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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chest Pain, Stressed. Should I Be Immediately Worried?

I had an extremely stressful day 3 days ago that resulted in a 2 hour sob session. This is not something I do regularly and for the past two days my chest has been hurting alot. If I keep my shoulders back and keep my chest up the pain goes away. When I hunch or bend over the pain is back. Is this something I should be immediately worried about ( heart attack/failure/angina) or does it just sound like I got a workout from my sob session and am just sore?
Tue, 30 Jul 2013
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General & Family Physician,  's  Response
Hello Good Evening,

You have history of physically and mentally stress, so pain can be of gastric or muscular origin but cardiac origin should always be excluded.

As you mentioned that pain subsided on a particular position and come back on another, then there are little chances of cardiac origin, and it can be of viral myalgia or gastric/duodenal ulcers.

So you should go through proper evaluation with proper clinical examination and following investigations:

-Blood tests
-X-ray chest
-ECG
-TMT
-2D Echo-cardiogram
-UGI Endoscopy

Further management will depend on final diagnosis.

Regards,

Dr. Naresh Jain.
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Chest Pain, Stressed. Should I Be Immediately Worried?

Hello Good Evening, You have history of physically and mentally stress, so pain can be of gastric or muscular origin but cardiac origin should always be excluded. As you mentioned that pain subsided on a particular position and come back on another, then there are little chances of cardiac origin, and it can be of viral myalgia or gastric/duodenal ulcers. So you should go through proper evaluation with proper clinical examination and following investigations: -Blood tests -X-ray chest -ECG -TMT -2D Echo-cardiogram -UGI Endoscopy Further management will depend on final diagnosis. Regards, Dr. Naresh Jain.