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Suggest Treatment For Severe Chest Pain

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Posted on Thu, 13 Apr 2017
Question: Am now 40 .First time I face sharp chest pain on right side at one particular point front & back from last week. Other than I feel everything normal. Had no bad habits drinking, smoking etc. Only I eat well compare to veg ,I take Non veg little more . Also more often am travelling on business visit. After visit doctor ,I get medicine there is lot of improvement within 3 days but still I feel little pain at one point sometime. Also 2 days before I feel pain once I press by neck below rightside chest bone by hand.Today it is not much & came down. why it came to me further what precaution I need to take to avoid in future. Also is that common problem or it is little sensitive issue or it is age factor or due increased wieght . please need your valuable suggestion.
doctor
Answered by Dr. Rishu Saxena (2 hours later)
Brief Answer:
Non cardiac most likely.

Detailed Answer:
Hi,
Thanks for choosing HCM for your query.
Off and on sharp chest pain is very unlikely to be cardiac in origin.
Apart from that its responding well to antacids and pain killer,Which again points out that pain can either be gastric or muscular in origin.
Visceral pain never responds to ibuprofen etc.
Nothing is common when it comes to medical condition,Even a small boil can be a cancer and may cost life.
Initially i would recommend you to go for some of the baseline tests of cardiology like 2d echo and stress test to rule out cardiac involvement.
Once these tests are fine you are free from cardiac side and should consult Gastroenterologist for gastric issues causing off and on pain.
Exercise daily for 30 minutes.
Walk at a speed not less then 5.1km/hr everyday.
Eat lot of fibres in diet.
Eat veg and try to avoid red meat.
Avoid fast food and aerated beverages.
Take Pantoprazole 40 mg once daily for few days.

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

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Rishu Saxena

Cardiologist

Practicing since :2012

Answered : 696 Questions

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Suggest Treatment For Severe Chest Pain

Brief Answer: Non cardiac most likely. Detailed Answer: Hi, Thanks for choosing HCM for your query. Off and on sharp chest pain is very unlikely to be cardiac in origin. Apart from that its responding well to antacids and pain killer,Which again points out that pain can either be gastric or muscular in origin. Visceral pain never responds to ibuprofen etc. Nothing is common when it comes to medical condition,Even a small boil can be a cancer and may cost life. Initially i would recommend you to go for some of the baseline tests of cardiology like 2d echo and stress test to rule out cardiac involvement. Once these tests are fine you are free from cardiac side and should consult Gastroenterologist for gastric issues causing off and on pain. Exercise daily for 30 minutes. Walk at a speed not less then 5.1km/hr everyday. Eat lot of fibres in diet. Eat veg and try to avoid red meat. Avoid fast food and aerated beverages. Take Pantoprazole 40 mg once daily for few days. Follow up with reports.