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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chest Pain, Costochondritis. Done Tests. What Does This Mean?

Hi, i have gone to the doctors several times in the past 2 months for chest pains. I was told that i have costochondritis also anxiety. I had several test done and everything was fine, but now when i drink any liquids i seem to feel it going to the left sife of my chest. My doctor said i shouldn't worry. What do you think? Should i be worried?

Tue, 15 Oct 2013
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Ayurveda Specialist 's  Response
**
1. Usually when a patient complains of chest pain, first think is it related to heart, as the doctor has ruled out with clinical examination and probably with [test], thus cardiac cause is excluded.

2. if chest pain is related with breathing, suspect trauma, or pleural pathology, if the necessary tests [chest X-ray and history] are normal, it can be safely omitted.

3. if chest pain is related to chest wall [as in your case: costo chondritis], check for parasternal tenderness, if there is intercostal tenderness,suspect Empymea.

4. if according to you, pain is coming after drinking fluids, it might be due to oesophagitis, or could be due to indigestion & 'gas'.

PS:

i. Pain of cervical spondilitis, radiating to left side and CHEST may mimic cardiac pain.
ii. as symptoms are left sided, Amoebic liver abscess might be excluded.
iii. worry leads to anxiety, and anxiety leads to worry, just try to relax and because you are under the supervision of Doctor, just add bed rest and fomentation to your routine.
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Chest Pain, Costochondritis. Done Tests. What Does This Mean?

** 1. Usually when a patient complains of chest pain, first think is it related to heart, as the doctor has ruled out with clinical examination and probably with [test], thus cardiac cause is excluded. 2. if chest pain is related with breathing, suspect trauma, or pleural pathology, if the necessary tests [chest X-ray and history] are normal, it can be safely omitted. 3. if chest pain is related to chest wall [as in your case: costo chondritis], check for parasternal tenderness, if there is intercostal tenderness,suspect Empymea. 4. if according to you, pain is coming after drinking fluids, it might be due to oesophagitis, or could be due to indigestion & gas . PS: i. Pain of cervical spondilitis, radiating to left side and CHEST may mimic cardiac pain. ii. as symptoms are left sided, Amoebic liver abscess might be excluded. iii. worry leads to anxiety, and anxiety leads to worry, just try to relax and because you are under the supervision of Doctor, just add bed rest and fomentation to your routine.