Hello I Am Back For Dr Sharka ... I Have
 
                                    
                                    
                                          
                                               Posted on
                                          
                                            
                                         
                                           Thu, 15 Nov 2018
                                           
                                        
                                        
                                        
                                            Medically reviewed by
                                            
                                                  Ask A Doctor - 24x7 Medical Review Team
                                            
                                        
                                        
                                            
                                                
                                                Thu, 15 Nov 2018
                                                
                                            
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                                            Question : Hello I am back for Dr Sharka ... I have been having inner right side sturnum pain comes and goes no breathing issues blood pressure checked last week normal although I was yawning a lot before just would like your opinion if this is cardiac related 
                            
 
                                    Hello I am back for Dr Sharka ... I have been having inner right side sturnum pain comes and goes no breathing issues blood pressure checked last week normal although I was yawning a lot before just would like your opinion if this is cardiac related 
                                
                            
                                    Brief Answer:
Your symptoms are not related to the heart.
Detailed Answer:
Dear XXXXXXX
Welcome back to Ask a Doctor service!
I understand your concern and and would explain that your symptoms are really atypical of any cardiac disorders.
The yawning is not related to the heart. Regarding the inner right side sternum pain that comes and goes, you should know that it is typical of chostochondritis.
For this reason, there is no reason to panic about it!
I would just recommend trying acetaminophen or ibuprofen, coupled with an antiacid or PPI for acid reflux.
I am sure that nothing serious is going on!
Hope you will find this answer helpful!
I remain at your disposal for any further questions whenever you need!
Wishing all the best,
Dr. Iliri
                                    
                            Your symptoms are not related to the heart.
Detailed Answer:
Dear XXXXXXX
Welcome back to Ask a Doctor service!
I understand your concern and and would explain that your symptoms are really atypical of any cardiac disorders.
The yawning is not related to the heart. Regarding the inner right side sternum pain that comes and goes, you should know that it is typical of chostochondritis.
For this reason, there is no reason to panic about it!
I would just recommend trying acetaminophen or ibuprofen, coupled with an antiacid or PPI for acid reflux.
I am sure that nothing serious is going on!
Hope you will find this answer helpful!
I remain at your disposal for any further questions whenever you need!
Wishing all the best,
Dr. Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
                                    Brief Answer:
Your symptoms are not related to the heart.
Detailed Answer:
Dear XXXXXXX
Welcome back to Ask a Doctor service!
I understand your concern and and would explain that your symptoms are really atypical of any cardiac disorders.
The yawning is not related to the heart. Regarding the inner right side sternum pain that comes and goes, you should know that it is typical of chostochondritis.
For this reason, there is no reason to panic about it!
I would just recommend trying acetaminophen or ibuprofen, coupled with an antiacid or PPI for acid reflux.
I am sure that nothing serious is going on!
Hope you will find this answer helpful!
I remain at your disposal for any further questions whenever you need!
Wishing all the best,
Dr. Iliri
                                    
                            Your symptoms are not related to the heart.
Detailed Answer:
Dear XXXXXXX
Welcome back to Ask a Doctor service!
I understand your concern and and would explain that your symptoms are really atypical of any cardiac disorders.
The yawning is not related to the heart. Regarding the inner right side sternum pain that comes and goes, you should know that it is typical of chostochondritis.
For this reason, there is no reason to panic about it!
I would just recommend trying acetaminophen or ibuprofen, coupled with an antiacid or PPI for acid reflux.
I am sure that nothing serious is going on!
Hope you will find this answer helpful!
I remain at your disposal for any further questions whenever you need!
Wishing all the best,
Dr. Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Hi great ... so the achy feeling I have is not cardiac related and heat and or cold should help 
                                
                            
 
                                    Hi great ... so the achy feeling I have is not cardiac related and heat and or cold should help 
                                
                            
                                    Brief Answer:
My opinion as follows:
Detailed Answer:
Dear XXXXXXX
As a cardiologist I would exclude any possible cardiac disorders related to the pain that you are experiencing.
So try to relax and don't worry about it!
In my opinion painkillers and warm packs would help improve your situation.
Hope you will find this answer helpful!
Let me know about everything!
Regards,
Dr.Iliri
                                    
                            My opinion as follows:
Detailed Answer:
Dear XXXXXXX
As a cardiologist I would exclude any possible cardiac disorders related to the pain that you are experiencing.
So try to relax and don't worry about it!
In my opinion painkillers and warm packs would help improve your situation.
Hope you will find this answer helpful!
Let me know about everything!
Regards,
Dr.Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
                                    Brief Answer:
My opinion as follows:
Detailed Answer:
Dear XXXXXXX
As a cardiologist I would exclude any possible cardiac disorders related to the pain that you are experiencing.
So try to relax and don't worry about it!
In my opinion painkillers and warm packs would help improve your situation.
Hope you will find this answer helpful!
Let me know about everything!
Regards,
Dr.Iliri
                                    
                            My opinion as follows:
Detailed Answer:
Dear XXXXXXX
As a cardiologist I would exclude any possible cardiac disorders related to the pain that you are experiencing.
So try to relax and don't worry about it!
In my opinion painkillers and warm packs would help improve your situation.
Hope you will find this answer helpful!
Let me know about everything!
Regards,
Dr.Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Thank you one more question. I feel like an achy feeling across the chest sometimes with movement I have taken tyl ol this mornjng ans heat again justaking sure it is not cardiac related thank u 
                                
                            
 
                                    Thank you one more question. I feel like an achy feeling across the chest sometimes with movement I have taken tyl ol this mornjng ans heat again justaking sure it is not cardiac related thank u 
                                
                            
 
                                    Sorry my apologies do u think I should see my primary Dr as I have recently done chest X-ray and u have my most recent cardiac work up should I request for more cardiac work up 
                                
                            
 
                                    Sorry my apologies do u think I should see my primary Dr as I have recently done chest X-ray and u have my most recent cardiac work up should I request for more cardiac work up 
                                
                            
                                    Brief Answer:
There is no need for further tests.
Detailed Answer:
Dear XXXXXXX
Based on your symptoms and your recent performed cardiac tests, I don't think that you need to perform any further tests.
So, just relax and don't worry about it!
If you have any other questions, please don't hesitate to ask me again!
Wishing a nice weekend,
Dr. Iliri
                                    
                            There is no need for further tests.
Detailed Answer:
Dear XXXXXXX
Based on your symptoms and your recent performed cardiac tests, I don't think that you need to perform any further tests.
So, just relax and don't worry about it!
If you have any other questions, please don't hesitate to ask me again!
Wishing a nice weekend,
Dr. Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
                                    Brief Answer:
There is no need for further tests.
Detailed Answer:
Dear XXXXXXX
Based on your symptoms and your recent performed cardiac tests, I don't think that you need to perform any further tests.
So, just relax and don't worry about it!
If you have any other questions, please don't hesitate to ask me again!
Wishing a nice weekend,
Dr. Iliri
                                    
                            There is no need for further tests.
Detailed Answer:
Dear XXXXXXX
Based on your symptoms and your recent performed cardiac tests, I don't think that you need to perform any further tests.
So, just relax and don't worry about it!
If you have any other questions, please don't hesitate to ask me again!
Wishing a nice weekend,
Dr. Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Thank you so the rib and back pain can be costochondritis and heat and Advil for now correct no cardiac issues 
                                
                            
 
                                    Thank you so the rib and back pain can be costochondritis and heat and Advil for now correct no cardiac issues 
                                
                            
                                    Brief Answer:
My opinion as follows:
Detailed Answer:
Dear XXXXXXX
Yes, I think that costochondritis could be the cause of all this clinical situation.
I don't think it is cardiac related.
Anyway, besides ibuprofen and warm packs, I would recommend taking also omeprazole because ibuprofen may exacerbate acid reflux, which could be implicated in your situation too.
Hope to have clarified some of your uncertainties !
Let me know about everything!
Wishing good health,
Dr.Iliri
                                    
                            My opinion as follows:
Detailed Answer:
Dear XXXXXXX
Yes, I think that costochondritis could be the cause of all this clinical situation.
I don't think it is cardiac related.
Anyway, besides ibuprofen and warm packs, I would recommend taking also omeprazole because ibuprofen may exacerbate acid reflux, which could be implicated in your situation too.
Hope to have clarified some of your uncertainties !
Let me know about everything!
Wishing good health,
Dr.Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Nagamani Ng
                                  
                              
                                         
 
                                    
                                    
                                
                                    Brief Answer:
My opinion as follows:
Detailed Answer:
Dear XXXXXXX
Yes, I think that costochondritis could be the cause of all this clinical situation.
I don't think it is cardiac related.
Anyway, besides ibuprofen and warm packs, I would recommend taking also omeprazole because ibuprofen may exacerbate acid reflux, which could be implicated in your situation too.
Hope to have clarified some of your uncertainties !
Let me know about everything!
Wishing good health,
Dr.Iliri
                                    
                            My opinion as follows:
Detailed Answer:
Dear XXXXXXX
Yes, I think that costochondritis could be the cause of all this clinical situation.
I don't think it is cardiac related.
Anyway, besides ibuprofen and warm packs, I would recommend taking also omeprazole because ibuprofen may exacerbate acid reflux, which could be implicated in your situation too.
Hope to have clarified some of your uncertainties !
Let me know about everything!
Wishing good health,
Dr.Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Nagamani Ng
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Hello I am back I am just a bit concerned I feel like a achy feeling in upper to mid chest from the pecktutial area to inner sturnim at times as well in breast area no breathing problems but it comes and goes not sure if this is cardiac or fibromyalgia or Costo I am just concerned that it may be cardiac I have had it on and off for a few days I know my Costo does act up more in the colder months 
                                
                            
 
                                    Hello I am back I am just a bit concerned I feel like a achy feeling in upper to mid chest from the pecktutial area to inner sturnim at times as well in breast area no breathing problems but it comes and goes not sure if this is cardiac or fibromyalgia or Costo I am just concerned that it may be cardiac I have had it on and off for a few days I know my Costo does act up more in the colder months 
                                
                            
                                    Brief Answer:
Your symptoms are not related to the heart.
Detailed Answer:
Dear XXXXXXX
As a cardiologist, I would like to reassure you that your symptoms are not related to the heart.
Costochondritis or fibromyalgia could both lead to this clinical scenario.
Anyway, there is no reason to panic as nothing serious is going on.
So, just relax and don't worry about it! Try to use some warm packs and ibuprofen when the pain comes back.
Hope to have clarified some of your uncertainties!
If you have any other questions, please don't hesitate to ask at any time!
I would be glad to answer to all of your questions!
Wishing good health,
Dr. Iliri
                                    
                            Your symptoms are not related to the heart.
Detailed Answer:
Dear XXXXXXX
As a cardiologist, I would like to reassure you that your symptoms are not related to the heart.
Costochondritis or fibromyalgia could both lead to this clinical scenario.
Anyway, there is no reason to panic as nothing serious is going on.
So, just relax and don't worry about it! Try to use some warm packs and ibuprofen when the pain comes back.
Hope to have clarified some of your uncertainties!
If you have any other questions, please don't hesitate to ask at any time!
I would be glad to answer to all of your questions!
Wishing good health,
Dr. Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
                                    Brief Answer:
Your symptoms are not related to the heart.
Detailed Answer:
Dear XXXXXXX
As a cardiologist, I would like to reassure you that your symptoms are not related to the heart.
Costochondritis or fibromyalgia could both lead to this clinical scenario.
Anyway, there is no reason to panic as nothing serious is going on.
So, just relax and don't worry about it! Try to use some warm packs and ibuprofen when the pain comes back.
Hope to have clarified some of your uncertainties!
If you have any other questions, please don't hesitate to ask at any time!
I would be glad to answer to all of your questions!
Wishing good health,
Dr. Iliri
                                    
                            Your symptoms are not related to the heart.
Detailed Answer:
Dear XXXXXXX
As a cardiologist, I would like to reassure you that your symptoms are not related to the heart.
Costochondritis or fibromyalgia could both lead to this clinical scenario.
Anyway, there is no reason to panic as nothing serious is going on.
So, just relax and don't worry about it! Try to use some warm packs and ibuprofen when the pain comes back.
Hope to have clarified some of your uncertainties!
If you have any other questions, please don't hesitate to ask at any time!
I would be glad to answer to all of your questions!
Wishing good health,
Dr. Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Hello 
I wanted to give an update I did go see my gp she said as soon as she touched me it was all tender and is running blood tests to check my inflammation levels today I seem to get pinch like nerve pain inner left sturnum and pain like inner right sturnum again no breathing issues other than me panicking once again ur expert advice is well received and needed here as to if this is till muscle related or cardiac
                            I wanted to give an update I did go see my gp she said as soon as she touched me it was all tender and is running blood tests to check my inflammation levels today I seem to get pinch like nerve pain inner left sturnum and pain like inner right sturnum again no breathing issues other than me panicking once again ur expert advice is well received and needed here as to if this is till muscle related or cardiac
 
                                    Hello 
I wanted to give an update I did go see my gp she said as soon as she touched me it was all tender and is running blood tests to check my inflammation levels today I seem to get pinch like nerve pain inner left sturnum and pain like inner right sturnum again no breathing issues other than me panicking once again ur expert advice is well received and needed here as to if this is till muscle related or cardiac
                            I wanted to give an update I did go see my gp she said as soon as she touched me it was all tender and is running blood tests to check my inflammation levels today I seem to get pinch like nerve pain inner left sturnum and pain like inner right sturnum again no breathing issues other than me panicking once again ur expert advice is well received and needed here as to if this is till muscle related or cardiac
                                    Brief Answer:
I would exclude any possible cardiac causes.
Detailed Answer:
Dear XXXXXXX
I don't think that your symptoms are related to the heart, as they are very atypical for any cardiac disorders.
As we have already discussed before, tenderness when touching is not a cardiac symptom, as we can not touch the heart.
Fibromyalgia or costochondritis could mimic all this clinical situation.
It is OK performing inflammation tests, but I don't think that there is any need for any further cardiac tests.
If inflammation tests result normal, fibromyalgia would be the most probable cause underlying your complaints.
Anyway, you should know that both these disorders are treated with painkillers/anti-inflammatory drugs (ibuprofen, naproxene,etc.) and warm local packs.
Hope you will find this answer helpful!
If you have any other questions, please don't hesitate to ask me again!
Wishing all the best,
Dr. Iliri
                                    
                            I would exclude any possible cardiac causes.
Detailed Answer:
Dear XXXXXXX
I don't think that your symptoms are related to the heart, as they are very atypical for any cardiac disorders.
As we have already discussed before, tenderness when touching is not a cardiac symptom, as we can not touch the heart.
Fibromyalgia or costochondritis could mimic all this clinical situation.
It is OK performing inflammation tests, but I don't think that there is any need for any further cardiac tests.
If inflammation tests result normal, fibromyalgia would be the most probable cause underlying your complaints.
Anyway, you should know that both these disorders are treated with painkillers/anti-inflammatory drugs (ibuprofen, naproxene,etc.) and warm local packs.
Hope you will find this answer helpful!
If you have any other questions, please don't hesitate to ask me again!
Wishing all the best,
Dr. Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
                                    Brief Answer:
I would exclude any possible cardiac causes.
Detailed Answer:
Dear XXXXXXX
I don't think that your symptoms are related to the heart, as they are very atypical for any cardiac disorders.
As we have already discussed before, tenderness when touching is not a cardiac symptom, as we can not touch the heart.
Fibromyalgia or costochondritis could mimic all this clinical situation.
It is OK performing inflammation tests, but I don't think that there is any need for any further cardiac tests.
If inflammation tests result normal, fibromyalgia would be the most probable cause underlying your complaints.
Anyway, you should know that both these disorders are treated with painkillers/anti-inflammatory drugs (ibuprofen, naproxene,etc.) and warm local packs.
Hope you will find this answer helpful!
If you have any other questions, please don't hesitate to ask me again!
Wishing all the best,
Dr. Iliri
                                    
                            I would exclude any possible cardiac causes.
Detailed Answer:
Dear XXXXXXX
I don't think that your symptoms are related to the heart, as they are very atypical for any cardiac disorders.
As we have already discussed before, tenderness when touching is not a cardiac symptom, as we can not touch the heart.
Fibromyalgia or costochondritis could mimic all this clinical situation.
It is OK performing inflammation tests, but I don't think that there is any need for any further cardiac tests.
If inflammation tests result normal, fibromyalgia would be the most probable cause underlying your complaints.
Anyway, you should know that both these disorders are treated with painkillers/anti-inflammatory drugs (ibuprofen, naproxene,etc.) and warm local packs.
Hope you will find this answer helpful!
If you have any other questions, please don't hesitate to ask me again!
Wishing all the best,
Dr. Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Thank u so much u expertise and patience is well received and wanted again I am following through with Advil ans hot packs I now also feel it in my upper back I have a mesage scheduled for next wed but will see if I can get one sooner ... I am glad this is not cardiac although the pain at times is very trying 
                                
                            
 
                                    Thank u so much u expertise and patience is well received and wanted again I am following through with Advil ans hot packs I now also feel it in my upper back I have a mesage scheduled for next wed but will see if I can get one sooner ... I am glad this is not cardiac although the pain at times is very trying 
                                
                            
 
                                    Is there something I can take for the neasea as I took Advil so I am thinking perhaps the Advil is causing this before I took it I was fine 
                                
                            
 
                                    Is there something I can take for the neasea as I took Advil so I am thinking perhaps the Advil is causing this before I took it I was fine 
                                
                            
                                    Brief Answer:
I would recommend as follows:
Detailed Answer:
Dear XXXXXXX
You should know that Advil can trigger acid reflux and your symptoms seem to be related to acid reflux now.
Coming to this point, I would recommend taking an anti-acid or PPI (Omeprazole, pantoprazole, etc.).
It will help against nausea.
In case the nausea persists despite taking the above drugs, I would recommend taking Metochlopramide 1 tablet.
Hope you will find this answer helpful!
Wishing all the best,
Dr. Iliri
                                    
                            I would recommend as follows:
Detailed Answer:
Dear XXXXXXX
You should know that Advil can trigger acid reflux and your symptoms seem to be related to acid reflux now.
Coming to this point, I would recommend taking an anti-acid or PPI (Omeprazole, pantoprazole, etc.).
It will help against nausea.
In case the nausea persists despite taking the above drugs, I would recommend taking Metochlopramide 1 tablet.
Hope you will find this answer helpful!
Wishing all the best,
Dr. Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
                                    Brief Answer:
I would recommend as follows:
Detailed Answer:
Dear XXXXXXX
You should know that Advil can trigger acid reflux and your symptoms seem to be related to acid reflux now.
Coming to this point, I would recommend taking an anti-acid or PPI (Omeprazole, pantoprazole, etc.).
It will help against nausea.
In case the nausea persists despite taking the above drugs, I would recommend taking Metochlopramide 1 tablet.
Hope you will find this answer helpful!
Wishing all the best,
Dr. Iliri
                                    
                            I would recommend as follows:
Detailed Answer:
Dear XXXXXXX
You should know that Advil can trigger acid reflux and your symptoms seem to be related to acid reflux now.
Coming to this point, I would recommend taking an anti-acid or PPI (Omeprazole, pantoprazole, etc.).
It will help against nausea.
In case the nausea persists despite taking the above drugs, I would recommend taking Metochlopramide 1 tablet.
Hope you will find this answer helpful!
Wishing all the best,
Dr. Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
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