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Pain below breastbone and radiates to the left side - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   I have had constant chest pain for the past two days. I have tried everything to get rid of it but nothing helps. Its happened in the past before and i had blood work, x rays and ekgs done but they didnt find anything. What should i do?
Doctor :   Hi
Doctor :   give me a couple of mins to read your query.
Doctor :   can i know your age, gender and occupation?
User :   18 female and student
Doctor :   ok
Doctor :   where exactly do you feel the pain?
Doctor :   and could you describe the pain?
User :   underneath my breastbone but it radiates towards my left side. Its like a sharp stabbing pain.
Doctor :   ok
Doctor :   do you smoke/consume alcohol?
User :   no
Doctor :   any palpitations you feel?
User :   at times yes
Doctor :   ok
Doctor :   any symptoms of shortness of breath?
User :   yes
Doctor :   when do you feel short of breath, when you exert yourself physically or just walking on flat surface or even at rest?
User :   i feel it walking on a flat surface and even at rest
Doctor :   any sweating along with it, when you have palpitations?
User :   last night i did
Doctor :   any other illness you have had in the past or present?
User :   nope.
Doctor :   How is your blood pressure? have you got it checked ?
User :   my blood pressure is normal
Doctor :   when were your blood tests done and have you done a thyroid test too?
User :   my blood tests were done about 6 months ago. and i havent had my thyroid tested
Doctor :   ok
Doctor :   any tenderness below the breast bone when you touch
Doctor :   ?
User :   yea
Doctor :   any chest infections in the past/any trauma?
Doctor :   let me explain it to you
Doctor :   generally these symptoms must be evaluated
Doctor :   since it has been 6 months , you need to run a few tests
Doctor :   in anemia, anxiety, thyroid disorders we see such changes.
Doctor :   we need to know your blood hemoglobin levels as this is a common cause for short breath and your symptoms
Doctor :   I would also recommend a 2D ECHO
Doctor :   this will give us the clear picture of your heart
Doctor :   and all the chambers.
Doctor :   palpitations are common in thyroid related conditions.
Doctor :   the shooting pain with shortness of breath needs immediate evaluation.
Doctor :   did you follow what I suggested?
User :   yes, Could the pain be caused by a hit to my chest during a softball game last june?
Doctor :   yes, it could be
Doctor :   but it wont be the reason for your shortness of breath
Doctor :   or the palpitations.
Doctor :   are you stressed about anything /any sort of fear?
User :   no.
Doctor :   ok, I would suggest you to get 2D ECHO
User :   i've been scheduled for a stress test since november but the hospital keeps rescheduling it. Would that test tell anything
Doctor :   sometimes Mitral Valve Prolapse a common condition in young females, though mild , may cause some symptoms.
Doctor :   yes, stress test would reveal the exercise capacity of your heart and the reason for your symptoms.
Doctor :   it will suggest if there are any changes in your vessels of the heart
Doctor :   It is superior to an ECG
Doctor :   I would suggest you to get it done as we need to know if there are any coronary spasm/plaques/impairement in blood supply
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