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What does the symptoms of chest pain, nasal congestion and joint pain indicate ?

Hello, thanks for reading. I am a 20 year old man . I have problems with health insurance in AAAAAAA so I have not seen a doctor in many years, I m 175cm and overweight . I just feel like a tight feeling in my chest area. I get bad sinus pressure , and a stuffy nose a lot. My back always hurts, my lower back as well, there s sharp pains in them, ALl my joints feel inflamed. I feel pain in my chest and under my ribs. Also, my fingers are always like cracked and plasticy. I was told that the problems might come from the fact that I have never had my tonsils removed. But there s a history of heart problems in my family as well as diabetes. Also lately I ve been feeling real cold. I hope you can give me direction on what could be wrong and what I should do.
Asked On : Mon, 20 Feb 2012
Answers:  1 Views:  105
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General & Family Physician 's  Response
hello welcome to healthcare magic. Chest pain can be due to problems in the esopahgus ( food pipe), heart, ribs , sternum( bone in the center of the chest), lungs or the muslces in the chest. Heart related pain is usually central, associated with activity, heart beating fast or shortness of breath. Tight chest pain can be caused by problems related to the sternum, heart, lungs such as asthma or even anxiety. you will need to be assessed and examined to determine the exact cause. If the pain is constant is is less likely to be heart related because that tends to occur with activity unless the person is having heart attack which is unlikely in your age group.
The issues related to sinuses can be relieved by use of a antihistamine and a nasal spray ( you can use an antihistamine or steroid spray).
your joint related issues may be due to any activity you may have been involved in that aggravated your joints, infections ( viral infections commonly cause joint pain) or any condition that commonly affect joints such as RA or SLE. Again a complete history, physical exam and in some cases blood tests may be necessary.
Removal or the presence of your tonsils have nothing to do with your symptoms.
You may need to have your thyroid assessed to make sure it is not related to feeling cold
Answered: Fri, 24 Feb 2012
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