HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Does Pain On The Left And Back Of The Chest Indicate?

Posted on Fri, 13 Oct 2017

Question: Hi ,

I am 30 yr old guy , I had a pain on my left chest just close to sternum ,so I had my 2decho ecg and stress test all were negative.I was said I am having anxiety problem.But every alternate day I have pain on my left side and also at the back of my chest sometimes pricking or sometime I feel mild pain on my left chest it's happening for around 3 months . Please let me know what's going on I am scared

Answered by Dr. Rishu Saxena (1 hour later)

Brief Answer:
please see detailed answer.

Detailed Answer:
Hello,
Thanks for asking this on on this forum.
Have gone through your details.
See cardiac origin of chest pain is very unlikely in patients less then 40 years of age unless they are chain smoker or have a strong family history of early cardiac diseases in family.
Secondly your 2d echo and other basic cardiac tests are normal therefore i don't think that your problem is related to heart.

Other possibilities are either gastric pain or muscular or anxiety.

In case you have problem with digestion or gases or acid its due to gastritis.
Otherwise its muscular or related to anxiety.
Try taking an anti inflammatory like Diclofenac for few days if pain responds to it its muscular other wise its related to anxiety and for that you should take
Tab Etizolam 0.25 mg once daily for 4 weeks and see if pain responds to it.

Thanks!

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Rishu Saxena (1 hour later)

Hi doc,

Thanks for your comments.

So heart symptoms are totally different than what I am experiencing ??

I do have gastric problem can this cause pain in chest

Answered by Dr. Rishu Saxena (4 hours later)

Brief Answer:
Its gastric.

Detailed Answer:
No dear almost all symptoms of heart and gastric disorders are overlapping and hence is very difficult to differenciate in them just on the basis of history .Therefore along with history of patient investigations are done to rule out various organ involvement.

Definitely yes gastritis or reflux disorder can cause severe chest pain with radiation to arm.
Gastritis and acid reflux cause inflammation in esophageal mucosa which causes pain in chest.

I would suggest you take a gastroenterology consultation.

You are not a cardiac case .

Thanks.

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

Above answer was peer-reviewed by : Dr. Nagamani Ng