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What causes chest pain, weakness and tingling inspite of normal cardiac and blood tests?

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Posted on Tue, 18 Mar 2014
Question: i started out eith severe chest pain on upperleft chest, near shoulder. was admitted to the coronoary unit at lenox hill hspital after being seen in the er there. they did all test, including 4 blood tests, 4 ekg's, echocardigram, and finally amgiogram -- all normal, no blockages, etc. was released last night, still. having the same quality of pain but moved to back of shoulder and left arm, still a little in chest, with weakness, tingling and weakness in left hand and fingers.
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Answered by Dr. R.A. Singh (1 hour later)
Brief Answer: It can be due to nerve compression. Detailed Answer: Hi, Thanks for writing your query. Since your cardiac investigations are within normal limits, cardiac abnormality seems unlikely. After reading your post, it seems that muscular pain and nerve compression can be the cause of your symptoms. You should get yourself clinically examined and investigated by a Neurophysician. MRI of the upper thoracic area will be helpful. You can take painkiller like Ibuprofen twice daily after meals along with a muscle relaxant like Chloroxazone and an antacid like Omeprazole 40mg once a day before meals after consulting your doctor. Avoid lifting heavy weights from that side. I hope this is helpful to you. If you have any further query, I will be happy to help. Regards. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. R.A. Singh (3 minutes later)
By neurophyscian do you mean a neurologist? Could it be pulmonary?
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Answered by Dr. R.A. Singh (14 minutes later)
Brief Answer: pulmonary cause seems unlikely. Detailed Answer: Hi, Thanks for your response. Yes you should consult a neurologist. The cause seems more of a muscular and of nerve origin. I hope this answers your query. If you have any further doubts, please mention. Regards. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. R.A. Singh

Emergency Medicine Specialist

Practicing since :2000

Answered : 2235 Questions

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What causes chest pain, weakness and tingling inspite of normal cardiac and blood tests?

Brief Answer: It can be due to nerve compression. Detailed Answer: Hi, Thanks for writing your query. Since your cardiac investigations are within normal limits, cardiac abnormality seems unlikely. After reading your post, it seems that muscular pain and nerve compression can be the cause of your symptoms. You should get yourself clinically examined and investigated by a Neurophysician. MRI of the upper thoracic area will be helpful. You can take painkiller like Ibuprofen twice daily after meals along with a muscle relaxant like Chloroxazone and an antacid like Omeprazole 40mg once a day before meals after consulting your doctor. Avoid lifting heavy weights from that side. I hope this is helpful to you. If you have any further query, I will be happy to help. Regards. Thanks.