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On and off moderate chest pains, x-ray normal. What could it be ?

Hi I am a 41 yr old female. I jave been having chest pains on and off for about 3 weeks. My doctor sent me for a chest xray and everything came back normal. I have been experiencing moderate pain in the middle of my chest for around 5 hours, worse when I turn my upper body. Do I need more tests or could it be due to exercise?
Asked On : Wed, 21 Nov 2012
Answers:  2 Views:  39
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Critical Care Specialist 's  Response
Hi thanks for your question.
There are few causes of pain in the middle of your chest and one of most important cause problems with your lung which are ruled out by normal chest X Ray.
The other cause could be any thing related to your heart.
you should also get your ECG and blood work ,like lipid profile done to rule out any cardiac factor as a cause of your chest pain.
Finally gastritits (inflammation of stomach) and reflux esophagitis (inflammation of esophagus due reflux of acid from stomach into esophagus) can produce pain in middle of chest
I would suggest you to consult a physician specialist to determine the exact etiology of your chest pain.
Hope this answer your question.

Answered: Wed, 21 Nov 2012
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General & Family Physician Dr. Shoaib Khan's  Response
Hello Dear and welcome.

Thank you for your query.

Chest pain could be categorized into various conditions.

If you are experiencing chest pain on the left side of your chest, it would be best to get and EKG and an echocardiography done, which could help rule out any heart conditions.

There is a condition called costochondritis a.k.a Tietze's syndrome (inflammation at the junction of the rib and cartilage) and can cause chest pain and discomfort.

I would like you to discuss your presentation in detail with your doctor and visit him/her to help ascertain the diagnosis.

If you have started exercise recently or have been doing some form of exercise involving your chest, chest pain is common, especially in the center of your chest, which is where the xiphoid process (breast bone to which the ribs attach) is present.

Also, to rule out any gastro-intestinal problems, which present with epigastric pain (upper abdomen, close to the xiphoid process), try to recall if you have been suffering from any gastrointestinal symptoms.

The best option would be to discuss your condition, intensity of pain, type, duration, aggravating factors, relieving factors with your doctor in person to help solve this problem.

A smart person would never delay a visit to the doctor, no matter how mild the symptoms.

I wish you the best of health and a long beautiful life.
Answered: Wed, 21 Nov 2012
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