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    What do right shoulder pain and normal ECG report suggest?

Posted on Tue, 11 Jul 2017 in Hypertension and Heart Disease
Question: my son has heart issues and he has right shoulder pain but his ecg is normal. what could be the problem
Answered by Dr. Ilir Sharka 29 minutes later
Brief Answer:
I would recommend as follows:

Detailed Answer:

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
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Ilir Sharka 54 minutes later
thank you so much! question about myself. I am 66 and have bad teeth. one is infected. would this cause me to have a low energy level? starting dental work this week.
Answered by Dr. Ilir Sharka 26 minutes later
Brief Answer:
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
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Answered by
Dr. Ilir Sharka


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