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What Causes Severe Pain In Chest Muscles, Sternum Area And Fever?
Question: Hi sir. My name is XXXXXXX 29Years male, Unmarried and a government servant. I am suffering with a severe undiagonised disease for the past 8 years. 8 years ago I got a little bit of pain like pressure in sternum area. Immediately i went into the hospital and explained my problem to the doctor. He then uses some x rays and blood tests and says nothing abnormality found. as the days are going on, the problem also growing severely. its started like a soil particle and now its become like a mountain. The present situation is like on a death bed. The ribs attached to the sternum were slightly bent and there is no muscle support for the entire ribs. even when tried to iift my own hands, the muscles are not supporting around my sternum and ribs. the sternal ribs are rubbing with each other and creating unexplainable pain and irritation around my whole chest. even when i take a deep breath, the sternum area making a cracking sound with severe pain and irritation in chest muscles. one more thing to remember is the problem becomes severe and severe followed by a mild fever. No doctor was diagnosed the cause and abnormality till to date as several tests were done. The following tests were done till to date and no test shows abnormality.
1) Complete Blood culture
2) ESR and CRP
3) HLA B27, RA FACTOR, POTASSIUM LEVELS, CPK, THYROID TEST, LFT, ENDOSCOPE
4) WHOLE BODY BONE SCAN, MRI SCAN, X RAYS.
ALL the tests shows favour results as the problem is becoming severe day by day. i strongly suspect an infection may present in the muscles especially high in the sternum muscles and rib muscles. i humbly requested some physicians to kindly open my chest for a direct view for the last hope to diagnose and to make biopsies of muscles. i also requested to make a muscle biopsy of rib muscles. but they said no need to do a muscle biopsy as the CPK test is i normal range.
what should i do except a suicide in this condition. i bet no human being is suffered like me in this globe. please help me
1) Complete Blood culture
2) ESR and CRP
3) HLA B27, RA FACTOR, POTASSIUM LEVELS, CPK, THYROID TEST, LFT, ENDOSCOPE
4) WHOLE BODY BONE SCAN, MRI SCAN, X RAYS.
ALL the tests shows favour results as the problem is becoming severe day by day. i strongly suspect an infection may present in the muscles especially high in the sternum muscles and rib muscles. i humbly requested some physicians to kindly open my chest for a direct view for the last hope to diagnose and to make biopsies of muscles. i also requested to make a muscle biopsy of rib muscles. but they said no need to do a muscle biopsy as the CPK test is i normal range.
what should i do except a suicide in this condition. i bet no human being is suffered like me in this globe. please help me
Brief Answer:
Your problem is actually rather simple
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone very carefully through your query. I hope that I understand the problem that you have. Incidentally your problem is not unique and numerous people across the globe suffer from it. Your problem seems to be due to gastritis or gastroesophageal reflux. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and cause the discomfort and pain behind the sternum. I do not think that you need to bother about the cracking sound when you take a deep breath. None of the tests done would actually help in diagnosing GERD and hence has not shown the path. A muscle biopsy, an array or tests or even a suicide would not really help.
In order to relieve yourself, you need to do the following:
* Avoid panic and stress.
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omerazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibres. Take fibere supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fibre intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* If I had a patient like you I would perhaps have suggested Prodep 20 mg tablet once daily for at least 2 months (it may take time for the action to set in).
* I would insist you to take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
Hope that helps.
Let me know if I could hep further.
Regards
Your problem is actually rather simple
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone very carefully through your query. I hope that I understand the problem that you have. Incidentally your problem is not unique and numerous people across the globe suffer from it. Your problem seems to be due to gastritis or gastroesophageal reflux. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and cause the discomfort and pain behind the sternum. I do not think that you need to bother about the cracking sound when you take a deep breath. None of the tests done would actually help in diagnosing GERD and hence has not shown the path. A muscle biopsy, an array or tests or even a suicide would not really help.
In order to relieve yourself, you need to do the following:
* Avoid panic and stress.
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omerazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibres. Take fibere supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fibre intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* If I had a patient like you I would perhaps have suggested Prodep 20 mg tablet once daily for at least 2 months (it may take time for the action to set in).
* I would insist you to take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
Hope that helps.
Let me know if I could hep further.
Regards
Above answer was peer-reviewed by :
Dr. Sonia Raina
Thanks for answering.
But the above medications cant help me.
I am not suffering with GERD which u r guessing sir.
MY RIBS ARE MOVING FROM THEIR CONNECTED MUSCLES AND CREATING HIGH IRRITATION IN RIB MUSCLES. I SURELY SAID MY MUSCLES ARE INFECTED AND ARE NOT FUNCTIONING. EVEN WHEN I WALK RIBS ATTACHED TO THE STERNUM ARE MOVING TOO AND FRO. WHAT SHOULD I DO EXCEPT A MUSCLE BIOPSY EVEN CPK IS IN NORMAL RANGE. HOW TO DIAOGNISE THE INFECTION.
But the above medications cant help me.
I am not suffering with GERD which u r guessing sir.
MY RIBS ARE MOVING FROM THEIR CONNECTED MUSCLES AND CREATING HIGH IRRITATION IN RIB MUSCLES. I SURELY SAID MY MUSCLES ARE INFECTED AND ARE NOT FUNCTIONING. EVEN WHEN I WALK RIBS ATTACHED TO THE STERNUM ARE MOVING TOO AND FRO. WHAT SHOULD I DO EXCEPT A MUSCLE BIOPSY EVEN CPK IS IN NORMAL RANGE. HOW TO DIAOGNISE THE INFECTION.
Brief Answer:
Testing for blood counts will help in excluding an infection.
Detailed Answer:
Firstly, the mentioned findings are not indicative of an infection. Unless a simple blood count shows raised white blood cell count, you can rest assured that you do not have an infection in the rib muscles or elsewhere.
Had the rib muscles not been working, you would have been unable to breathe. The very fact that you are alive indicates that the rib muscles are working fine.
It is normal for the chest to move and so does the sternum as well as the rib cage including the ribs and the muscles. Had something been abnormal, your doctor would have noticed.
Regards
Testing for blood counts will help in excluding an infection.
Detailed Answer:
Firstly, the mentioned findings are not indicative of an infection. Unless a simple blood count shows raised white blood cell count, you can rest assured that you do not have an infection in the rib muscles or elsewhere.
Had the rib muscles not been working, you would have been unable to breathe. The very fact that you are alive indicates that the rib muscles are working fine.
It is normal for the chest to move and so does the sternum as well as the rib cage including the ribs and the muscles. Had something been abnormal, your doctor would have noticed.
Regards
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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