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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chest And Upper Back Pain

Recently I had chest pain and upper back pain, between shoulder blades. When the er physician came in he asked the nurse about the ekg and she made a statement that I didn t understand. I should have asked her what it meant. She said, Well it shows a line, but she isn t have any current activity. Could you advise me what that means?
Mon, 16 Feb 2015
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General & Family Physician 's  Response
Hello
As per your description of the clinical symptoms, it seems that you might have following probable health conditions :

1. Yes, an EKG or ECG is important to rule out the most important one, that is Acute Myocardial Infraction, or any other Acute coronary syndromes; which often present with chest pain and back pain. However,other symptoms associated with it are more severe; and if you have had any such condition your treating doctor or nurse would have taken immediate action. If similar symptoms continues, you should visit a physician earliest with your ECG report.

2. Another possibility is, it can be an orthopedic complication- a cervical spondylosis or a costochondritis. A conservative management under care of an Orthopedician would be helpful.

3. Another possibility is, it can be dyspepsia or gaseous distension of the stomach which mimics a coronary syndrome by causing a pin-pricking type chest pain and back pain. You may take PPI ( like - Pantoprazole 40mg, or Rabeprazole 20 mg, once daily before breakfast for 10 days), and keep a close watch to the status of your symptoms.

Thank you.
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Suggest Treatment For Chest And Upper Back Pain

Hello As per your description of the clinical symptoms, it seems that you might have following probable health conditions : 1. Yes, an EKG or ECG is important to rule out the most important one, that is Acute Myocardial Infraction, or any other Acute coronary syndromes; which often present with chest pain and back pain. However,other symptoms associated with it are more severe; and if you have had any such condition your treating doctor or nurse would have taken immediate action. If similar symptoms continues, you should visit a physician earliest with your ECG report. 2. Another possibility is, it can be an orthopedic complication- a cervical spondylosis or a costochondritis. A conservative management under care of an Orthopedician would be helpful. 3. Another possibility is, it can be dyspepsia or gaseous distension of the stomach which mimics a coronary syndrome by causing a pin-pricking type chest pain and back pain. You may take PPI ( like - Pantoprazole 40mg, or Rabeprazole 20 mg, once daily before breakfast for 10 days), and keep a close watch to the status of your symptoms. Thank you.