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On and off chest pain and muscle ticks - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   iam a 15 yr old boy , who has been getting severe pain in my chest , crushing stabbing pains near my heart , and also getting electricity feeling down my left arm very worried please help me ,
Doctor :   Hi
Doctor :  
Since when are you experiencing these symptoms?
Doctor :  
Do you have sweating/breathing difficulty?
User :   I am asking this question about my grandson he had the problem for a year
Doctor :  
Is he having it on and and off?
Doctor :   If yes for how long do these symptoms last?
User :   yes but this week has been the worst , and he sweats
User :   symptons last a while depending
User :   30 mins approx
Doctor :   Have you consulted a doctor earlier?
User :   no
Doctor :  
User :   he is only 15
Doctor :  
Do the symptom increase with exertion?
User :   yes
Doctor :   Ok.
User :   help
Doctor :  
I shall expain it to you.
Doctor :  
The cause for the symptoms may be one of these.
Doctor :  
1. It could be a gastric source of pain
Doctor :  
2. Probably secondary to anxiety.
Doctor :  
3. A cardiac cause
User :   ok his family on both sides have cardiac problems some died as a result
Doctor :  
An examination and evaluation with an ECG is recommended.
Doctor :  
Hence it is better to rule that posibilty.
User :   does an ECG ALWAYS reveal any problems?
Doctor :   No an echo is thes confirmatory test, but preliminary tests start with an ECG
User :   what is an echo
Doctor :   ECHO is like an ultra sound of the heart.
Doctor :  
A structural study of the heart can be done to see if there is any defect.
User :   could this be likely for a 15 year old
User :   whats a structural study?
Doctor :   The possibility is less, but since there is a family history.
Doctor :  
It cannot be completely ruled out.
User :   structural study?
Doctor :   I mean you can study the structural details of the heart through the ECHO.
User :   thank you can i ask a question about myself please?
Doctor :  
The need for these test has to be decided only after a physical examination.
Doctor :  
Please proceed?
Doctor :  
Are you there?
User :   approx 10 weeks experiencing symptoms of rapid and short jerking movements in different parts of the body not just my limbs
Doctor :  
May i know your age?
User :   57
User :   i dont look it lol
Doctor :   does the jerking involve only a group of muscle or the whole limb?
User :   only a group of muscles doctor
Doctor :   how long do the jerks last?
User :   secs
Doctor :  
Doctor :  
these could be muscle ticks.
User :   what is a muscle tick
Doctor :   It is an involuntary jerking of a group of muscle.
Doctor :  
it happens spontaneously and disappear spontaneously.
User :   could this be a side effect of medication n why has it suddenly appeared
Doctor :   these are not side effects of any medications.
User :   could it be related in any way to the central nervous system
Doctor :  
It happens because of spontaeous stimulation of a group of nerve fibres.
User :   so its nothing to worry about ??
Doctor :   presently not of concern.

Doctor :  
if these jerking persists and are very frequent, and if you develop weakness then
Doctor :   they you need to consult a neurologist.
User :   whats ur thoughts
Doctor :   The ticks itself is a common phenomena
User :   k
Doctor :  
they are seen in many people and
Doctor :  
the exact cause is not known.
User :   you havent told us anything we dont know
User :   could we please have a refund?
Doctor :   what information u need?
User :   no we just require a refund of our money thank you
Doctor :   ok good bye
User :   refund please
Doctor :  
i am here only to give medical advice
Doctor :  
regarding refund u can mail the concerned person
User :   who is that ?
User :   i appreciate your time doc the british doctors havent got a clue
User :   what is your name ?
Doctor :   Do you have any other medical query please proceed?
Doctor :  
User :   no thats all i asked for , erm how long do we have left
Doctor :   it seems you have moved out of chat window. kindly log back if you have any medical query
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