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Pain in the left arm - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1721 Questions
User :   helllo;I'm having this weird pain my left hand side below by chest. Is like a electric shock. It started on September and I have been to many doctors. I was refer to a cardiologist and after a bunch of test, everything came out fine. Arteries and everything. Had the colesterol high but with diet and excercise, not only I have lost 25 pounds but my cholesterol and blood pressure is perfect. I go to a Chiropractor that says it might be nerves inside. After a session or two, it goes away and then a week or two comes back. Any advice?
Doctor :   Hi
Doctor :   Ok I read your query
Doctor :   I believe I can help you
Doctor :   with my inputs
Doctor :   What is your age?
User :   31
User :   male
User :   5'11
User :   188
Doctor :   Did you get an ECG done
User :   yes
Doctor :   any changes previously?\
User :   no
Doctor :   Xray of the spine and seen an Orthopedician?
User :   nope
Doctor :   Is the pain only on the left arm or both sides?
User :   but I go to a chiropractor who believes might be that
User :   one side and comes and goes.
Doctor :   How intense is the pain on a scale of 1 to 10?
User :   does not last more than 2 seconds
User :   when it happens is like a 5
User :   i work out 5 times a week to be in the healthiest shape and does not bother me at all.
User :   in fact when i'm in the gym, is when i feel the best
Doctor :   I need some time to know you better
Doctor :   and speak to you at length
Doctor :   for your important problem
Doctor :   Are you back?
User :   yes
Doctor :   Let us chat
Doctor :   Do you feel the pain is increased on the days of your gym?
User :   nope
Doctor :   When do you find the pain increased and when does it relieve?
User :   it just comes and goes
User :   i can be just sitting and it happens. That is when it usually happens
User :   never running
Doctor :   So it is only for a couple of seconds, is it not?
User :   yes
Doctor :   Is it like an electric shock?
User :   yes
User :   but it varies
Doctor :   Does it travel anywhere into the hands or forearms?
User :   nope
Doctor :   Do you have weakness after that?
User :   nope
Doctor :   So the power remains the same
User :   yes
Doctor :   Are you taking any pain medication?
User :   nope
Doctor :   What are all the medicines you take now?
User :   i take fish oil supplements and vitamins
User :   i also do everymorning a vegetable/protein shake
Doctor :   Do you have a similar history in the family?
User :   spinach, carrots and protein powder
User :   nope
Doctor :   Are you worried about the pain?
User :   yes
Doctor :   even though it is short lived?
User :   very much so. Don't know what it is
User :   yes
Doctor :   Do you have anxiety?
User :   i feel the healthiest that I have every been but I have this
User :   yes
User :   it just happend right now and went away
Doctor :   Do you have a family history of high BP at young age?
User :   nope
Doctor :   Do you have family history of anxiety?
User :   but my dad has it right now
User :   I CHECK MY BP every day and it is perfect
User :   average ofg 123/70
Doctor :   Why do you want to check it every day when it is undercontrol, any one told you that?
User :   yes, but is for my piece of mind
Doctor :   Since when is this jerk like thing happening, after the discovery of high BP and cholesterol in you?
User :   yes
Doctor :   exact date or time?
User :   actually that is why i went to the cardiologist because of it
User :   around September. then a month later i was in the cardiologist
Doctor :   When was the BP shot up?
User :   143/80
Doctor :   and since when were you into exercise program
User :   123/71
User :   sometimes 116/7=64
User :   116/64
Doctor :   When did you find that you have high BP?
User :   September
Doctor :   Were you checking every day since then?
User :   yes
Doctor :   Do you check on the left arm?
User :   yes
Doctor :   Why not on the right arm?
User :   i have as well
User :   time is runnign out, i told you everything i ihave
User :   what is your advice?
Doctor :   Ok, XXXXXXXX I understood all the history
Doctor :   as a matter of fact, I see lot of patients with similar kind of short lived pains when they have anxiety.
Doctor :   The metabolism grossly differs in terms of electrolytes moving in and out of the cells
Doctor :   So I have few things to tell you
Doctor :   1) Anxiety related
Doctor :   2) Get an Xray cervical spine with the help of your PCP and get evaluated if there is some degeneration in the spine
Doctor :   3) An ENMG, Electroneuromyography shall help if there is some problem with the nerves
Doctor :   I have to rule out the 2 and 3 parts only for sake of it
Doctor :   I do not intend to terrify you
Doctor :   Check BP only twice a week
Doctor :   that is sufficient
User :   got it
Doctor :   see if the frequency of the jerks come down
User :   i can keep execesing?
Doctor :   Very much
User :   exersicing?
Doctor :   You are doing great
Doctor :   and keep it up
Doctor :   Stay cool and do not be anxious
Doctor :   If all the tests are fine
Doctor :   then you should not worry
Doctor :   every second about the jerks
Doctor :   it really increases the anxiety and more jerk like pain
Doctor :   I wish I could have more time
User :   so what happens if the test comes positive?
Doctor :   Do you mean the Xray?
Doctor :   Hello are you with me?
User :   yes
User :   and the #3
Doctor :   The chances of test being positive is very less
Doctor :   even if positive, there are some neuromodulators
Doctor :   that can help correct
User :   maybe my family is going thru a lot of things that might give anxiety?
User :   sister has been sick for years and grandma just died. But i trie not to think about those things too much
Doctor :   perfect
Doctor :   try and yoiu should be able to stay positive
Doctor :   By the time you wake up from bed, try to think positive
Doctor :   and do not let the negative thoughts flow in
Doctor :   That is the right way to keep the anxiety at bay
User :   can the chiropractor take those x-rays?
Doctor :   I think they can order the Xray?
User :   those my posture has to do anything with it?
Doctor :   Do not work infront of the computer for long hours
Doctor :   Do stay away from it
Doctor :   take break for every 20 to 30 minute
Doctor :   while work at comp
User :   got it
User :   thank you very much. Can i get this e-mailed?
Doctor :   Yes
Doctor :   You can go to homepage and right upper corner
Doctor :   Account and settings
Doctor :   Click on the chat history and email yourself
Doctor :   Thanks for consulting me
Doctor :   Bye for now
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