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What causes pain in chest?

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Posted on Fri, 19 Sep 2014
Question: Hi,
I am 26 year old from XXXXXXX I had severe chest burns,numbness in left hand and breathing problem sometime ago.I took ECG which showed normal and also took Xray of lungs which was also normal.I also visited GERD specialist and took an endoscopy and concluded that it is due to high acid reflux in my stomach.He told me to take certain precautions in my routine which helped to some extent but the feeling was still there every now and then. After a month or so i again had severe pain at the center of the chest.I visited a different doctor this time.He said that my nose bones are uneven and the breathing pattern is not even ,hence i am prone to Gastric problems,pain in the chest and snoring.He also advised me to take CT PNS for further diagnosis.I am confused as such an issue could cause all these problems. Please advise as i am loosing sleep over it and its been 3-4 months i have been facing this issue.
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
as detailed

Detailed Answer:
Hi.
Noted your problems, the major once being Chest burns, numbness in left hand and breathing problem sometime ago. ECG and X-ray chest being normal ruled out the heart and lung problems.

Endoscopy showed reflux, you took ENT opinion too, confusing you all over and it is 3 to 4 months that your are facing the issues and loosing sleep over this.

I would advise you the following:
Please go step by step.
First of all Get a second opinion of another Gastroenterologist , go for Upper GI Endoscopy. Discuss all the problem with him. He may be in a position to tell your further care and prescribe you the proper medicines.
GERD looks to be a basic problem you are facing.

Secondly, I would request you to take an orthopedic Surgeon's opinion for the numbness in left hand. This is very important considering your age of 26 years. You may , I repeat you ''may need'' an MRI of the cervical spine if your Doctor thinks so.

For the sleep problem: please consult another ENT Surgeon who can conduct sleep apnea studies to know the grade you are suffering from. Whether you need any procedure at all.

You would agree with me that the major reason of all these problems lies in the lifestyle, the stress and anxiety of a young man to work hard, more success and to go ahead fast. Some of these points may be associated with you too.

I would advise in a patient with the problems the following:
Go for a proper diet and medicines- you will be fine
*Soft bland diet without oil and spices. Small frequent meals.
*Ranitidine
*Domperidone
*Antacid gel
Reduce the stress and anxiety levels. Have a sound sleep of minimum 6 to 8 hours. Avoid late nights.

I hope this helps you.
Please feel free if you want to ask further.
Wishing you an early and permanent cure.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (20 minutes later)
Thank you doctor for the detailed dos and donts. One more thing wanted to confirm was - can uneven breathing cause chest pains and gastric problems? should I really go for a CT PNS?
doctor
Answered by Dr. T Chandrakant (7 minutes later)
Brief Answer:
Not directly.

Detailed Answer:
Thanks for your appreciation.

Uneven breathing can not really cause chest pains and gastric problems in a direct way. Many of the problems coming together collectively cause such symptoms-complex. All act as a part of the vicious cycle and one has to break this at certain point. And a young person of your age is not expected to have a pathological snoring / breathing problem unless you are obese or so.

There is no harm in doing CT PNS as it may give additional information and a near normal scan will help to alleviate the fear of the present problems related to it. We call this as ruling out a problem. Please get it done as one Doctor has advised it, I hope he is an ENT.


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

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Practicing since :1984

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What causes pain in chest?

Brief Answer: as detailed Detailed Answer: Hi. Noted your problems, the major once being Chest burns, numbness in left hand and breathing problem sometime ago. ECG and X-ray chest being normal ruled out the heart and lung problems. Endoscopy showed reflux, you took ENT opinion too, confusing you all over and it is 3 to 4 months that your are facing the issues and loosing sleep over this. I would advise you the following: Please go step by step. First of all Get a second opinion of another Gastroenterologist , go for Upper GI Endoscopy. Discuss all the problem with him. He may be in a position to tell your further care and prescribe you the proper medicines. GERD looks to be a basic problem you are facing. Secondly, I would request you to take an orthopedic Surgeon's opinion for the numbness in left hand. This is very important considering your age of 26 years. You may , I repeat you ''may need'' an MRI of the cervical spine if your Doctor thinks so. For the sleep problem: please consult another ENT Surgeon who can conduct sleep apnea studies to know the grade you are suffering from. Whether you need any procedure at all. You would agree with me that the major reason of all these problems lies in the lifestyle, the stress and anxiety of a young man to work hard, more success and to go ahead fast. Some of these points may be associated with you too. I would advise in a patient with the problems the following: Go for a proper diet and medicines- you will be fine *Soft bland diet without oil and spices. Small frequent meals. *Ranitidine *Domperidone *Antacid gel Reduce the stress and anxiety levels. Have a sound sleep of minimum 6 to 8 hours. Avoid late nights. I hope this helps you. Please feel free if you want to ask further. Wishing you an early and permanent cure.