Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
193 Doctors are Online

Get stabbing chest pain radiating to shoulder blades and arms with nausea, heaviness and fatigue. Suggest?

User rating for this question
Very Good
Answered by

General & Family Physician
Practicing since : 2011
Answered : 589 Questions
My 18 year old daughter gets central stabbing chest pain which radiates down the left side and arm but can go down both arms between shoulder blades along with nausea its not heart attack as they have ruled it out at the hospital. then a sense of heaviness and aching comes over her body followed by fatigue after this attack comes on.
Posted Sat, 5 Oct 2013 in Heart Attack
Answered by Dr. Guru 18 minutes later
Brief Answer:
Heart valuvular conditions also need tobe excluded

Detailed Answer:

Thank you for consulting HealthcareMagic!

Apart from heart attack, few other serious heart related conditions like problems effecting the valves of heart (Mitral valve, aortic valve etc), Aortic aneurysm etc needs to be excluded based on her symptoms.

She may need echocardiography based on physical examination findings. However, in some cases causes like anxiety, panic attacks can also precipitate this kind of pain and other symptoms. However, the serious causes I have mentioned above needs to be excluded as early as possible. She needs immediate evaluation.

Hope I have answered your query. If you have any further questions, please let me know!
If you do not have any clarifications, you can close the discussion and rate the answer.

If you like my answers and wish me to answer in future, bring it to my attention: Dr Vasanth. Url link is as follows:
Wish you good health.
Above answer was peer-reviewed by
Follow-up: Get stabbing chest pain radiating to shoulder blades and arms with nausea, heaviness and fatigue. Suggest? 3 minutes later
how do you check for an aortic aneurysm
and would she need morphine for the pain if it was like a panic attack or anxiety attack
Answered by Dr. Guru 22 minutes later
Brief Answer:
Physical examand Echocardiogram detects Aortic an.

Detailed Answer:

Thanks for the follow up.

First of all I want to reassure you that it may not be Aortic aneurysm. I have only listed the possible causes. But all the things need to be ruled out in such serious presentations. Physical exam findings if suggestive, an echocardiogram is help in checking for aortic aneurysm.

I personally do not think that she might require morphine. Moreover, today’s research indicates that a move toward individualizing the dosing of prescription agents is warranted and it can happen only after physical consultation / Your doctor will know about these drugs. However, pain is not a major concern here (although one of the concern) but the important concern is what is causing it(is it a serious cause that needs to be managed immediately)

Hope I have answered your query.

Wish her good health.
Above answer was peer-reviewed by
Follow-up: Get stabbing chest pain radiating to shoulder blades and arms with nausea, heaviness and fatigue. Suggest? 4 minutes later
she has had an echo cardiogram and they said everything was fine they want to explore her bloods further and have referred her to a rheumatologist but the pains seem to be getting worse and more frequent
Answered by Dr. Guru 6 minutes later
Brief Answer:
Need to wait for further results

Detailed Answer:

I am really sorry for her ill health. I can understand your concern.

As the serious issues have been excluded, you can be little assured and we need to wait for further investigation results to know what going on. Referring to a Rheumatologist was a good idea. Now, I believe she might need some symptomatic treatment for the reilef of her symptoms until the exact cause is made out.

Take care.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Procedures
Lab Tests
Medical Topics

The user accepted the expert's answer

Ask an Emergency Med Specialist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor