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What Causes Pain Under The Right Breast In An Elderly Woman?

Posted on Sat, 14 May 2016

Question: Hi I am 62 year old female, overweight ( BMI IN 30's). Had CABG 1 vessel in 2008. Hysterectomy, cholie, and bi Lat knee replacements. I am DM II. also have controlled hypertension. Okay here is the question. I will get " a catch" under my right breast several time a week. It's a pressure type feeling, puts me in mind of a hernia. Feels like something pushing up. Can be very uncomfortable rating at worse a 7-8. Last anywhere fron seconds to around 2-3 min. I have to stretch my torso out as much as possible and breath through these. I've asked my PCP about this and my Cardiologist neither know what is causing this. It is happening more often. Any ideas

Answered by Dr. Benard Shehu (1 hour later)

Brief Answer:
Following advice...

Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.

Your symptoms may be related to:
- Gastro esophageal reflux disease (GERD, acid reflux)
- Gallbladder/pancreas issues
- Cardiac arrhythmia

If you were my patient I would recommend to do the following exams to find out what is causing your symptoms:
- Blood work including pancreas enzymes (lipase, amylasemia)
- ECG
- Cardiac ECHO
- Echo stress test
- Abdominal ultrasound
- Upper endoscopy

Meantime I would like to recommend:
- Eat often and in small portions
- Avoid spicy food
- Reduce alcohol to less than a glass of wine per day
- Avoid laying down 3 hours after eating
- Use antacids (daviscon)
- Use prilosec (PPI)

Hope this will be of help!
Wish you health!
Dr. Shehu

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

Follow up: Dr. Benard Shehu (13 hours later)

Okay have had Echo, stress XXXXXXX ECG,and endoscope. Have been told not GURDS, am on NEXIUM. Do throw PVC's about 13%. Have had recent sleep study. No apena. Have had some weight loss but not really significant amount. Do seem to have more problems with nausea. Have noticed this is increase. Wake up most mornings with headache relieved with EXCEDRIN. Any other suggestion. Mother died at 77 with stomach ca.

Answered by Dr. Benard Shehu (25 hours later)

Brief Answer:
Following advice

Detailed Answer:
Hi back,

I would like to add the following suggestions :
- Use chamomile tea
- Add magnesium supplement to help with Pvc
- Use betablockers

This will help with Pvc which as I said above may be related to your symptoms ( Cardiac arrhythmia).

Wish you health!
Dr. SHEHU

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

Follow up: Dr. Benard Shehu (10 hours later)

Thank you. Will try this

Answered by Dr. Benard Shehu (5 hours later)

Brief Answer:
Following advice.

Detailed Answer:
Hi back,
You are most welcome to contact me again.
Wish you health!
Dr. Shehu

Note: For further queries related to coronary artery disease and prevention, click here.

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