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What Causes Right Sided Pain In The Chest Area?

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Posted on Thu, 29 Sep 2016
Question: I thought I was talking to a dr.. I am having pain in the right side of my chest under my breast area. It is dull pain, started suddenly yesterday. No fever, sweating, but soft stool, about 8-10 times since last night. This morning, I felt the pain radiating to my back, but it stopped. It happened only once. I am laying in bed, and felt the pain once in the past hr.
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Answered by Dr. Ilir Sharka (2 hours later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I carefully passed through your question and would explain that your symptoms are not typical of any cardiac disorder. So, it is really less probable for these symptoms to be cardiac related.

Besides, your performed cardiac tests are another argument in favor of a normal and healthy heart.

Coming to this point, it is important performing further tests to investigate for the possible underlying causes such as : pancreatitis, gastro-esophageal reflux or gastritis or musculoskeletal pain.

Is the pain triggered by any body movements of respiration? Did ibuprofen relieve your symptoms? These features would indicate possible musculoskeletal pain or inflammation.

What about nexium? Did it relieve your symptoms? This could indicate possible gastritis or gastro-esophageal reflux.

If the pain persists, I would recommend going to the ER for a physical exam and some blood lab tests:

- a resting ECG
- a chest X ray study
- an abdominal ultrasound to examine your pancreas
- some blood lab tests (complete blood count, PCR, sedimentation rate, kidney and liver function tests, plasma levels of amylase and lipase which indicate the pancreas function, fasting glucose).
-a cervico-thoracic column X ray study to exclude possible chronic degeneration of the spinal column (including slipped discs) that may lead to irradiating back pain in this region.

You should discuss with your attending physician or the ER doctor on the above issues.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri





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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9536 Questions

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What Causes Right Sided Pain In The Chest Area?

Brief Answer: I would recommend as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! I carefully passed through your question and would explain that your symptoms are not typical of any cardiac disorder. So, it is really less probable for these symptoms to be cardiac related. Besides, your performed cardiac tests are another argument in favor of a normal and healthy heart. Coming to this point, it is important performing further tests to investigate for the possible underlying causes such as : pancreatitis, gastro-esophageal reflux or gastritis or musculoskeletal pain. Is the pain triggered by any body movements of respiration? Did ibuprofen relieve your symptoms? These features would indicate possible musculoskeletal pain or inflammation. What about nexium? Did it relieve your symptoms? This could indicate possible gastritis or gastro-esophageal reflux. If the pain persists, I would recommend going to the ER for a physical exam and some blood lab tests: - a resting ECG - a chest X ray study - an abdominal ultrasound to examine your pancreas - some blood lab tests (complete blood count, PCR, sedimentation rate, kidney and liver function tests, plasma levels of amylase and lipase which indicate the pancreas function, fasting glucose). -a cervico-thoracic column X ray study to exclude possible chronic degeneration of the spinal column (including slipped discs) that may lead to irradiating back pain in this region. You should discuss with your attending physician or the ER doctor on the above issues. Hope you will find this answer helpful! Kind regards, Dr. Iliri