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Suggest Treatment For Severe Muscle And Chest Pain

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Posted on Wed, 17 Feb 2016
Question: When I sleep, my chest is in pain, it hurts near on my muscles and shoulders. on both sides. My body feels like it has small pieces of fat balls. Please advise what the problem could be.
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Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)
Brief Answer:
Chest pain, EKG

Detailed Answer:
Hello and Welcome

I appreciate your concern

An EKG needs to be done primarily to look for a possible cardiac cause for the chest pain. If the EKG is normal then NSAIDs and muscle relaxants can be advised for a week to see for improvement. If the symptoms persist then blood counts, ESR and imaging investigations e.g x ray chest can be advised to look for other causes. The investigations can be recommended based on the physical exam findings. The history of vague pains with feeling of fat ball pieces is not specific enough to consider a single diagnosis. GERD (Gastro esophageal Reflux disease can also present in somewhat similar way and can be treated accordingly with PPIs like pantoprazole along with pro kinetics.


Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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Suggest Treatment For Severe Muscle And Chest Pain

Brief Answer: Chest pain, EKG Detailed Answer: Hello and Welcome I appreciate your concern An EKG needs to be done primarily to look for a possible cardiac cause for the chest pain. If the EKG is normal then NSAIDs and muscle relaxants can be advised for a week to see for improvement. If the symptoms persist then blood counts, ESR and imaging investigations e.g x ray chest can be advised to look for other causes. The investigations can be recommended based on the physical exam findings. The history of vague pains with feeling of fat ball pieces is not specific enough to consider a single diagnosis. GERD (Gastro esophageal Reflux disease can also present in somewhat similar way and can be treated accordingly with PPIs like pantoprazole along with pro kinetics. Wishing you best of health Thanks Let me know if you have any query Please consult your doctor before deciding on any further course of action. For future follow up / correspondence you may ask me directly at the link given below http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107 Dr. M.S. Khalil