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Pinching test pain, smoking addiction, pain management - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hi help yu
Doctor :   hi
Doctor :   how can i help u
User :   Hi
User :   I am a 24 year old male
User :and have for the past few days been expereincing pain in my chest
Doctor :   please proceed with ypur query
User :   near the left side.. near my sternum
User :   the pain is like a pinching pain
User :   and it travels sometimes towards the shoulder area..
Doctor :   ok
User :   again a pinching one
Doctor :   ok
User :   today though, i felt irritation in my neck.. along with pain in my left arm.. with the same pain in my chest
User :   i dont know if i should go to the ER or not
User :   truth is i am avoiding it because I do not have medical insurance
User :...?
Doctor :yes i am here
User :   what do you think it might be
Doctor :   i will help u in this can i ask few Q
User :   sure
Doctor :   ok
Doctor :   since how many days do yu have this problem
User :   i would say more than a week
User :   intermittent pain
Doctor :   is it the pain or tightness in the chest area
User :   its pain, but in the neck i feel tightness
Doctor :ok
Doctor :do yu smoke
User :   Yes
Doctor :   or drink alchohol
User :   no i do not drink
User :   i do smoke though
Doctor :ok
Doctor :do yu consume alchohol
User :   no i do not
Doctor :   ok
Doctor :wats your occupation
User :   I am a student
Doctor :   ok
Doctor :   do yu have fever or cold or cough
User :   no
User :   but i feel as if i have shortened breaths at times..
Doctor :   ok

Doctor :do yu have head ache and neck pain
User :   no i do not
Doctor :   ok
Doctor :   do yu have burining sensation in the chest
User :   no i do not
Doctor :   bloating
User :   its more of a sharp pinching pain
Doctor :   or nausea or vomiting
User :   none of those
Doctor :   any difficulty in breathing
User :   not really, but at times it feels like i have shortened breaths
Doctor :   did yu lift any thing weight
User :   like when i take a deep breath i feel like coughing
Doctor :ok
User :   not recently no i have not
Doctor :   ok
Doctor :do yu have acidity
Doctor :   gas pains
User :   no
Doctor :ok
User :   but i have had Diarrhea for the past week
Doctor :   ok
User :   oh and the pinching pain has started to travel to the right side of the chest as of today
Doctor :   ok
Doctor :   did yu do any test
Doctor :   or investigations
User :   no
User :   i have nt done anything
Doctor :   i will give u few medical tips
User :   okay
Doctor :to over come this problem
User :   ok
Doctor :   first and the fore most yu need to reduce the smoking
Doctor :   and finally quit it
User :   trust me as of a few days ago i have started to do that
User :   ok
User :   is that it?
Doctor :   no please co- operate
Doctor :   i am also handling simulatneoulsy
User :okay ... you hadn't written anything that's why I didn't know if that was it or not
User :   oh okay sorry
Doctor :   other patients
Doctor :   i will help u in this
Doctor :   and give good suggestions
User :   okay
User :   thank you
Doctor :   let me tell yu the adverse effects of smoking
Doctor :   it contains nicotine and other chemical substance
User :  
Doctor :   which reduces the blood supply to most part of the body
Doctor :   mainly to lungs and heart
Doctor :   o when the blood supply is less
Doctor :   yu can get pinching or squeezing type of pain in the chest
Doctor :   and mild difficulty in the breathing
Doctor :   and cough
User :   okay
Doctor :   so its better to reduce the smoking
Doctor :   and quit finally
User :   yes i am working on that
Doctor :   that good
Doctor :   next
Doctor :regarding diet
Doctor :   do yu prefer spicy and oily foods
User :   yes i do actually
Doctor :   do yu take junk foods
User :   I am also from the Sub-continent descent, so it's like a daily routine
Doctor :or carbonated drinks
User :   every now and then yes i do
Doctor :   ok
Doctor :   this also the reason
Doctor :   for chest pain and acidity
Doctor :   as per your symptoms
Doctor :   its not related to heart or any major issue
Doctor :   its mainly do yu smoking
User :   that's a relief to know
User :   but all of a sudden all this happened?
Doctor :   and life style food habits
Doctor :   this is not all of sudden
User :   So I should control my diet and stop smoking
User :   could it also have to do with anxiety?
User :like with the smoking and diet.. anxiety as well?
Doctor :   it will take time for the smoking and die habits
Doctor :   es anxiety is also the major problem
Doctor :   for this chest pain
Doctor :   medial tips
Doctor :1. Quit smoking
Doctor :   2. avoid spicy foods and oily foods
Doctor :   2. junk foods and carbonated drinks
User :   I guess 2 and 3 are easier than 1.. and quicker but I will do all of them
Doctor :3. take more fluids and and green leafy vegetables
Doctor :   ok
User :   what is your name Doctor?
Doctor :  

Doctor :4. use MUCAINE
Doctor :   syrup
Doctor :   3 times a day
Doctor :   for 10 days
User :   okay..
User :   ? I wanted to write you a review..that's the reason I am asking
Doctor :   its only
User :   | Oncology|Cancer
User :   That one?
Doctor :   ok
Doctor :Family medicine
Doctor :  
5. Tab. Tylenol 500mg 2 times a day for 3 days after the food
Doctor :   is that ok
User :   I started to take Mortrin today
Doctor :ok
Doctor: its brufen
Doctor :   to reduce the pain mainly
User :   yes ibubrufen
User :   yeah
Doctor :   not a problem
Doctor :   take that after food
Doctor :   in the morning and nite
Doctor :   use tylenol in the afternoon
Doctor :   after food
Doctor :   fawad not worry
Doctor :   be bold and mentally strong
Doctor :   reduce your anxiety
Doctor :   to reduce the anxiety and stress
User :   I have anxiety.. because of college honestly.. I was taking a Public Speaking class a week ago and when it was about to be my turn, by heart starting pounding the pain was so sharp
Doctor :   yu need to regular simple exercise like brisk walking
User :   i am overweight though
Doctor :   ok
User :   I am 5'10" about 195 pounds
Doctor :   ok
Doctor :   thats over wt
User :   yeah..
User :   junk food
Doctor :   smart
Doctor :   ok
Doctor :   eating is not a problem
Doctor :   but yu should burn the fat in the form of calories
Doctor :   s its not stored in the body as fat
Doctor :   so regular aerobic exercise like swimming
Doctor :   or brisk walking
Doctor :   or jogging will help yu reduce the wt
Doctor :   and also the anixiety
Doctor :   aerobic exercise has 2 advantages
User :   yeaah.. its just the habit of getting into exercising that's hard..
Doctor :a) it reduces the bad cholesterol
Doctor :   and increases the good cholesterol
Doctor :   b) at the time of exercise there are hormone like substance
Doctor :   released from the body called ENDORPHINS
Doctor :   which will keep yu mood elevated
Doctor :less tensed and stress
Doctor :   is that fine
User :   that's great
Doctor :   overweight is also a adding factor for chest pain
Doctor :   and anxiety
User :   I have to change my lifestyle
Doctor :   yes your are right

Doctor :   Doctor :   i am extremely sorry for the delay earlier
User :   oh no
User :   don't be
Doctor :   please fill the feed back form
Doctor :   and the comment box
User :   you have been a great+
User :   Yes I did
Doctor :   is there any thing else i can help yu with
User :   no.. Thank you very much
Doctor :   that my pleasure
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   I appreciate all your help
User :   I will
User :   Thanks again
Doctor :   thanks
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