor :   And lastly if the symptoms are persisting, then you may need to consult a doctor - a general physician for examinatino.
User :   should i visit physician or ardiologist??
Doctor :   No, they are of not serious concern.
Doctor :   A general physician will do, as your pain is non cardiac in origin.
Doctor :   Have you followed what I have suggested?
User :   all right
Doctor :   Do you have any other query?
User :   i will follow all these
User :   yeah just wanted to know, why pain aggravates when i bow down and move my left hand towards right.. i do feel like its a kind of muscualr pain
User :   i have too use Mucaine gel and paracetamol
Doctor :   Change of position can increase both muscular pain, similarly
Doctor :   reflux symptoms also increases with change of position ( due to the decrease in the gravity).
Doctor :   It should be better with the measures that were suggested.
User :   allright
Doctor :   Consult a doctor if the symptoms persists for more specific treatment.
Doctor :   Do you have any other query?
User :   may i know your name doctor and were r u from??
Doctor :   I am Dr XXXX.
User :   k
Doctor :   from XXXXX.
User :   all right doctor
Doctor :   Do you have any other query?
User :   if i have to consult u again then wot i need to do doctor??
Doctor :   You can either get back to us on chat, or you can speak to us through a get a call option.
Doctor :   Do you have any other query?
User :   i do vistit XXXXXX on regular basis for my job purpose?? van i come directly to your clininc if need arises??
Doctor :   Since I do not practise outside, you can consult your regular physician.
Doctor :   Do you have any other query?
User :   all right thank you
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
User :   bye sir
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