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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Chest, Back And Heart, High Cholesterol, Pain In Armpits, Does Exercise

Hello,

I have been having episodes of pain, moderate to severe, in my chest, back and heart. Once (4 months ago) or twice it happened that I woke up with the pain. Sometimes it affects my left arm, and it has happened that, at the gym, I also had discomfort in several points of my body and had to do exercise.

I do not know if it is related or not, but in the last 2 weeks I have had also a pain in my armpits (it is maybe not a coincidence that it is after a night out, drinking alcohol).

I have done blood tests, except for high cholesterol, my values are normal.

Could you give me some thoughts on how to proceed? I am going to see a cardiologist this week.

Best regards
Sat, 19 Oct 2013
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General & Family Physician 's  Response
HI, thanks for using healthcare magic

Chest pain can occur due to any structure in the chest from the skin inwards.

Your cardiologist would rule out any problems related to the heart such as angina. This is chest pain that occurs because of reduced blood supply to the heart. This pain would normally occur with activity, in severe cases it would occur at rest as well. It may associated with palpitations and shortness of breath.

There are other causes of chest pain such as conditions affecting the lungs (for example pneumonia, pulmonary embolism), muscles, bones, esophagus.

It is possible since the pain is occurring with exercise that it may be related to your muscles or bones.

The cardiologist would assess your heart via examination and tests such as ECG and echo.
If there are no abnormalities then you would have to determine if it is related to any other structures.

I hope this helps
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Pain In Chest, Back And Heart, High Cholesterol, Pain In Armpits, Does Exercise

HI, thanks for using healthcare magic Chest pain can occur due to any structure in the chest from the skin inwards. Your cardiologist would rule out any problems related to the heart such as angina. This is chest pain that occurs because of reduced blood supply to the heart. This pain would normally occur with activity, in severe cases it would occur at rest as well. It may associated with palpitations and shortness of breath. There are other causes of chest pain such as conditions affecting the lungs (for example pneumonia, pulmonary embolism), muscles, bones, esophagus. It is possible since the pain is occurring with exercise that it may be related to your muscles or bones. The cardiologist would assess your heart via examination and tests such as ECG and echo. If there are no abnormalities then you would have to determine if it is related to any other structures. I hope this helps