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Non-cardiac chest pain - 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 : 2004
Answered : 1722 Questions
User :   Recently I work very hard, I guess that is hard for my heart. More and more often, I feel uncomfortable on my left side the place right up my heart at the back, so it is at the back, on the left, about the place above my heart and below the shouder. The feeling is like something very very heavy pressing there, if I hit that spot, I will feel a little bit relieved, but I really can't reach that spot. This morning, the heaving feeling is very uncomfortable. And there were one or two times recently, I was woken up at night because of that heavy pressing feeling there. What shall I do to fix it? Thank you very much! XXX
Doctor :   Hi
Doctor :   Let me read the query.
Doctor :   May I know your age?
Doctor :   Since when are you having this symptom?
User :   38 female, two or three months
Doctor :   Are all your symptoms precipitated after exertion?
Doctor :   Do you have similar symptoms while at rest?
User :   what is exertion? let me check the dictionary, now I am at office at rest kind of, still uncomfortable there, so I am asking you fo help. It is getting worse
Doctor :   Exertion applies to any task which needs physical strain.
Doctor :   Do you have nausea, sweating, burning abdominal pain, breathing difficulties?
User :   Not these problems, and not after exertion, but I know I work a lot recently and a lot of pressure too.
Doctor :   Ok
Doctor :   Do you have diabetes/hypertension or any other medical illness?
Doctor :   Do you smoke or drink alcohol?
User :   No and No
Doctor :   Does any one else in your family have/had heart problems/heart attacks?
User :   I think so, my mom, but now she is ok at the age of 70, but not heart attack, she said she has heart problem.
Doctor :   Ok
Doctor :   Let me brief you.
User :   Here it comes, thank you...
Doctor :   Since I cannot do an examination over this chat, I cannot pimpoint the exact cause for your symptom.
Doctor :   Nevertheless,
Doctor :   based on your description,
Doctor :   It appears that the pain is probably due to non cardiac source.
User :   So my heart is ok?
Doctor :   It may be due to gastritis/muscular aches/somatic causes.
Doctor :   However, i would suggest you to get an EKG done.
User :   waht is gastritis and somatic please?
User :   sorry what is EKG?
Doctor :   Gastritis refers to inflammation of the stomach, a less severe form of gastric ulcers.
User :   How can stomach pain to up to the shoulder?
Doctor :   Somatic pain are pain which is mainly associated with psychogenic causes such as stress or anxiety.
Doctor :   These are the possible causes according to the history that you have provided.
User :   OK so heart is ok, just stress, what is EKG for
Doctor :   However one needs investigation to determine what the exact cause is.
Doctor :   And EKG is one of the basic test to see the state of the heart.
User :   Ok my time is out I think thank you very much
Doctor :   Though, based on your symptom your heart appears to be normal, due to the age factor.
User :   Good!
Doctor :   You need to check the heart problem too.
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries
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