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Have constant left sided arm, shoulder, jaw and ear pain. Blood and EKG done but still in pain

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General & Family Physician
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im a 28 yr female with constant left sided arm shoulder jaw ear pain been had blood work week ago ekg but pain keeps on what could it they dont kno im scared
Posted Wed, 7 Aug 2013 in Hypertension and Heart Disease
Answered by Dr. Vaishalee Punj 9 hours later
It seems like referred pain from heart. Can go for more cardiac tests.
Above answer was peer-reviewed by
Follow-up: Have constant left sided arm, shoulder, jaw and ear pain. Blood and EKG done but still in pain 20 hours later
So your saying its related to my heart I had a stress test last year it was good plus other test that were neg. its hurts to move my arms press on my chest etc. what other test do I need to do it over again I'm hurtin really bad what else can I do and what is referred pain from heart this has been goin on awhile its kinda nerve racking ive had alot of test but it was all done last year in August and since ive had ekgs blood ,work, xray, tell me what u think as ive said im 28 I have deep achy sharp pains deep in my arms ,chest, back, now ive experience. it n my ears and jaw, and just serve pain all over please help
Answered by Dr. Vaishalee Punj 7 hours later

Thanks for posting your query on XXXXXXX

You do have some symptoms correlating with a heart pain. But after reading the details I feel if you have chest pain on pressing then it may be musculoskeletal in origin.

If you can describe your chest pain in detail, it will help me in narrowing down the diagnosis. You can describe it in context of aggravating and relieving factors, exact location, duration, whether it gets worse with breathing, pressing, how it started, etc.

The following tests will help in ruling out some diagnosis:

1. Blood tests that include cardiac enzymes like troponins and CK-MB, D-dimer assay

2. Helical CT scan of the chest

These two tests will help rule out heart and chest conditions. If these are negative then the cause is most likely musculoskeletal and a consultation with an orthopedic surgeon will help.

Let me know if you need further clarification.

Dr Vaishalee
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Follow-up: Have constant left sided arm, shoulder, jaw and ear pain. Blood and EKG done but still in pain 15 minutes later
Ok the pain is deep achy pain its does feel worse when lifting and moving my arm, hurts some to press on my chest,I get short of breath and I stay dizzy all the time from this. The pain is deep an intense I can feel it from my jaw to my wrist it hurts so bad it does seem to feel a little better to have a massage or heat on it but the pain has last three days straight no letting up it does get worse at times tho like right now im in alot of pain feeling as if I cant breath lightheaded an serve pain in left arm,shoulder,neck,jaw it painful but has been goin on allday long it felt a lil betted when I slept earlier but woke up to even more pain
Answered by Dr. Vaishalee Punj 33 minutes later
Hi again

It seems like a lot of pain and it seems to be unaffected by movement of chest and pressing thus making pericarditis and musculoskeletal causes unlikely.

It needs further evaluation. The above mentioned tests should help narrowing down the diagnosis. Along with the above mentioned tests, I will recommend the following:

1. Get your blood pressure measured. Also get serum electrolytes, hemogram, thyroid profile and lipid profile in your tests. Also get your blood gas analysis done. I think it is better to go to an emergency room and get these tests done right away.

2. To relieve from stress and to make your breathing better, try breathing techniques (Sudarshan XXXXXXX is one such technique available in USA), try not to breath heavily, meditation, etc. These techniques will help you dealing with the altered breathing due to chest pain in long run.

3. Stay away from smoking, alcohol or drugs (if you have a history).

You definitely need medical evaluation. Please go to emergency room.

Dr Vaishalee
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Follow-up: Have constant left sided arm, shoulder, jaw and ear pain. Blood and EKG done but still in pain 8 minutes later
Are u serious u think its my heart im scared ive had ptsd an anxiety ive been off meds for a month now n been under alot of stress. I have been repeatedly to er after er with pain related to this and they all saythe same thing I don't no what to do. I just im freaking out worse now do you think it's my heart
Answered by Dr. Vaishalee Punj 1 hour later
Hi again

I did not mean to freak you out. It can be due to anxiety. But cardiac causes do need to be ruled out. Chest pain due to heart problems and anxiety can present similarly. I am not aware of all your investigations that have been done since the start of symptoms, if you can upload your test reports. After reviewing your reports I will be able to suggest if you need more tests or not.

Since you have a history of anxiety, I will suggest you to go back on the medications and see if these help. Consult your physician about going back on medications.

Again to control the altered breathing due to anxiety and stress, etc please try breathing techniques.


Dr Vaishalee
Above answer was peer-reviewed by
Follow-up: Have constant left sided arm, shoulder, jaw and ear pain. Blood and EKG done but still in pain 2 days later
I went to er they did ekg and xray but im still having serve pain cold sweat n lightheadedness I also seen my family dr she did some lab work and also didnt see need for concern so whats else can I do what else. ould be wrong with me I go to dentist today to check to see if my teeth are messed up but idk what else to do they wont run ne more test
Answered by Dr. Vaishalee Punj 20 hours later
Hi again

I think you can relax for now. A chest pain that lasts for many days is unlikely to be cardiac in origin. If you can get a photocopy of your reports from your family physician and upload it, I will be able to tell if you need more tests. Also let me know if you were able to get back on your anti-anxiety medicines. You may also to try to get a CT-scan of chest. It may help ruling out chest disorders. Cold sweats can be due to low blood glucose. You may take small frequent meals for that.


Dr Vaishalee
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