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Cause of chest pain after smoking - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
Doctor :
Doctor :   May i help you now
User :   how are u
Doctor :   iam fine
Doctor :   how ru
User :   i was wondering why my chest hurts after i smoke and the pain raddiate to left shoulder as well and the pain in the chest is always in same area
Doctor :   May i know your age?
Doctor :   Since when you have this?
Doctor :   \Do you have any cardiac disease in the past?
User :   i had stress test 6mos ago as well as chest xray and eberything was fine i have had this issue for a while now
User :   45 age
Doctor :   ok
Doctor :   it can come from hear an well as musculo skeletal regions
Doctor :   do you have diabetes?
Doctor :   do you use any medicines
Doctor :   do you smoke excessivley?
User :   i work out with weights 4 to 5 days a week heavy lifting i weigh 205 pounds good shape
Doctor :   ok
Doctor :   do you have pain in the left chest near your nipple?
Doctor :   is the pain there only with smoking?
Doctor :   do you have an acid disease?
User :   a joint a day sometime more sometime less and not the whole thing at once and i dont smoke ciggarettes
User :   i had gerds endocopy twice gerds is gone on protonix
User :   and syntroid as well
Doctor :   ok
User :   pain only when i smoke
Doctor :   protonix is fro acidity
User :   i work out with pain heavy lifting no problems
Doctor :   ok
User :   protonix is for acidity
Doctor :   did you take any ecg /ekg
Doctor :   yes
Doctor :   it is pantoprazole
User :   yes and was fine
Doctor :   an anti acid drug
Doctor :   ok good
User :   ekg was good
Doctor :   i feel your pain can be musculoskeletal from
Doctor :   from those weight lifting
Doctor :   exercises
User :   the intercostal muscles or tendon what ever they are
Doctor :   do you take any nutritional supplements now
User :   just protien extra protien shakes
Doctor :   ok
Doctor :   do you find pain while pressing on to your chest
User :   why would smoking irrate the musculoskeleta
Doctor :   do you have any fall or trauma recently
User :   no not whe i press on it but when i strech or sometime i think when i turn my head
User :   no fall or trauma
Doctor :   smoking can cause decreased blood supply to muscles
Doctor :   it constricts the blood vessels from the nicotine effect
User :   i tought so
Doctor :   did you try stooping that
User :   yes and no pain when i didnt smoke
Doctor :   ok
Doctor :   then it shows the sensitivity of your body to nicotine
Doctor :   i would advise you to stop that
Doctor :   to prevent great health risks later
User :   is ther permanat damge you think
Doctor :   like stroke,heart attacks ,limb ischemia
Doctor :   etc
Doctor :   no not now
Doctor :   if it goes on for lone
Doctor :   long
Doctor :   it can permanently damage the vessel lumen and size
Doctor :   affecting the blood flow
User :   been 20 years i am smoking not ciggarette though
Doctor :   to the region
Doctor :   ok
Doctor :   did you try any rehabilitation process
User :   whats that
Doctor :   or did you get any blood check ups recently
Doctor :   what do you smoke
User :   i get regular blood work evry 4- 6mos for throid
User :   he doe the cbc psa i guess
User :   mariuana
User :   majiuana
User :   i smoke
Doctor :   ok
Doctor :   it can do alot more
Doctor :   than normal ones
User :   is that worse for you
Doctor :   ok
Doctor :   do you have numbness any were in the body
User :   no
Doctor :   like in the arms and legs
Doctor :   ok good
User :   sometimes i guess
Doctor :   so you might have not any damage to your body now
User :   but i have two heinated dics and i think that causes it
Doctor :   you can help by reducing or stopping the amount of the smoking
Doctor :   yes it can
User :   okay thank you
Doctor :   is it in the neck or lower bck
User :   so i shouldnt get to worried then
Doctor :   yes sure
User :   in my back the herinated dics
Doctor :   ok
User :   is there nicotine in marijuana
Doctor :   do you have any physical support like binder etc
Doctor :   yes
User :   no
User :   i have to go thank you
Doctor :   Thanks fro consulting...
Doctor :   nice talking to you...
User :   u too
Doctor :   take care.....
User :   u to
Doctor :   bye for now.....
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