HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Causes Pain In The Center Of The Chest?

Hi, I am not feeling well. I have right side pain from the front to the back and some chest pain more in the center. I work in a lab as a phlebotomist. I had a chemistry panel with liver function drawn and ran today. My AST and ALT are elevated and my Creatnine is slightly low. My tbil is 0.4 and dbil is .02. I do have a large amount of bilirubin in my urine. I am a 41 yo female.
Fri, 17 Feb 2017
Report Abuse
General & Family Physician,  's  Response
Hi,
I admire your positive outlook and congratulate you for the attitude.

Now I guess you have chest pain for which doctors advised LFT. There are lots of pathological causes responsible for such type of symptoms to occurs

However, let me give my opinion here.

As mentioned in your report you have high liver enzyme values and mentioned chest pain so my advice will be to ruled out gallstone first then others. The pain which you have mentioned is biliary colic, so I request you to do an ultrasound examination today and go for surgical treatment.

“Before” surgical treatment your treating doctor may recommend following 1)Oral bile salt therapy (ursodeoxycholic acid)

2)Contact dissolution

3)Extracorporeal shock wave lithotripsy

If size is less than 1 cm and gall bladder is in good condition doctor may advise you conservative treatment and if size is greater than 1 cm then he may recommend surgical treatment in laparascopic methods only as decided by him after physical examinations.

For this you need expert's guidance by a general surgeon only at your local area

Hope this helps.
I find this answer helpful

2 Doctors agree with this answer

Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
What Causes Pain In The Center Of The Chest?

Hi, I admire your positive outlook and congratulate you for the attitude. Now I guess you have chest pain for which doctors advised LFT. There are lots of pathological causes responsible for such type of symptoms to occurs However, let me give my opinion here. As mentioned in your report you have high liver enzyme values and mentioned chest pain so my advice will be to ruled out gallstone first then others. The pain which you have mentioned is biliary colic, so I request you to do an ultrasound examination today and go for surgical treatment. “Before” surgical treatment your treating doctor may recommend following 1)Oral bile salt therapy (ursodeoxycholic acid) 2)Contact dissolution 3)Extracorporeal shock wave lithotripsy If size is less than 1 cm and gall bladder is in good condition doctor may advise you conservative treatment and if size is greater than 1 cm then he may recommend surgical treatment in laparascopic methods only as decided by him after physical examinations. For this you need expert s guidance by a general surgeon only at your local area Hope this helps.