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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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    What causes chest pain?

I am a 15 year old female receiving chest pain on the left side close to my heart. The pain moves in my breasts and to my left arm. The pain would be described as a sharp, throbbing, burning, crushing feeling. This has been going on for the past 3 or so months. What should I do?
Mon, 24 Nov 2014
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General & Family Physician 's  Response
Hello and welcome
The nature of your pain is not cardiac it could be other causes because, chest pain is not always of cardiac origin. In some patients, further workup may reveal a noncardiac cause of chest pain, while in others, the results may be inconclusive. Other causes of chest pain are:
•GERD
•Functional GI disease •
.Peptic ulcer disease
•Gallstones
Pancreatitis.
•Chest wall syndrome (painful rib syndrome) •Chest wall bruising or trauma
Costochondritis
•Cervical/thoracic radiculopathy.
•Bronchitis
•Pneumonia
•Pleural effusion(due to CHF, TB, malignancy). .Emotional/Psychiatric
•Panic/anxiety
•Depression
I would advise you to do some tests like ultrasound abdomen,blood tests like lfts.serum lipase and chest xray..


Start tab.diclofenac sodium for pain as needed.and cap.omeprazOle once daily ...
Hope you had understand.

Thanks

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