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Neck pain, tight shoulders, discomfort, chest pain, tiredness, fatigue. Causes for symptoms?

I am a 23 year old female. Weigh 160 and 5 6. I am having a lot of discomfort and pain at the base of my neck start of my head on the left side of my spine any time I drink or swallow have a somewhat stiff neck and very tight shoulders causing discomfort. Also having some slight pain that comes seldomly but very sharply in my chest . I have been very tired and fatigued even with getting an adaquet amount of sleep. Any idea what could be causing this? It s been going on for about a month now and is continueing to get worse.
Asked On : Thu, 18 Oct 2012
Answers:  2 Views:  1414
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General & Family Physician 's  Response
Hello Sierralv77 , greetings from 

I am Dr Sourav Chakraborty and i have gone through your case scenario in detail and i will be answering your queries. Your BMI falls in just above normal / overweight category , you are of 23 years of age , since how long are you having this symptoms ? Do you have fever ? the pain you experience may mimic cardiac ailments but before jumping to a single conclusion lets rule out other possibilities. You did mention you have a somewhat stiff neck while swallowing , do you have similar feeling while taking solid food ? Also so you suffer acid reflux or burning sensation starting from neck and going lower down the chest. Please get a chest X ray for you that might actually reveal any thing significant. I don't know your lifestyle but as per your age i am rulling out ischemic heart disease for you and will only consider cardiac rythm disorders and valvular heart disease , so if you suffer from frequent palpitation/ throbbing sensation in your heart please get a ECG and an Echocardiogram with doppler spectral analysis done for you or visit a primary physician of your choice as clinical examination is very important for you alomng with lab work up. Check your blood pressure as well. Lastly i would like to throw some light upon anxiety attack as it can mimic almost anything at a younger age like yours. Hope i have been able to help you with your doubts and please do forgive me for grammatical errors , if any. Take care. 

Answered: Wed, 31 Oct 2012
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend
Welcome to Health Care Magic

Different symptoms - chest and neck discomfort / fatigue and loss of sleep - do not fit into known anatomical patterns. So the first possibility is Anxiety - tension at home or work, differences with parents or peer pressure - is usually .the precipitating event.
See your GP. Get yourselves examined. Anxiolytics are likely to help

Take care
Wishing you speedy recovery
God bless
Good luck
Answered: Wed, 31 Oct 2012
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