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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes back and chest pain?

for 2 years now my hushand has a pain that starts in his back under his left shoulder and go thru to his chest just like he is having a heart attack and sometimes down his arm. He has had his heart checked, no blockages and problems. As his heart doctor said he has had the million dollar check up and can't find anything wrong. Every possible part of his body has been checked. Can not determined what is causing the pain. The pain is very serve just like a heart attack and a nitro wil ease the pain for a short time. He eats nitro like candy. Can you help????
Tue, 27 Dec 2016
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Pulmonologist 's  Response
Hello and thank you for asking in HCM

I can understand your concern
You say that he had check any organ that may cause this situation, but i have some questions for you :
Did he do coronarography?
And if it was negative what about a fibrogastroscopy?
The fact that after taking a nitrohe feels better is very important for the differential diagnosis. Sometimes the problems of the stomach may cause a sharp pain in the middle of the chest.
An abdominal ultrasound should do too.
If i was his doctor i would strongly recommend the above examinations.
According to the results than he will take the right treatment from the specialists.
I wish a good health to you and your husband.
Thank you
Dr Jolanda
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