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On and off sharp chest pain, with pain in the left side limb - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi, I am a 22 year old female, for about 5 and a half hours I have been experiencing some sharp pain in my left arm, and now it just feels numb from about my shoulder to my fingers. For a few weeks off and on I have been having some chest pains. What could this be?
Doctor :   Hi
User :   Hi
Doctor :   Can you describe the chest pain?
User :   it is a sharp pain on the left side, it never lasts just comes and goes
Doctor :   Ok
Doctor :   Do you have such pains even at rest?
User :   Yes
Doctor :   Ok
Doctor :   Do you suffer from pain in the neck too?
User :   no
Doctor :   Are you able to clench your left hand normally?
User :   I can do it, but it feels wierd
Doctor :   Ok
Doctor :   Do you have difficulty in breathing, sweating, palpitation associated with the chest pains?
Doctor :   May I know your present height and weight?
User :   No I dont at the moment but I have in the past
User :   Im 5'2 and weigh about 150
User :   I'm sorry let me clarify myself. I have in the past had difficulty in breathing
User :   never sweating or palpitation
Doctor :   Ok. Do you have history of diabetes, hypertension or high cholesterol problems?
User :   No I dont.
Doctor :   Do you have history of heart problems or had history of heart attacks/MI in your family?
Doctor :   Do you smoke or consume alcohol?
User :   I dont have any heart problems that I know of. People in my family have had heart attacks yes & no I do not smoke or consume alcohol at al
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   As per your description, the symptoms that you have are not the ideal picture of a heart related ischemic pain.
Doctor :   The symptoms are more suggestive of a non cardiac chest pain probably secondary to stress and anxiety issues.
User :   So this a common stress issue you see in young adults?
Doctor :   The pain in your left limb is also not suggestive of any organic medical issues.
Doctor :   yes, this could be a stress and anxiety related issues and not an organic medical problem.
User :   My husband says he seems to notice I complain more of this than usual when I am on my period
Doctor :   There have been reports of chest pain during periods or during premenstrual periods with no obvious reasons for the same.
Doctor :   Again, they could be due to stress factors too.
Doctor :   Though clinically speaking, the symptoms are not suggesting a heart problem, it is definitely worth to get it ruled out by examination and EKG.
Doctor :   So, since you report of pain, I suggest you to get an EKG of the heart.
Doctor :   If they are normal,
Doctor :   then you need life style modifications such as physical exercise, proper sleep, regular diet, few dietary modifications.
Doctor :   Have you followed what I have suggested?
User :   I have been following along yes, but I could use more exercise and sleep
Doctor :   That also will be a good plan.
Doctor :   Follow with lifestyle modifications - both physical exercise, diet changes(avoid oily and high carbohydrate foods products), and relaxation techniques such as good and regular sleep, deep breathing exercise, yoga and meditation.
Doctor :   I expect your symptoms to be better with these changes.
Doctor :   If you find the symptoms reoccurring despite the modifications,
Doctor :   then you can plan for EKG and cardiac evaluation.
Doctor :   Have you followed what I have suggested?
User :   yes
Doctor :   Do you have any other query?
User :   I feel a little more at ease now, I will try that. Thank you, that was my only concern.
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
User :   bye
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