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Regular chest pain - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   i have been having chest pains for months on and off and iv got an endoscopy booked. the last two days i have been in real pain right in the middle of my chest and into my back and just feel really ill. im scared im having a heart attack. please can you help

Doctor :   May I ask you few questions before I give you some good advice?
Doctor :  
May I ask you few questions
Doctor :  
Hello are you there?
User :   yes thats fine
Doctor :   What is your age, Gender, occupation
User :   im 35 female and work for ambulance service
Doctor :  
How many times you have had the chest pain in the past months?
User :   on and off most of the time
Doctor :  
Where is the pain exactly? Can you point with finger and describe it here
Doctor :  
Is the location of the pain localised or radiating?
User :   right in the middle cant really describe it like a bubbling prickly pain that goes into my back too....middle of sternum pain
Doctor :   Is the pain all the time right in the middle?

Doctor :  
or it shifts each time?
Doctor :   Do you have nausea, vomiting, shoulder pain or head ache with fever etc each time you have pain ?
User :   no its in the middle and sometimes feels as if my brests ache...some nausea but none of the other symptoms. just an awful pain
Doctor :  
Is it pricking type or burning type or squeezing type or stabbing pain?
User :   pricking and stabbing id say
Doctor :  
Any investigations done during the pain?
Doctor :  
Like ECG, Cardiac markers
User :   iv had an ecg and bloods done a couple of months ago and also a stress test and all normal but im still worried in case it is heart this time
Doctor :   Do you have any medical condition like High BP. High Blood sugar, High Lipids
User :   no none
Doctor :   Do you smoke or chew tobacco?
User :   no
Doctor :  
Is the current pain similar to what was experienced few months back?
Doctor :  
What is your height and weight?
User :   yes but worse and more stabbing and into my back
User :   5'6 and 12 stone
User :   can heart attack pain last for days
Doctor :  
Actually no
Doctor :  
If heart attack pain could be easily detected with the tests and more easily clinically
Doctor :  
If you had visited the Doctor and the tests were normal it is very unlikely to be cardiac in origin
Doctor :  
I suspect it to be abdominal rather than heart
Doctor :  
More questions here
Doctor :  
Do you have dizziness, intense sweating or palpitations
Doctor :  
during the pain
User :   palpitations which iv had for about 3 years though
Doctor :   What medicines are you on now?

User :   nothing
Doctor :  
What was the Doctor's opinion till now?
User :   possible hiatus hernia
Doctor :  
Yes it is a possibility
Doctor :  
but it can be known by an Endoscopy
Doctor :  
of Upper GI
User :   im waiting for an appointment for endoscopy
Doctor :  
Doctor :  
Were you not put on any medicine yet?
Doctor :  
How did the Doctor wants you to manage the pain when you have without prescription?
User :   no iv got to wait for diagnosis but im so worried as i keep getting these pains and they are getting worse and im scared its a heart attack
User :   dr said to take paracetamol as should not take ibbrofen just in case but paracetamol does not ease the pain at all
Doctor :  
The scare of having a heart attack is make things more worse for you
Doctor :  
You do not have a single risk factor for a possibility of heart attack
User :   so i shouldnt worry it is then
Doctor :  
You should not as I opine
User :   no i dont think father died of heart attack at 56
Doctor :  
Single reason do not sustain the cause
Doctor :  
however you can take a second opinion from a Cardiologist here
User :   how do i do that
Doctor :  
WWW.WWWW.WW User :   ok thanks for all your help
Doctor :  
Please detail out your query there
Doctor :  
and you will receive a reply in 24 hours
Doctor :   Is there anything else I can help you with?

Doctor :  
It seems you moved out of the chat
Doctor :  
Please do login if you have more medical queries
Question is related to
Diseases and Conditions
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