Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome on HCM!

Regarding your concern, I would like to explain that your chest discomfort may be due to several causes, like cardiac ischemia, esophageal spasm, muscular-skeletal inury/inflammation, an aortic syndrome, backbone degenerative disc disorder, hiatal hernia, gastro-esophageal reflux, etc.

So, a variety of potential etiological factors should be carefully investigated through a careful differential diagnosis, in order to arrive to the right diagnosis.

For this reason, an optimal characterization of the chest pain (its exact nature: is it a sharp and well localized in a certain skin area or is visceral more dull and spread; is it modulated by respiration phases, cough or posture, etc), a careful physical examination and some medical tests are recommended (especially if the chest discomfort persists) as follows:

- resting ECG,
- chest X ray study,
- cervical-thoracic backbone X ray study,
- cardiac ultrasound,
- cardiac enzymes (CK-MB, Troponin I),
- complete blood count,
- PCR

Coming to this point, if the pain keeps persisting, I recommend asking medical assistance to the nearest ER service in your living area.

Otherwise, if the pain is sharp, superficially well localized and modulated by posture changes and respiration, then it is more likely an extra-cardiac pain and may be some pain killer drugs (like ibuprofen, naproxen, etc.) would be beneficial.

If hiata l hernia and gastro-esophageal reflux is suspected, fibrogastroscopy is advisable.

You need to discuss with your attending physician on the above mentioned issues.

Hope to have been helpful to you!

In case of any further uncertainties, feel free to ask me again.

Kind regards,

Dr. Iliri

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