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Chest pain and numbness in the chin - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2584 Questions
User :   Hi. I had severe pain in my chest last night, right in the centre which bored through to between my shoulder blades. I haven't felt it before but I have been having an almost constant numb feeling in my chin and lower lip. Could this be cardiac or muscular?
Doctor :   Hi
User :   Hi
User :   Can you see the problem I mentioned above?
Doctor :   yes
Doctor :   Do you have the pain even now?
Doctor :   What iss your age?
User :   No but I still have the numbness in my chin and across my chest and in my cheeks a little.
User :   I am 44
Doctor :   Do you smoke?
User :   No, but I only quit a year ago.
Doctor :   Did you have a bout of alcohol last night
User :   A couple of beers, not much.
Doctor :   Do you have high Blood pressure and blood sugar?
User :   No, quite low blood pressure. No blood sugar problems.
Doctor :   Did similar complaints happen in the past?
User :   I have been having the numb chin and face for several months but the pain last night was the first time.
Doctor :   Did you have giddiness, sweating, short of breath along with the pain or any of the above now?
User :   No, but the pain woke me up in the night and I was lying down so I didn't feel giddy etc.
Doctor :   When was you last complete health exam with ECG, Tread mill, Cholesterol tests?
User :   I have had lots of ECGs, a 24 hour monitor which showed a short P-R interval, I have slightly raised cholesterol at 6.1 but the good cholesterol is very high, GP wasn't worried about that.
Doctor :   The symptom that you say is consistent with cardiac origin but there are no associated symptoms, hence I would evaluate you completely again.
User :   Okay.
Doctor :   As you were a smoker once
Doctor :   The second thing is a bout of alcohol can cause such pain which can be gut or pancreatic related
User :   So you can get chest pain which goes through to between the shoulders from the gut etc? Could that cause the chin and jaw numbness too?
Doctor :   I think chin and jaw numbness can be related to this or a completely different thing altogether
Doctor :   If it is related I can relate to cardiac pain
User :   I have the chin and jaw numbness and pressure almost all the time now for a few months. It hardly ever goes. Does that sound cardiac?
Doctor :   As I told you, they may or may not be related with cardiac nature of the problem
User :   So what should I do?
Doctor :   Complete cardiac evaluation again
Doctor :   Meeting your GP once again
Doctor :   Every chest pain episode should be completely evaluated as a new onset pain
User :   So it woudn't be unusual to get chest pain radiating to the back in the night?
User :   I mean that would be usual for a cardiac problem?
Doctor :   Cardiac pain is precordial on the chest wall, referred to jaw, left shoulder and arm sometimes
Doctor :   A chest pain radiating in between the shoulders could be aneurysmal or pancreatic in nature
User :   What does precordial mean?
Doctor :   Chest wall
Doctor :   localized to chest wall
User :   So is it serious?
Doctor :   It can turn serious if not evaluated early
User :   But I don't have it now. Should I expect it to come back if it's serious? Could this pain be caused by a pinched nerve?
Doctor :   Yes
User :   Which question is your yes for?
Doctor :   I would not suggest you to wait and then visit doctor if it recur
Doctor :   Pinched nerve pain is usually tingling in nature along with numbness, the nature of your pain does not say so
User :   My chin and jaw are numb - could this be related? Could it be muscular?
User :   You think I should see the GP immediately?
Doctor :   Yes you should see GP
Doctor :   It cannot be muscular
Doctor :   unless the examination is null
Doctor :   without any positive findings
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