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What Causes Pain In Chest?

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Posted on Tue, 27 May 2014
Question: Chest ct clear in january, chest pain on touch in ribs symmetrically opposite ~4mnths, spots are tender to touch, pain on lower ribs too symt opp . back pain with bending neck frwrd~10mnths this too on opposite sides of bend. smoker, lung cancer? The chest pain sometimes happen without touch also. Have come out clear of cardiac exam as well.
doctor
Answered by Dr. Vaibhav Gandhi (21 minutes later)
Brief Answer:
SPECT scan can detect lung cancer in early stage

Detailed Answer:
Hello,

I have studied your case.

As per your history look for enlarged lymph node by clinical examination.
You may need further investigation to rule out malignancy.
SPECT scan can detect lung cancer in early stage in cases where CT scan is normal and cancer is suspected.
You may need blood investigation like ESR, CRP, and CBC.
If all tests are normal then pain can be due to thoracic nerve compression.
MRI thoracic and cervical spine will help to see nerve compression.

Start therapy to quit smoking.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Vaibhav Gandhi (28 minutes later)
Hi Doc,

Thanks for the answer, I do not have any other symptom of cancer present... I am healthy otherwise and active worker.. I have seen doctors around and none have suspected malignancy... Do you suspect malignancy at all? Enlarged lymph nodes could have come in the CT scan clearly... The pain is only when I touch, and the back pain is only when I bend neck forward, that too goes away after I bend it past a certain extent. Your answer has confused me a lot... And made me anxious!
doctor
Answered by Dr. Vaibhav Gandhi (5 hours later)
Brief Answer:
I put up the fact that smokers have multiple fold

Detailed Answer:
Hello,


I have studied your case with diligence.

Do not get confused
I put up the fact that smokers have multiple fold risk of getting lung cancer then non smoker.
As you are having symptoms related to lung cancer so you visited many doctors and did investigation.
If after clinical examination and investigation many doctors do not suspect malignancy then its fine.
I suspect cancer if you have most of associated symptoms like weight loss, anorexia, easy fatigability, persistent cough, persistent pain.

Now coming to your neck symptoms
Most probable reason for your symptoms could be postural problem as you may be sitting for long time or working on computer for long time.
So I will advise Screening of spine by MRI.
If MRI is normal. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.

Some life style modifications to prevent pain– Take break every 40 min from work and do some neck rotations, stretches, walk and get back to work. Sit with taking support to your back, and do not watch television constantly.
I will advise to check your vit B12 and vit D3 level.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vaibhav Gandhi (16 hours later)
Thanks for the answer doc. I did not mean to offend you... But am concerned.. I do not have none of the symptoms... I exercise daily and am not fatigued. I do not have cough or anorexia.. It is just this pain which troubles. And I have been through 2 CT scans in 6 months. Have visited ER of hospitals and came out clear... I had a thoriac MRI which did not give any findings.. Surgeons here declared it is either MPS or FMS.
But my psychiatrist rubbishes all this and attributes it to anxiety.
I am very very confused for not getting an answer.
I do not suspect lymph nodes on a personal local exam, I have subcutaneous fat though, but that is all through the body. I do not have fever at all, which I guess will accompany swollen lymph nodes.
I am confused... could not sleep without sleeping pills, as I have bipolar disorder for 6 years now.

Can you please be of a little more help.
doctor
Answered by Dr. Vaibhav Gandhi (26 hours later)
Brief Answer:
Do SPECT scan if you are confused.

Detailed Answer:
Hello again,

Its good that you dont have other constitutional symptoms,so possibility of cancer reduces.
If still you have doubt do SPECT/PET scan .Normal scan rules out cancer and no scope for confusion.
For your bipolar disorder you may need to work hard to fix this problem.
I will advise along with your psychiatric medication start physical exercises like suryanamaskar,gym,long morning walk.

Many of my patients get relief by yoga pranayama and XXXXXXX kriya[art of living program] so you can also due that.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5164 Questions

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What Causes Pain In Chest?

Brief Answer: SPECT scan can detect lung cancer in early stage Detailed Answer: Hello, I have studied your case. As per your history look for enlarged lymph node by clinical examination. You may need further investigation to rule out malignancy. SPECT scan can detect lung cancer in early stage in cases where CT scan is normal and cancer is suspected. You may need blood investigation like ESR, CRP, and CBC. If all tests are normal then pain can be due to thoracic nerve compression. MRI thoracic and cervical spine will help to see nerve compression. Start therapy to quit smoking. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.