What Do Right Shoulder Pain And Normal ECG Report Suggest?
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain his complaints could be related to a musculo-skeletal pain (inflammation, joint pain, bursitis, muscular pain,etc.).
Was he able to raise his hand up? Was the pain triggered by shoulder movements? This would indicate possible musculo-skeletal pain.
As his resting ECG was normal, there is nothing to worry about.
I recommend taking ibuprofen 400 mg three times daily and have some rest for some days.
If the pain persists, I would recommend consulting with his attending physician for a careful physical exam and some tests:
- a shoulder X ray study
- a cervical spine X ray study
- complete blood count, PCR, ESR for inflammation.
Considering his heart issues, I would recommend performing also an exercise cardiac stress test to exclude coronary artery disease.
Hope to have been helpful!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello again!
Yes, an infection (even a tooth infection) can cause chronic fatigue and a low physical performance.
But, I would recommend performing a complete blood count for anemia or infection too.
Repairing the tooth would be helpful, but antibiotics may be needed too. You should discuss with your dentist on this issue.
Meanwhile, I recommend taking plenty of water to stay well hydrated.
Hope you will find this answer helpful too!
Wishing good health,
Dr. Iliri