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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Intermittent Stabbing Pain On The Left Of Chest Above Nipple. What Could Be Causing This?

i was working on my computer and could feel my heart beat in my throat , i stretched my chest and then i got a choking feeling in the throat that lasted for a few seconds and it made me cough. is this anything i need to worry about ? ive seen a cardiologist last month , had an ECG , echocardiogram also getting a mild stabbing pain in the left side of my chest right above my nipple , i get this once every hour some days but it only lasts for 1 second what could be causing this?
Tue, 12 Feb 2013
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Emergency Medicine Specialist 's  Response
Hi Slackarr,
Thanks for writing your query.

Your symptoms are indicating more towards anxiety, but still you should get yourself examined by a cardiologist again and get the following investigations done :-
1. Repeat ECG
2. TMT
3. Cardiac enzymes
4. Thyroid profile
5. Lipid profile

You should also get your blood pressure and pulse monitored for few days and especially at the time you are experiencing the symptoms.

Taking antacid like Omeprazole 20 mg once a day along with Domperidone 10 mg will be helpful in relieving your symptoms.

Also give yourself adequate rest and sleep.
Avoid working on computers continuously for long duration.
Doing yoga and meditation will also help in relief of anxiety.

Avoid spicy/oily foods and donot miss a meal in addition to avoiding any mental/emotional stress.
Also avoid alcohol/cigarette, if taking.

If the problem persists, get yourself examined clinically.
I hope this is helpful to you.
Thanks.

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Intermittent Stabbing Pain On The Left Of Chest Above Nipple. What Could Be Causing This?

Hi Slackarr, Thanks for writing your query. Your symptoms are indicating more towards anxiety, but still you should get yourself examined by a cardiologist again and get the following investigations done :- 1. Repeat ECG 2. TMT 3. Cardiac enzymes 4. Thyroid profile 5. Lipid profile You should also get your blood pressure and pulse monitored for few days and especially at the time you are experiencing the symptoms. Taking antacid like Omeprazole 20 mg once a day along with Domperidone 10 mg will be helpful in relieving your symptoms. Also give yourself adequate rest and sleep. Avoid working on computers continuously for long duration. Doing yoga and meditation will also help in relief of anxiety. Avoid spicy/oily foods and donot miss a meal in addition to avoiding any mental/emotional stress. Also avoid alcohol/cigarette, if taking. If the problem persists, get yourself examined clinically. I hope this is helpful to you. Thanks.