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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Chest,jaw,back And Neck With Skipped Heart Beats?

I m a 25 year old female. 5 8 and 250 lbs. I have been having chest pains on and off for about two years. It comes and goes, but everytimes it starts back, something else hurts too. Now its my chest, jaws, back, neck. I went to a cardiologist about a year ago; had a normal ultrasound. Every now and then my heart feels like it skipps a beat. No one has been able to tell me what is wrong. (This all started before I gained ~60 lbs). It is a dull, achy pain in the center, and left side of my chest. Dull pain in left shoulder blade. Tingling pain in jaws. Should I still suspect my heart? What else could it be?
Thu, 5 Jan 2017
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Cardiologist,  's  Response
Hello!

Welcome on HCM!

Regarding your concern, I would explain that your symptoms do not seem to be cardiac related.

Anxiety or a musculo-skeletal pain could be the cause of all this clinical scenario.

Gastro-esophageal reflux can not be excluded either.

Coming to this point, I would recommend performing some additional tests:

- a cardiac stress test for coronary artery disease
- inflammation tests (PCR, ESR)
- a chest X ray study


I would also recommend trying an antiacid. If this helps relieve your symptoms, it would indicate gastro-esophageal reflux as a possible cause of your troubles.

If all the above tests result normal, you should consider anxiety as the main cause of your symptoms.

You should discuss with your doctor on the above issues.

Hope to have been helpful!

Kind regards,

Dr. Iliri
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What Causes Pain In Chest,jaw,back And Neck With Skipped Heart Beats?

Hello! Welcome on HCM! Regarding your concern, I would explain that your symptoms do not seem to be cardiac related. Anxiety or a musculo-skeletal pain could be the cause of all this clinical scenario. Gastro-esophageal reflux can not be excluded either. Coming to this point, I would recommend performing some additional tests: - a cardiac stress test for coronary artery disease - inflammation tests (PCR, ESR) - a chest X ray study I would also recommend trying an antiacid. If this helps relieve your symptoms, it would indicate gastro-esophageal reflux as a possible cause of your troubles. If all the above tests result normal, you should consider anxiety as the main cause of your symptoms. You should discuss with your doctor on the above issues. Hope to have been helpful! Kind regards, Dr. Iliri