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Costochondritis cause for chest pain - 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 : 2008
Answered : 3632 Questions
User :   i have a pain, not sharp, under middle of bottom of my left rib cage, i am 52 years old, no history of heart problems but have not had check in last 2 years
Doctor :   Hi
User :   hi there
Doctor :   Please give me a couple of mins to answer your query.
User :   no problem
Doctor :   may i ask a few relevant questions?
User :   of course
Doctor :   may i know your gender
User :   men
Doctor :   ok
Doctor :   may i know if you smoke or drink ?
User :   both
Doctor :   you meant you do?
User :   yes
User :   i smoke and drink
Doctor :   may i know how many cigarettes a day and from how long?
User :   0
User :   20
User :   a day
User :   30 years
Doctor :   and how is the alcohol consumption?
User :   once or twice a week
User :   but quite heavy
User :   on those 2 nights
Doctor :   ok
Doctor :   do you have cough or fever ?
User :   no cough
User :   no fever
Doctor :   any history of bronchitis , asthma in the past?
User :   no
User :   allways been
Doctor :   ok , any problems of gastritis , belching, etc?
User :   quite a lot of flem
User :   no
Doctor :   ok , do you even cough frequently or did you have cough anytime before if not now?
User :   yes some coughing
User :   but not frequently
Doctor :   ok
Doctor :   any history of injury to the chest ?
User :   no
Doctor :   ok , may i know what were the tests that you did 2 years back?
User :   at hospital
User :   heart rate
User :   they said was normal
User :   plus x ray
Doctor :   ok
User :   chest
Doctor :   ok
Doctor :   did they do any blood tests /
User :   no
Doctor :   ok
Doctor :   since when are you having this problem ?
User :   over last 10 days
User :   its not huge pain
User :   feels like muscle
Doctor :   do you notice any swelling over the area, and is there any tenderness?
User :   but is in bad area
User :   yes
User :   little tender
Doctor :   ok
User :   in spot
User :   centre
User :   of ribs at bottom
User :   on left
Doctor :   may i know if you have missed out anything else with your history, anything significant in the past that you wish to share?
User :   no
Doctor :   ok
Doctor :   let me explain it to you
User :   no history
Doctor :   left sided pain can have many reasons
Doctor :   the common causes being inflammation in the ribs due to cough and bronchitis
Doctor :   constantly making the muscles and the rib to be put to over use
Doctor :   even minimal inflammation may get exaggerated when one smokes and consumes alcohol
User :   ok
Doctor :   the other causes could be plueritis which involves some inflammation in the lung linings called pleura
Doctor :   most often even gastritis , belching , weight gain and smoking will all contribute to gether for the same
User :   ok
Doctor :   I would suggest you get these things done
Doctor :   I can relate this to smoking and alcohol
Doctor :   you may need a few tests to confirm as to what exactly this is
User :   ok
Doctor :   1. Complete blood counts
Doctor :   2. Urine routine and microscopy
Doctor :   3. blood sugar check
Doctor :   4. visit to a general physician for a thorough examination and checking your blood pressure
Doctor :   5An ECG to make sure the cause is not heart related
User :   ok
Doctor :   6. a repeat chest x ray and abdomen x ray to find out any enlargement of spleen
Doctor :   in the mean time i would want to suggest you to try and cut down on the smoking and alcohol
User :   ok
Doctor :   since you have crossed 50 yrs, it is worth to get these tests done and be alert
User :   this i will do
User :   i came here to ask because my health insureance doesnt kick in for 2 to 3 weeks
User :   i wanted to check
Doctor :   as after 50 yrs , the risk of diabetes , heart ailments and other problems increases
User :   if this has time implications
Doctor :   ok
User :   also is small exercise a good thing
Doctor :   can you elaborate on what you mean by small exercise
User :   walk
User :   2-3 km
Doctor :   yes , it helps a lot
User :   ok
Doctor :   you can surely continue it
User :   ok
Doctor :   let it be a brisk walk
User :   ok
Doctor :   bring in some diet changes as well
User :   ok
Doctor :   avoid spicy food and make sure you eat on time
User :   i love spicy food
User :   :(
Doctor :   if there is too much pain you could take pain killers like TYLENOL 500 mg
Doctor :   single tablte
User :   pain
User :   is not big
Doctor :   ok
User :   thank you for your advice
Doctor :   if you can put up with it , till you get the investigations done , then it is fine
User :   ok
Doctor :   i hope you followed my suggestions
User :   thank you
User :   i will
Doctor :   did i answer all your questions ?
User :   yes thank you
Doctor :   are there any more questions for me?
User :   no
User :   thanks once again
Doctor :   ok , you can get back to us with your investigations
Doctor :   i would want to add one more test
Doctor :   it is for checking cholesterol
User :   ok
User :   ok
Doctor :   do the LIPID PROFILE test as well please
User :   ok
Doctor :   we are here 24/7 to help you again
User :   thank you
Doctor :   Thank you so much for consulting me
Doctor :   pleasure here
Doctor :   Bye for now , take care
User :   by by
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