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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Just Started Smoking. Having Chest Pains. Told That It Was Due To Cold. Lung Cancer?

I am 21 and I stated smoking 4 months back. I ve never had health problems in my life. But now I m experiencing chest pains since last 1 week. I v had a cold since last 1 month, Just blocked nose... no Cough. I got a complete body checkup which came back normal. also the chest xray came back normal. the doctor says that i hvae an enlarged liver due to fat accumulation from cold drinks and that the chest pains are due to cold... I dont have any family hisotry of cancer. can this be lung cancer?
Tue, 2 Apr 2013
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Pulmonologist 's  Response
Hi mohini
Thanks for coming to HCM
lung cancer needs usually smoking one pack of ciggarette per dau for 40years ( 40 pack years) to manifest. I am just not saying that yours smoking habit is a good one and you should continue till 40 yrs /......its just to alleviate your concern....you must quit as aoon as possible.

enlarged fatty liver is usually due to drinking alcohol....if you have probably concealed your drinking habbit here just give it up.

your symptoms of cold or rhinitis is for last one month that can be dut to nasal structural abnormality like deviated nasal septum, or via alergic rhinitis....so just take ENT opinion and accordingly they may prescribe nasal steroid spray and antihistaminics....
Chest pain has various reasons...apart from infection can be musculoskeletal, can be due to acid reflux, can be due to acute pleuritis, anginal pain etc
since the chest xray is normal and there is no sympton except for pain you can try analgesisc with muscle relaxant and proton pump inhibitor....

best wishes
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Just Started Smoking. Having Chest Pains. Told That It Was Due To Cold. Lung Cancer?

Hi mohini Thanks for coming to HCM lung cancer needs usually smoking one pack of ciggarette per dau for 40years ( 40 pack years) to manifest. I am just not saying that yours smoking habit is a good one and you should continue till 40 yrs /......its just to alleviate your concern....you must quit as aoon as possible. enlarged fatty liver is usually due to drinking alcohol....if you have probably concealed your drinking habbit here just give it up. your symptoms of cold or rhinitis is for last one month that can be dut to nasal structural abnormality like deviated nasal septum, or via alergic rhinitis....so just take ENT opinion and accordingly they may prescribe nasal steroid spray and antihistaminics.... Chest pain has various reasons...apart from infection can be musculoskeletal, can be due to acid reflux, can be due to acute pleuritis, anginal pain etc since the chest xray is normal and there is no sympton except for pain you can try analgesisc with muscle relaxant and proton pump inhibitor.... best wishes