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Pricking pain in the chest - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3631 Questions
Doctor :   Hi
User :   Hi, My name is AAAAAAA ..
Doctor :   How can I help you?
User :   Today morning I was feeling a pricking pain in my chest
Doctor :   Ok
User :   as if a needle is moving
User :   on the left side
User :   I get this pain once in a while
Doctor :   Ok
User :   and have been getting it for some years now
User :   exactly in the same place
User :   is there any problem?
Doctor :   Have you seen a doctor in the past for these symptoms?
User :   no
Doctor :   May I know your age and gender?
User :   I am 30years old
User :   and female
Doctor :   Does the pain increase with breathing?
User :   I never tried that
Doctor :   Do you feel sweating during the time of pain?
User :   no
Doctor :   Do you have breathing issues, palpitations, swelling of the legs?
Doctor :   Does the pain increase or reduce after a meal?
User :   actually it occurs very rarely
User :   I have breathing issue due to dust allergy
User :   I had breakfast then drove to office and as soon as I kept my bag I had this pain
User :   but it lasted for a few seconds
Doctor :   Ok
Doctor :   Do you smoke or consume alcohol?
Doctor :   Do you use illicit drugs?
User :   I don't smoke
User :   I had a drink just twice
User :   no I don't use any drugs
Doctor :   Do you have any medical illness such as diabetes, liver disease, anxiety problems?
User :   no
Doctor :   Let me explain you.
User :   ok
Doctor :   Based on what your history, there seems to be no obvious medical cause for this pain.
Doctor :   But since I cannot physically examine you, I cannot predict if any medical cause is the reason for such pain.
Doctor :   The symptoms are more suggestive of an anxiety/stress related condition.
User :   ok
Doctor :   However, a chest examination, ECG of the heart, thyroid hormone check up may be necessary.
Doctor :   My suggestions to you are
Doctor :   1. Appropriate measures to destress and reduce mental strain is necessary.
Doctor :   Good and timely sleep, relaxation techniques, regular food hapits, yoga are few destressing tips.
Doctor :   2. Avoid spicy and oily food products.
Doctor :   3. Watch out severe intensity pain associated with nausea, vomiting, breathing difficulties, cough , sweating and any other associated symptoms.
Doctor :   If such symptoms are associated with this chest pain, you will need to rush to a doctor.
User :   actually in the morning I did have nausea and vomitting sensation
Doctor :   4. Consult a doctor - a general physician or a cardiologist who can physically examine, perform investigations that can include, ECG, blood sugars and thyroid hormone work up to see if any medical cause is associated.
Doctor :   Stress and anxiety or a probable gastrointestinal cause such as reflux oesophagitis/gastritis may be the cause for your symptom.
Doctor :   An examination alone can differentiate them.
Doctor :   Hence with those measures that I suggested, seeing a doctor is necessary.
User :   ok
Doctor :   Have you followed what I have suggested?
User :   yes
Doctor :   Do you have any other query?
User :   No that is all. Thanks a lot for your time
User :   and advices
User :   I will consult a doctor
Doctor :   Thanks for consulting me. Bye for now
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