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Severe pain in left side of chest and shoulders, feel dizzy and problem in breathing. Is it a heart problem?

Hi I am 20 years old male and suffering fro Hurt burn (pain on my left side of chest which is Heart ). The pain usually occurs during the night and when I sleep on the left side and when I Bend over the pain get worse. The pain is on my left side of chest and it starts to come to my left hand and shoulder and I feel very nervous and dizzy when the pain starts. It has been almost a year that I have been suffering from this sickness and couldn t find a chance to meet the doctor. The pain is continuesly and usually it happens in the afternoon and night when I am going to bed. The pain on my left side on my heart get worse when I eat greasy food and salty foods. I am working in an office and I have no physical movement. And when the pain starts I face with breathing problem as well. So both pain on the left side of my chest and breathing problem occurs at one time. Also if I smoke the pain get worse. Can you please advice me is it a heart problem or anything else do I need to meet a doctor and if so which type of doctor I should meet. And can you advice for any treatment at this time.
Asked On : Mon, 31 Dec 2012
Answers:  1 Views:  52
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General & Family Physician 's  Response
Hello Hasibullah,

Thank you for using the services of Healthcare magic.

Following the characteristics of the pain you described, there are elements that suggest a chest pain from cardiac origin and there are elements the suggest a chest pain from digestive origin. There are equally an element that suggest a chest pain from the Lungs.

Elements you described in favor of a chest pain from cardiac origin were:
- the location of the pain
- the fact that the pain irradiate to the left shoulder.

Elements you described in favor of a chest pain from digestive origin were:
- the fact that the pain gets worse when you bend over
- the fact that the pain occur at night when you sleep
- the fact that the pain gets worse when you eat greasy and salty food
- the fact that the pain gets worse when you smoke

Elements you described in favor of a chest pain from lung origin were:
- the fact that the pain gets worst when you smoke.

Following my analysis, it shows that there are more elements in favor of chest pain from digestive origin. The symptoms you described are consistent with Gastro-Esophageal Reflux Disease (GERD)
I will advise you to see a doctor to conduct the necessary work ups to make a definite diagnosis of your condition. The doctor equally needs to rull out the existence of a coronary artery disease.

Hope this will be of help to you.
Answered: Wed, 9 Jan 2013
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