Brief Answer:
There is no cause for concern

Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day
Dear Mr XXXXXXX


There is dictum , any left sided chest pain possibility of hear disease needs to be considered. Also not all left sided pain is due to heart disease.

The pain is unlikely to be due to heart disease for following reasons

1. If pain is experienced on pressing the affected area also known as Tenderness , it's much more likely to be due to musculoskeletal pain.

2. You are young and if you do not have any other associated risk factors like Diabetis, hypertension it's unlikely to be heart disease

3. Local of pain under the arm pit with sore ribs is very much likely to be due to musculoskeletal pain along with associated costochonditis of ribs .

4. Normal ECG is very much reassuring

The cause of pain is likely to be musculoskeletal pain. I understand your concern and apprehension of having some serious disorder . Let me assure you , your doctor has rightly advised you that at your young age it's unlikely to be serious problem . Also he has got the ECG done and ruled it out.

To lay to rest your stress and anxiety , I would also suggest you the following

1. 2 D echocardiogram : Even though not clearly indicated. It's a simple non invasive test and a normal report will be very reassuring to you.

2. Chest X ray AP view : To rule out inflammatory pathology of ribs

If both the reports are normal it will be very reassuring and there is absolutely nothing to do worried about. In the meantime I would suggest you the following

1. Local application of hot water fomentation

2. Analgesic like Ibuprofen will provide relief from pain

3. Continue taking medicine as advised by your Physician

Do get back to me if you need any further assistance, will be glad to assist you.



Take care

Best regards
Dr Deepak Kaltari
Consultant Surgeon

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Brief Answer:
Doleneuron will help relive pain

Detailed Answer:
Dear Mr XXXXXXX

Vitamin D and Calcium supplements definitely help in musculoskeletal pain. Doleneuron is combination of Gabapentin and Methylcobalamine. It helps in following ways

1. Gabapentin is anticonvulsant drug and helpful in pain due to nerve irritation and chronic musculoskeletal pain

2. Methylcobalamine is Vitamin B12 and also helps in pain management especially paraesthesia.

The given medicine will definitely be helpful in management . Also kindly follow the advise of Hot water fomentation.

Wishing you and your family a very happy and healthy life.


Take Care

Best Regards
Dr Deepak

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Brief Answer:
Vitamin D deficiency can present with soreness of ribs

Detailed Answer:
Dear Mr XXXXXXX

Vitamin D deficiency can present sometime with soreness of ribs in adults. Doloneuron is unlikely to give headache as side side effect.
I would also suggest you the following

1. Ensure intake of meals at right appropriate time

2. Do not skip meals

3. Try taking tablet with glass of milk.

4. Uninterrupted sleep of 6 to 7 hours at night will take care of headache

5. If pain still persist, Combination of Paracetamol + Caffeine (Dolopar ) tablet will help relive pain.


Wishing you and your family a very happy and healthy life.


Take care

Best regards
Dr Deepak

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