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I am experiencing pain from upper chest area to left

Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 17755 Questions

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Posted on Sun, 24 Mar 2019 in Lump
Question: I am experiencing pain from upper chest area to left arm and back as well. it's not being hurtful all the times but at times it's more and usually it's a bit less. it's happening from about 15-30 mins as I wake from a long sleep just now. may I know what might be causing this and how can I get rid of it?
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Answered by Dr. T Chandrakant 1 hour later
Brief Answer:
Most probably muscle spasm - get and ECG too

Detailed Answer:
Hi.
Thanks for your query.
Noted the history, referred to another queries by you and understood the concerns.

Pain in upper chest area to left arm and back, recurrent, particularly after waking a long sleep can be due to one of the following reasons:
Muscular most probably due to spasm that occurs due to inappropriate position of the neck during sleep.
Cervical spondilitis and/or myo/muscle spasm causing nerve pinching and in turn causing the pain as you have mentioned. During pregnancy there are physiological/natural changes that occur in all the joints, ligaments, muscles and takes time to revert back to pre-pregnancy levels. There is usually drooping of shoulders as compared to neck causing the muscles and nerves to stretch, causing the pain as explained.
Since the pain is from chest to left shoulder and back it is important to get an ECG done to rule out any cardiac issue although this is the least possible as the patient is female of 27 years. But it is best to get it done to rule out any cardiac issues.

Hot fomentation with cotton cloth made warm on gas burner.
Then you may apply a rubefacient liniment or ointment like Esgipyrine Instagel or Voveran gel locally.
Give rest to the neck.
Apply sling to the left elbow elevating it a bit to relax shoulder and neck spasm. Helps a lot.
If the question is about a breast feeding baby then some medicines are not safe for the baby as these are secreted in milk. Hence try with plain paracetamol; you can add Ibuprofen if it suits you.

Please get these things done and let me know the results.
Also get and ECG and cardiac check up.

I hope this answers your query and helps you.
Take care.

Dr T Chandrakant.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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