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What Causes Needle Pricking Pain In Chest?

Posted on Tue, 25 Nov 2014

Question: I am having this needle pricking like pain in my left side of chest, which comes for few seconds and then disappear. Its been happening to me since last two days. Let me add that it could be acidity too, because in afternoon i burped and the pain was gone. I am 38 years old. I very tensed and fearful about the consequences of this pain. pls guide me and tell me what tests i should take to find out the real reason behind the pain and to also know the actual condition on my heart. I don't drink but smoke round 5-6 cigarettes daily. I had pain in my right side of chest too around a week back, which disappeared on its own.

Thanks XXXXXXX

Answered by Dr. Suresh Heijebu (1 hour later)

Brief Answer:
Acid reflux disease most likely.

Detailed Answer:
Hi Sir,

I have read your query and understand your concern,

As per your clinical history ,the chest pain seems to be atypical and of non cardiac origin. It usually goes in favour of acid reflux disease.

But nonetheless this chest pain in your case has to be carefully evaluated to rule out any associated cardiac disease.

The basic set of investigations which you need to undergo are
1.ECG
2.Two Dimensional echocardiography
3.Tread mill testing.

These set of investigations accurately can rule out any coronary artery diseases which can present with chest pain.

Simultaneously you to need to have an upper gastrointestinal endoscopy to detect the presence of acid reflux disease or GERD, that can quite typically present with chest pain resembling a heart disease.

Additionally I advise you to give up smoking as it can lead to worsening of both cardiac and gut disorders.

Hope I have answered your query at the moment,
Post your further queries, if any.
Thank you.

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

Follow up: Dr. Suresh Heijebu (23 hours later)

Hi Doctor,
As advised by you, Today I took all three tests: 1. ECG, 2. 2D echocardiography
3. Stress Test. And I am happy to inform that all three tests came normal.
Please advise me what to do next?, as today also i had pain in my chest but it was to a lesser extent as compared to yesterday.
And also let me know where i can have upper gastrointestinal endoscopy done in south Mumbai?

Thanks

Answered by Dr. Suresh Heijebu (52 minutes later)

Brief Answer:
PJ Hinduja hospital

Detailed Answer:
Hi XXXXXXX
Good to have you back.

Its nice to hear that all your 3 tests came out normal which have ruled out the possibility of cardiac disease with great specificity.

Now its turn to detect your acid reflux disease.

You need to have an UGIE at any expert gastroenterologist who has professional designation of MD DM in GASTROENTEROLOGY.

You can avail all such services at PJ HINDUJA HOSPITAL,
Mahim west XXXXXXX south.

Meanwhile to tide over the symptoms of chest discomfort you can take tab Esomeprazole 40 mg on empty stomach after consulting your doctor.

Post your further queries,if any
Thank you.

Note: For further follow up on digestive issues share your reports here and Click here.

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