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Hi This Is For Dr Sharka I Am A Returning

Posted on Wed, 2 Oct 2019

Question: Hi this is for dr sharka I am a returning patient I am 47 and today I have pain in the middle of the chest sturnum area just came on no breathing issues I had complete cardiac work out done end of XXXXXXX beginning of July all is well I did echo echo stress test loop all came back normal i just want to ensure it is not cardiac related

Answered by Dr. Ilir Sharka (1 hour later)

Brief Answer:
I would explain as follows:

Detailed Answer:
Hello dear Theresa!

I am sorry to hear you are having these unpleasant feelings; your symptoms are suggestive of a muscular-skeletal disorder, most likely costochondritis.

Your performed cardiac tests have excluded any cardiac ischemia implication in your clinical symptomatology.

From the other hand, your chest pain characteristics goes in favor of costochondritis.

I would recommend trying an anti-inflammatory drug in order to relieve the pain (ibuprofen, naproxen, etc.)

In addition, taking some rest and avoiding any strenuous physical exertion and chest stretching would help to improve your symptomatology.

So just relax! It doesn't seem to be cardiac related.

Wishing you a pleasant weekend!

Kind regards,

Dr. Ilir Sharka
cardiologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (40 hours later)

Hello there thank you so much one more question I have not worked out and or eaten properly for the last theee weeks due to pain and just life in general this I am hoping I did not do any damage like heart decease ans can I start working out again also this pain across the upper chest is Costo not cardiac

Answered by Dr. Ilir Sharka (5 hours later)

Brief Answer:
I would recommend as follows:

Detailed Answer:
Dear XXXXXXX

I understand your concern and would explain that the pain across the chest does not seem to be related to the heart.

So, there is no need for physical limitations regarding your heart.

But, as straining physical exercise can exacerbate the musculo-skeletal pain, I would recommend light physical exercise during these days.

Ibuprofen can help against the pain. An antiacid would help avoid gastritis, which can be related to irregular meals.

Hope you will find this answer helpful!

Let me know, in case of further questions!

Wishing all the best,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (49 minutes later)

Thank you very much so I can start working out slowly again also quick question about the heart I was walking with my headsets on and was a bit startled by a dog nothing will happen cardiac wise correct I await ur response thank u for ur patience

Answered by Dr. Ilir Sharka (2 minutes later)

Brief Answer:
My opinion as follows:

Detailed Answer:
Dear XXXXXXX

Nothing serious is going to happen!

Anxiety seems to play an important role in all this clinical situation. Anyway, some light physical activity will really help you! You can start slowly.

Hope to have been helpful!

Regards,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (27 minutes later)

Thank u

Answered by Dr. Ilir Sharka (1 minute later)

Brief Answer:
You are welcome!

Detailed Answer:
Dear XXXXXXX

I am glad to have been helpful to you!

Let me know about everything!

Wishing all the best,

Dr. Iliri

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar