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Right sided chest pain radiating to right shoulders - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Two nights ago I awoke suddenly to extreme pain in my right chest and back. The pain was both sharp and dull and spread to my shoulder and arm - I could not move it was so bad. At first I thought it might be bad heartburn, but I rarely get heartburn and taking 2 tums did nothing to relieve the pain. IT continued through the night - I did not sleep and could barely move. I took ibuprofen in the morning and that helped somewhat, but the pain is still present. It is now a dull ache similar to a pulled muscle, in my right chest and back, and gets worse with deep breaths. I am a 42 year old female, light smoker but otherwise very healthy and fit. I have been doing yoga 5 days a week since December (both power yoga and intense breathing) so I thought maybe it was related.                                             
Doctor :   Hi
User :   Hi
Doctor :   Can you describe the nature of the pain?
Doctor :   Is it like an ache or like cramps?
Doctor :   Do you have nausea or vomiting?
User :   Similar to pulled muscle, but at the onset it was very sharp and stabbing
User :   I have no nausea
Doctor :   May I know your height and weight?
User :   5 foot 7 inches, approx 128
Doctor :   128 pounds?
User :   yes
Doctor :   Do you have fever/cough?
User :   I was ill 2 weeks ago with fever and fatigue, and I still feel a bit down from that. doctor did blood tests and said it was the flu. I always cough a little bit this time of year from the hayfever, but nothing serious.
Doctor :   May I know find any changes in the colour of the urine?
User :   Not that I noticed
Doctor :   Are your stools normal?
User :   Yes
Doctor :   Ok.
Doctor :   Have you had similar symptoms in the past?
User :   no
Doctor :   Do you have history of diabetes/hypertension?
User :   no
Doctor :   Do you consume alcohol?
User :   yes - avg 2-3 glasses of wine about 3 times a week, some hard alcohol occasionally
Doctor :   Ok
Doctor :   Let me explain it to you.
Doctor :   Since I cannot perform an examination on you, I cannot pinpoint the exact diagnosis of your problem, however your symptoms are similar to ones
Doctor :   in acute cholecystitis.
Doctor :   In simple words, there are chances that you may be having gall bladder infection, probably secondary to gall stones.
Doctor :   I suggest you to get a physical examination by your local doctor, to either confirm this or to rule it out.
Doctor :   The other possible causes may be a muscular pain or gastritis too.
User :   I have a friend who had her gallbladder recently removed but her pain was lower in the belly, my pain is in the chest and back
Doctor :   Typical gall bladder pains are located on the right abdomen, just below the right ribs.
Doctor :   Occasionally they can cause pain radiating to the right shoulder.
User :   This is higher up. And it hurts more when I take a deep breath. What kind of exam should my doctor perform?
Doctor :   Yes, and deep breathes can increase a gall bladder pains.
User :   What are other gallbladder symptoms? I am not overweight and am dark haired, dark skin.
Doctor :   The other possible explanations for your symptoms can be a muscular pains, costochondritis or atypical gastritis too.
Doctor :   Hence you would need an physical examination from a doctor to differentiate among these.
User :   So what should my doctor do? I see him tomorrow. Shall I ask for a scan or something?
User :   And couldn't it be something related to my lungs?
Doctor :   Ideally, you may require a scan, x ray of the chest and few blood test,
Doctor :   Do you follow what I have suggested?
Doctor :   Do you have any other query that I can assist you with?
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