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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause Continuous Pain In Chest?

I have continuous chest pain which increases to unbearable at night. By 9 am the pain subsides to dull again. Echocardiogram came back clean. chest xray the same. it was found that the right side of my heart was slightly enlarged, No ephsophogus problems found. Bone scan bothing Doctor says it is in my head and told me to wait a few months and he will check again.
Mon, 25 Apr 2016
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Cardiologist,  's  Response
Hello and thank you for using HCM.I carefully read your question and I understand your concern.
You should not worry about.

I will try to explain you something and give you my opinion.


You should know that typical heart pains have some characteristics. They usually are retro-sternal pains like squizzing ,tightness or heaviness. They may irradiate to both arms, neck and jaw. They last from 5 to 20 minutes.

Pains that last all night are not typical heart pains.

The first and most important thing is to exluce ischemic heart desease.
The fact that you already have done echo and its normal its a very good thing.
If I was your treating doctor I would recommend a strees test to definitely exclude ischemic heart disease.
The fact that you have excluded any skeletic problem is also a good thing.
The other thing to exclude is a gastro intestinal problem that sometimes are resposible for this kind of pains. So, I would recommend a fibrogastroscopi.

After excluding this we can be shure thats nothing to worry about.

Hope I was helpfull.
Best regards, Dr.Ervina.
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What Could Cause Continuous Pain In Chest?

Hello and thank you for using HCM.I carefully read your question and I understand your concern. You should not worry about. I will try to explain you something and give you my opinion. You should know that typical heart pains have some characteristics. They usually are retro-sternal pains like squizzing ,tightness or heaviness. They may irradiate to both arms, neck and jaw. They last from 5 to 20 minutes. Pains that last all night are not typical heart pains. The first and most important thing is to exluce ischemic heart desease. The fact that you already have done echo and its normal its a very good thing. If I was your treating doctor I would recommend a strees test to definitely exclude ischemic heart disease. The fact that you have excluded any skeletic problem is also a good thing. The other thing to exclude is a gastro intestinal problem that sometimes are resposible for this kind of pains. So, I would recommend a fibrogastroscopi. After excluding this we can be shure thats nothing to worry about. Hope I was helpfull. Best regards, Dr.Ervina.