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Strong pain under breast and in the middle of chest. What could be this?

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Internal Medicine Specialist
Practicing since : 1980
Answered : 1357 Questions
She woke up with a strong pain just under her breast and in the middle of her chest. Also has sore throat and pain in her left ear.
Posted Sat, 2 Nov 2013 in Valvular Heart Disease
Answered by Dr. Rakesh Karanwal 2 hours later
Brief Answer:
Pain could be due to acidity or heart.

Detailed Answer:

Thanks for your query.

* The information given is inadequate. I need much more elaborate details of her chest pain, such as:-

- How long did the pain last; did it spread to left shoulder and arm; breathlessness; any profuse sweating or generalized weakness; vomiting?

- Since you selected " Valvular Heart Disease" as the relevant Category, please intimate if she has any valvular heart disease and, the treatment being taken for same.

- Has she been taking pain-killers frequently for her chronic migraine?

- Any other co-existing disease, such as hypertension/diabetes.

However, from the brief description given, she could have had acute acidity (due to repeated pain-killers) or, it was spasm of chest muscles (muscles between the ribs) as part of upper respiratory viral infection (sore throat with possibly blocked tube connecting the ear with the back of the throat, causing ear ache).

It would be advisable that an urgent ECG be done, if she has a pre-existing heart disease or high blood pressure.

I will be able to give professional opinion on receiving the required information.


Dr. Rakesh Karanwal

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