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Pain under breast, tenderness - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Breast Cancer
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   I'm have a sharp pulsing pain under my right breast, like in my ribs. It's sore to the touch too, and hurts more when I breathe deeply. It's been coming and going the last few days, but is really painful at times. It sometimes shoots up my shoulder to my neck.
Doctor :   Hi
Doctor :   Doctor :   Let me read the query
Doctor :   Ok I have few questions for you before I give you how to proceed
User :   Hi--do I need to go to the ER? In googling, it looked like it might be harmless--chondritis or something?
User :   Fire away
Doctor :   What is your age
User :   46
Doctor :   Did this happen in the past?
User :   no--just started a couple days ago
Doctor :   Did you take any medicine yet?
User :   advil--and I am on wellbutrin--started that about 9 days ago
Doctor :   Did you have episodes of heart burn earlier?
User :   Yes, I have gerd
Doctor :   Did Advil help you?
Doctor :   Are you on treatment for GERD?
User :   A little bit.
User :   No, I have been in the past
Doctor :   Any recent changes in your food intake, more spicy, filling stomach to the brim?
User :   Have been eating more than usual lately with the depression
Doctor :   Your description of symptoms appear to be musculoskeletal in origin like muscle / cartilage or tendon
Doctor :   The tenderness on pressing increases the suspicion of costochondritis
User :   It actually hurts under the ribs/breast when I tough there.
Doctor :   It should be relieved on its own with symptomatic treatment with ADVIL 400mg twice a day along with PRILOSEC
User :   Prilosec--is that over the counter, or do I need to go see a doctor?
Doctor :   You need to take it before food
Doctor :   PRILOSEC is OTC
Doctor :   20 mg dose
Doctor :   I also advice hot fomentation
User :   what's fomentation?
Doctor :   instead of ADVIL

Doctor :   hot bags
Doctor :   because you have GERD as past history
Doctor :   or topical liniments
User :   Is advil bad for gerd?
Doctor :   Yes it can aggravate it
Doctor :   Reduce the spicy intake and
Doctor :   eat less each time and more times
User :   ok. Thank you--it's scary having a sharp pain like that in your chest!
Doctor :   Yes
Doctor :   If you have not got your annual physical recently
Doctor :   I suggest you that even
Doctor :   as you get relief of this
User :   I have an appointment in about a month...long visit for a well visit...
User :   that's long WAIT for a well visit
Doctor :   Ok
Doctor :   You can pre pone it if possible
Doctor :   If you have breathless ness and severe pain more than 7/10 then I suggest a visit to doctor
User :   How quickly should this resolve itself?
User :   Thanks. Will do. You've been very helpful!
Doctor :   The issue should be resolved within next 3 days
Doctor :   Is there anything else I can ehlp you with?
User :   No--thank you! Good night!
Doctor :   Bye for now
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