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What Causes Intermittent Chest Pain?
Question: Hello
I am a 44 yr old women who has been experiencing chest pain on and off for several years I am of healthy weight and the following test were done 2016
Blood pressure normal
Colesterol normal
ECG normal except non spacific st wave normal for me
Echo normal
Blood work normal
Echo stress test normal this has been diagnosed as costochondritis as it has been for many years now I also suffer from fybromsyslgia and have recently cut my smoking down to one or two a day if that so trying to keep healthy
I workout low impact 3-5x a week I have no problems other than theyroid I take XXXXXXX thyroxin ..I don't have a family history of heart disease
This morning I had I guess the only way to discribr it is like a muscle spasm feeling right wear the heart would be Or a strong beat no pain no shortness of breath I went to lie down to do some relaxation breathing before work ... I am due to c my gp wed I was wondering if there is anything I should suggest to her for further testing if this is cardiac related and something was missed
I don't drink coffee don't have any alcohol the only thing I do is smoke one or 2 cig which again weaning myself off
I am a 44 yr old women who has been experiencing chest pain on and off for several years I am of healthy weight and the following test were done 2016
Blood pressure normal
Colesterol normal
ECG normal except non spacific st wave normal for me
Echo normal
Blood work normal
Echo stress test normal this has been diagnosed as costochondritis as it has been for many years now I also suffer from fybromsyslgia and have recently cut my smoking down to one or two a day if that so trying to keep healthy
I workout low impact 3-5x a week I have no problems other than theyroid I take XXXXXXX thyroxin ..I don't have a family history of heart disease
This morning I had I guess the only way to discribr it is like a muscle spasm feeling right wear the heart would be Or a strong beat no pain no shortness of breath I went to lie down to do some relaxation breathing before work ... I am due to c my gp wed I was wondering if there is anything I should suggest to her for further testing if this is cardiac related and something was missed
I don't drink coffee don't have any alcohol the only thing I do is smoke one or 2 cig which again weaning myself off
Brief Answer:
May be musculoskeletal or esophageal, probably needs no specific action.
Detailed Answer:
Hello,
This is very atypical for cardiac, so less likely to be cardiac. The probable causes for it are, either it is a musculoskeletal pain, cramps or streching of the intercostal muscles, or it can be esophageal spasm. Due you had local pain on pressing the area, it yes it suggest local musculoskeletal. Do u have associated nausea, bloating, burping, chest burning, if yes then it points toward reflux disease and gastritis, was there any association with breathing.
Overall doesnt looks like a matter of worry. Can try local diclofenac gel if any local pain or tenderness is there, Tab Pan DSR 40 mg before breakfast once a day.
Overall, you are very low risk for cardiac illness beacause you dont have any risk factor other than smoking and your adequate work up disease ia already done.
May be musculoskeletal or esophageal, probably needs no specific action.
Detailed Answer:
Hello,
This is very atypical for cardiac, so less likely to be cardiac. The probable causes for it are, either it is a musculoskeletal pain, cramps or streching of the intercostal muscles, or it can be esophageal spasm. Due you had local pain on pressing the area, it yes it suggest local musculoskeletal. Do u have associated nausea, bloating, burping, chest burning, if yes then it points toward reflux disease and gastritis, was there any association with breathing.
Overall doesnt looks like a matter of worry. Can try local diclofenac gel if any local pain or tenderness is there, Tab Pan DSR 40 mg before breakfast once a day.
Overall, you are very low risk for cardiac illness beacause you dont have any risk factor other than smoking and your adequate work up disease ia already done.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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