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What Causes Persistent Pain Near Chest, Left Hand And Muscular Pain?
Question: Hi Doctor ,
For the Past one year or so , I am getting pain near chest n left hand. only after I sleep , yes my dinner pattern is not health n i eat a lot during nights , Non vegetarian.
When i sleep to my left or right it pains , feel like some muscle being pushed while turning to left or right. Tolerable but Uncomfortable. Took two to three ECHO test in last three years , everyone says heart is perfectly fine. Gastric issue might be there. Kindly ur suggestion on this
For the Past one year or so , I am getting pain near chest n left hand. only after I sleep , yes my dinner pattern is not health n i eat a lot during nights , Non vegetarian.
When i sleep to my left or right it pains , feel like some muscle being pushed while turning to left or right. Tolerable but Uncomfortable. Took two to three ECHO test in last three years , everyone says heart is perfectly fine. Gastric issue might be there. Kindly ur suggestion on this
Brief Answer:
please see details.
Detailed Answer:
Dear sir
Pain coming only after lying down and not present during exertion, for one year, can not be anginal pain. Postural variation of pain also speaks against anginal pain. Gastric issues and muscular pain are important possibilities. Normal ECHO tests provide reassurance about absence of structural heart disease.
Beside visiting a gastroenterologist, you must eat at least 2-3 hours before the bedtime. Do not overeat at night. Avoid fatty meals at night. Avoid drinking water with meal. You can take water prior to meals.
A local muscular pain is well appreciated on touch. You can pinpoint with finger the maximum point of pain. If there is any such point or region a physician or orthopaedics opinion should be sought.
Feel free to discuss further.
Sincerely
Sukhvinder
please see details.
Detailed Answer:
Dear sir
Pain coming only after lying down and not present during exertion, for one year, can not be anginal pain. Postural variation of pain also speaks against anginal pain. Gastric issues and muscular pain are important possibilities. Normal ECHO tests provide reassurance about absence of structural heart disease.
Beside visiting a gastroenterologist, you must eat at least 2-3 hours before the bedtime. Do not overeat at night. Avoid fatty meals at night. Avoid drinking water with meal. You can take water prior to meals.
A local muscular pain is well appreciated on touch. You can pinpoint with finger the maximum point of pain. If there is any such point or region a physician or orthopaedics opinion should be sought.
Feel free to discuss further.
Sincerely
Sukhvinder
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thank you for your reply Doctor ,
Should i do more Cardiac Related tests , within one year or 6 months of ECHO which was normal then , can i have problem now in heart with 6 months to 1 year time, this is just anxiety , when it pains all i think is only abt heart and get worried , because i get pain in left hand too .
Or Lifestyle change is the only possible solution to this.
Please can you suggest some gastric tablet or muscular pain tablet .
I am overweight , around 88 kgs , 5"7 is my height - FYKI ..
Thank you ,
XXXX
Should i do more Cardiac Related tests , within one year or 6 months of ECHO which was normal then , can i have problem now in heart with 6 months to 1 year time, this is just anxiety , when it pains all i think is only abt heart and get worried , because i get pain in left hand too .
Or Lifestyle change is the only possible solution to this.
Please can you suggest some gastric tablet or muscular pain tablet .
I am overweight , around 88 kgs , 5"7 is my height - FYKI ..
Thank you ,
XXXX
Brief Answer:
consult a physician beofre starting tablets.
Detailed Answer:
Dear XXXXXXX
1. Historically, possibility of cardiac pain is not there, however, to rule out cardiac cause get a prescription of an imaging based stress test from your cardiologist e.g. Stress ECHO or Stress MPI scan.
2. There is no urgent need of starting muscle pain or gastric tablets. It would be more prudent to consult a physician before starting any tablet. Meanwhile carry out the life style modifications I advised you.
3. Definitely you are overweight and must try to reduce weight.
Feel free to discuss further.
Sincerely
Sukhvinder
consult a physician beofre starting tablets.
Detailed Answer:
Dear XXXXXXX
1. Historically, possibility of cardiac pain is not there, however, to rule out cardiac cause get a prescription of an imaging based stress test from your cardiologist e.g. Stress ECHO or Stress MPI scan.
2. There is no urgent need of starting muscle pain or gastric tablets. It would be more prudent to consult a physician before starting any tablet. Meanwhile carry out the life style modifications I advised you.
3. Definitely you are overweight and must try to reduce weight.
Feel free to discuss further.
Sincerely
Sukhvinder
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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