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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chest Pain When Bending Or Laying Down. X-ray And ECG Normal. Cause?

Dear Doctor, I am 42 year old male and am suffering from mid chest bone pain for a minute only when I lay on my back or if I sit after or bend down. X-ray of chest, ECG , 2 D Echo test done and they are normal. I am basically anxiety prone and I am experiencing paliptations also. KIndly let me know the reasons for the pain and any other tests required? Thanks.
Thu, 25 Oct 2012
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Pulmonologist 's  Response
Hi
Thanks for your query
The pain described by you seems to me pain to due to costochondritis. You may have course of non-steroidal anti-inflammatory agents along with pantoprazole tablets for a week or so. You may take anxiolytics in the form of alprazolam or nitrazepam at bed time to releive your anxiety. Sometimes too much anxiety can give you such feeling. Sometimes mediastinal patholgy may lead to same sort of pain. For this you need to have a chest x-ray followed by contrast chest CT scan. Consult a pulmonologist and get yourself locally examined. If all the organic causes of your chest pain have been excluded then consult a psychiatrist for proper treatment of your anxiety.
Thank you.
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Chest Pain When Bending Or Laying Down. X-ray And ECG Normal. Cause?

Hi Thanks for your query The pain described by you seems to me pain to due to costochondritis. You may have course of non-steroidal anti-inflammatory agents along with pantoprazole tablets for a week or so. You may take anxiolytics in the form of alprazolam or nitrazepam at bed time to releive your anxiety. Sometimes too much anxiety can give you such feeling. Sometimes mediastinal patholgy may lead to same sort of pain. For this you need to have a chest x-ray followed by contrast chest CT scan. Consult a pulmonologist and get yourself locally examined. If all the organic causes of your chest pain have been excluded then consult a psychiatrist for proper treatment of your anxiety. Thank you.