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What Causes Pain In Chest?

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Posted on Sat, 10 Jan 2015
Question: Sir, when i wake up in the morning i feel pain on my heart side for last one month. it started from centre of my chest near diaphragm, after some days it goes to back side of my chest. initially my water intake is low in a whole day like 2 or 3 glasses but after that pain somebody suggested me to drink more water and i follow the same but now my pain transfer to heart (left) side chest . i m using medicine like ANESTHETIC ANTACID GEL & FAMOTIDINE TABLETS (40mg).Still i m suffering from morning pain till i don't stand up from my bed and walk. Sir plz help me out.
doctor
Answered by Dr. Divakara (12 minutes later)
Brief Answer:
We need to evaluate for the cause.

Detailed Answer:
HI XXXX
Greeting from Dr. Divakara.P
First of all thanks for choosing Healthcaremagic for posting your query.


There are different causes of chest pain . Common cause are Problems in Heart , Lungs , Lung coverings ( Pleura ) , Muscular problems , Hyper acidity or Nerve compression at neck Level .

I need to know more about your chest pain to diagnose the cause .

1. Is the pain intermittent or continuous ?
2. What is the nature of pain ? Burning or Pricking or Squeezing ?
3. Does the pain increases on coughing or sneezing or taking a deep breath ?
4. Does the pain increases on neck movements?
5. Is there any giddiness or breathing difficulty ?


But first get an ECG done to make sure everything is fine with the heart.

Kindly revert back with details asked and ECG report.

Any clarifications feel free to ask.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Divakara (21 minutes later)
Thank you very much Sir for replying me so fast...
my answers:
1.Pain is intermittent.
2.Burning and little bit squeezing.
3.In this period of suffer i don't caught by coughing and sneezing but in deep breath i feel some little bit more pain but once i get up from my bed within 5 minutes my pain is go down and no feeling of any pain and my whole day is normal.
4.No effect of neck movement
5.Only when i m laying on my bed i feel some breathing problem.
doctor
Answered by Dr. Divakara (40 minutes later)
Brief Answer:
You need to get certain tests.

Detailed Answer:
HI

Thanks for the follow up.

Going through the description of your pain I feel that the possible cause for your pain is either due to lung irritation ( called as Pleurisy ) , heart problems ( less likely though ), Problem in your upper back bone ( Thoracic vertebra )

Pleurisy is a condition where there occurs irritation of lung covering called Pleura . It occurs due to exposure to Smoke ( Cigarette or other smoke ) , dust or cold air . If any of these you are getting exposed avoid it as much as possible .

Problem in upper back bone : Can cause compression of a nerve that supplies pain sensation to back and chest region. For the diagnosis of this condition you require X ray of Cervical and upper thoracic Spine . Kindly get it .

Heart problems : Insufficient blood supply to heart can cause this kind of pain but Heart problems are very rare in your age . But still it is better to get an ECG done to be on the safer side.

Also make sure you sleep in proper position , either flat or turned to one side . You can ask your doctor for a prescription of Muscle relaxant medication which will give you good relief.

Hope this information was useful to you.
Any clarifications feel free to ask .

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

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

Internal Medicine Specialist

Practicing since :2006

Answered : 2358 Questions

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What Causes Pain In Chest?

Brief Answer: We need to evaluate for the cause. Detailed Answer: HI XXXX Greeting from Dr. Divakara.P First of all thanks for choosing Healthcaremagic for posting your query. There are different causes of chest pain . Common cause are Problems in Heart , Lungs , Lung coverings ( Pleura ) , Muscular problems , Hyper acidity or Nerve compression at neck Level . I need to know more about your chest pain to diagnose the cause . 1. Is the pain intermittent or continuous ? 2. What is the nature of pain ? Burning or Pricking or Squeezing ? 3. Does the pain increases on coughing or sneezing or taking a deep breath ? 4. Does the pain increases on neck movements? 5. Is there any giddiness or breathing difficulty ? But first get an ECG done to make sure everything is fine with the heart. Kindly revert back with details asked and ECG report. Any clarifications feel free to ask. Regards