Hi Dr Sharka Just Doing Another Follow Up .. I
 
                                    
                                    
                                          
                                               Posted on
                                          
                                            
                                         
                                           Tue, 18 Dec 2018
                                           
                                        
                                        
                                        
                                            Medically reviewed by
                                            
                                                  Ask A Doctor - 24x7 Medical Review Team
                                            
                                        
                                        
                                            
                                                
                                                Tue, 18 Dec 2018
                                                
                                            
                                                Answered on
                                             
                                            
                                                
                                                
                                                Last reviewed on
                                             
                                            Question : Hi dr Sharka just doing another follow up .. I am unable to get in to see my gp till Thursday and was wondering if I can get your opinion I have upper sturnum ache and pain from under the arms and across the upper chest the last few days I am a bit anxious but just wanted to get ur opinion I don’t struggle to breath I did work out lightly this morning checked heart rate after cool down 77 should I be concerned anoutbcardiac 
                            
 
                                    Hi dr Sharka just doing another follow up .. I am unable to get in to see my gp till Thursday and was wondering if I can get your opinion I have upper sturnum ache and pain from under the arms and across the upper chest the last few days I am a bit anxious but just wanted to get ur opinion I don’t struggle to breath I did work out lightly this morning checked heart rate after cool down 77 should I be concerned anoutbcardiac 
                                
                            
                                    Brief Answer:
I would explain as follows:
Detailed Answer:
Dear XXXXXXX
Welcome back on Ask a Doctor service!
I passed carefully through your question and would explain that your symptoms seem to be related to fibromyalgia.
Does body movements or deep breathing trigger the pain? This could indicate musculo-skeletal inflammation.
You should know that cold weather can exacerbate fibromyalgia.
For this reason, I would recommend staying in a warm environment and taking ibuprofen to help with the pain and inflammation.
Regarding your heart, as a cardiologist, I would exclude any cardiac issues. There is no need to perform any additional tests.
Your heart rate is perfectly normal. Nothing to worry about it!
I remain at your disposal for any further questions whenever you need!
Kind regards,
Dr. Iliri
                                    
                            I would explain as follows:
Detailed Answer:
Dear XXXXXXX
Welcome back on Ask a Doctor service!
I passed carefully through your question and would explain that your symptoms seem to be related to fibromyalgia.
Does body movements or deep breathing trigger the pain? This could indicate musculo-skeletal inflammation.
You should know that cold weather can exacerbate fibromyalgia.
For this reason, I would recommend staying in a warm environment and taking ibuprofen to help with the pain and inflammation.
Regarding your heart, as a cardiologist, I would exclude any cardiac issues. There is no need to perform any additional tests.
Your heart rate is perfectly normal. Nothing to worry about it!
I remain at your disposal for any further questions whenever you need!
Kind regards,
Dr. Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
                                    Brief Answer:
I would explain as follows:
Detailed Answer:
Dear XXXXXXX
Welcome back on Ask a Doctor service!
I passed carefully through your question and would explain that your symptoms seem to be related to fibromyalgia.
Does body movements or deep breathing trigger the pain? This could indicate musculo-skeletal inflammation.
You should know that cold weather can exacerbate fibromyalgia.
For this reason, I would recommend staying in a warm environment and taking ibuprofen to help with the pain and inflammation.
Regarding your heart, as a cardiologist, I would exclude any cardiac issues. There is no need to perform any additional tests.
Your heart rate is perfectly normal. Nothing to worry about it!
I remain at your disposal for any further questions whenever you need!
Kind regards,
Dr. Iliri
                                    
                            I would explain as follows:
Detailed Answer:
Dear XXXXXXX
Welcome back on Ask a Doctor service!
I passed carefully through your question and would explain that your symptoms seem to be related to fibromyalgia.
Does body movements or deep breathing trigger the pain? This could indicate musculo-skeletal inflammation.
You should know that cold weather can exacerbate fibromyalgia.
For this reason, I would recommend staying in a warm environment and taking ibuprofen to help with the pain and inflammation.
Regarding your heart, as a cardiologist, I would exclude any cardiac issues. There is no need to perform any additional tests.
Your heart rate is perfectly normal. Nothing to worry about it!
I remain at your disposal for any further questions whenever you need!
Kind regards,
Dr. Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Hi 
When I take a deep breath it hurry right side of upper back when I move around or move my neck I have upper sturnum pain if I feel around my sturnum it aches and I am currently having anxiety which I understand will increase my heart rate as long as I don’t have any cardiac issues and you don’t think from my recent test I should do more
                            When I take a deep breath it hurry right side of upper back when I move around or move my neck I have upper sturnum pain if I feel around my sturnum it aches and I am currently having anxiety which I understand will increase my heart rate as long as I don’t have any cardiac issues and you don’t think from my recent test I should do more
 
                                    Hi 
When I take a deep breath it hurry right side of upper back when I move around or move my neck I have upper sturnum pain if I feel around my sturnum it aches and I am currently having anxiety which I understand will increase my heart rate as long as I don’t have any cardiac issues and you don’t think from my recent test I should do more
                            When I take a deep breath it hurry right side of upper back when I move around or move my neck I have upper sturnum pain if I feel around my sturnum it aches and I am currently having anxiety which I understand will increase my heart rate as long as I don’t have any cardiac issues and you don’t think from my recent test I should do more
                                    Brief Answer:
Your symptoms are not related to the heart.
Detailed Answer:
Dear XXXXXXX
I don't think that your symptoms are related to the heart. So there is no need to perform any additional tests.
In my opinion, your symptoms are related to local muscular inflammation or fibromyalgia.
There is no reason to worry about!
Hope to have been helpful!
Let me know about everything!
Wishing good health,
Dr. Iliri
                                    
                            Your symptoms are not related to the heart.
Detailed Answer:
Dear XXXXXXX
I don't think that your symptoms are related to the heart. So there is no need to perform any additional tests.
In my opinion, your symptoms are related to local muscular inflammation or fibromyalgia.
There is no reason to worry about!
Hope to have been helpful!
Let me know about everything!
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
I don't think that your symptoms are related to the heart. So there is no need to perform any additional tests.
In my opinion, your symptoms are related to local muscular inflammation or fibromyalgia.
There is no reason to worry about!
Hope to have been helpful!
Let me know about everything!
Wishing good health,
Dr. Iliri
                                    
                            Your symptoms are not related to the heart.
Detailed Answer:
Dear XXXXXXX
I don't think that your symptoms are related to the heart. So there is no need to perform any additional tests.
In my opinion, your symptoms are related to local muscular inflammation or fibromyalgia.
There is no reason to worry about!
Hope to have been helpful!
Let me know about everything!
Wishing good health,
Dr. Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Hello my last question would be I am seeing my gp on Thursday and I was wondering if I should request more cardiac tests as I feel a little neasea my neck hurts and upper chest from pecks to sturnum not sure 
Thank u again for your help and patience
                            Thank u again for your help and patience
 
                                    Hello my last question would be I am seeing my gp on Thursday and I was wondering if I should request more cardiac tests as I feel a little neasea my neck hurts and upper chest from pecks to sturnum not sure 
Thank u again for your help and patience
                            Thank u again for your help and patience
                                    Brief Answer:
There is no need for any additional tests.
Detailed Answer:
Dear XXXXXXX
In my opinion there is no need to perform any additional cardiac tests, as I am sure that they will result normal.
I would just recommend checking complete blood count, PCR and ESR for inflammation.
If these tests result normal, you should consider fibromyalgia as the main cause of your complaints.
Hope to have been helpful!
If you have any other questions, please don't hesitate to ask me again!
Wishing all the best,
Dr. Iliri
                                    
                            There is no need for any additional tests.
Detailed Answer:
Dear XXXXXXX
In my opinion there is no need to perform any additional cardiac tests, as I am sure that they will result normal.
I would just recommend checking complete blood count, PCR and ESR for inflammation.
If these tests result normal, you should consider fibromyalgia as the main cause of your complaints.
Hope to have been 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:
There is no need for any additional tests.
Detailed Answer:
Dear XXXXXXX
In my opinion there is no need to perform any additional cardiac tests, as I am sure that they will result normal.
I would just recommend checking complete blood count, PCR and ESR for inflammation.
If these tests result normal, you should consider fibromyalgia as the main cause of your complaints.
Hope to have been helpful!
If you have any other questions, please don't hesitate to ask me again!
Wishing all the best,
Dr. Iliri
                                    
                            There is no need for any additional tests.
Detailed Answer:
Dear XXXXXXX
In my opinion there is no need to perform any additional cardiac tests, as I am sure that they will result normal.
I would just recommend checking complete blood count, PCR and ESR for inflammation.
If these tests result normal, you should consider fibromyalgia as the main cause of your complaints.
Hope to have been 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
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    So the neasea ans the neck pain upper sturnum is not due to cardiac 
                                
                            
 
                                    So the neasea ans the neck pain upper sturnum is not due to cardiac 
                                
                            
                                    Brief Answer:
I would explain as follows:
Detailed Answer:
Dear XXXXXXX
I don't think that your symptoms are related to the heart.
Gastroesophageal reflux may trigger all this clinical situation besides fibromyalgia.
Hope you will find this answer helpful!
Wishing all the best,
Dr.Iliri
                                    
                            I would explain as follows:
Detailed Answer:
Dear XXXXXXX
I don't think that your symptoms are related to the heart.
Gastroesophageal reflux may trigger all this clinical situation besides fibromyalgia.
Hope you will find this answer helpful!
Wishing all the best,
Dr.Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Nagamani Ng
                                  
                              
                                         
 
                                    
                                    
                                
                                    Brief Answer:
I would explain as follows:
Detailed Answer:
Dear XXXXXXX
I don't think that your symptoms are related to the heart.
Gastroesophageal reflux may trigger all this clinical situation besides fibromyalgia.
Hope you will find this answer helpful!
Wishing all the best,
Dr.Iliri
                                    
                            I would explain as follows:
Detailed Answer:
Dear XXXXXXX
I don't think that your symptoms are related to the heart.
Gastroesophageal reflux may trigger all this clinical situation besides fibromyalgia.
Hope you will find this answer helpful!
Wishing all the best,
Dr.Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Nagamani Ng
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Hi there and happy holidays I am just sending an update I went for a mesage on Monday although it didn’t help to much with the upper peck areas to sturnum pain I still have that ans neck pain and neasea thatbcomes ans goes I also have anxiety over this thinking perhaps it is cardiac related ... my heart rate is sometimes 70/80/90 depending on if I am having anxiety ... I am concerned that it is cardiac I know I have done recent tests and they came back of no concern but should I follow up again with my cardiologist 
                                
                            
 
                                    Hi there and happy holidays I am just sending an update I went for a mesage on Monday although it didn’t help to much with the upper peck areas to sturnum pain I still have that ans neck pain and neasea thatbcomes ans goes I also have anxiety over this thinking perhaps it is cardiac related ... my heart rate is sometimes 70/80/90 depending on if I am having anxiety ... I am concerned that it is cardiac I know I have done recent tests and they came back of no concern but should I follow up again with my cardiologist 
                                
                            
                                    Brief Answer:
Your symptoms are not related to the heart.
Detailed Answer:
Dear XXXXXXX
I understand your concern, but your symptoms do not seem to be related to the heart.
Your heart rate values are perfectly normal. So, considering also your performed tests, I insist that your symptoms are not cardiac related.
Acid reflux can trigger all this clinical situation. For this reason, I recommend taking an antiacid or PPI (omeprazole, pantoprazole) to help against nausea.
I would recommend having some rest and taking ibuprofen for the pain.
Try to relax and don't worry about it!
Hope you will find this answer helpful!
Wishing all the best,
Dr. Iliri
                                    
                            Your symptoms are not related to the heart.
Detailed Answer:
Dear XXXXXXX
I understand your concern, but your symptoms do not seem to be related to the heart.
Your heart rate values are perfectly normal. So, considering also your performed tests, I insist that your symptoms are not cardiac related.
Acid reflux can trigger all this clinical situation. For this reason, I recommend taking an antiacid or PPI (omeprazole, pantoprazole) to help against nausea.
I would recommend having some rest and taking ibuprofen for the pain.
Try to relax and don't worry about it!
Hope you will find this answer helpful!
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
I understand your concern, but your symptoms do not seem to be related to the heart.
Your heart rate values are perfectly normal. So, considering also your performed tests, I insist that your symptoms are not cardiac related.
Acid reflux can trigger all this clinical situation. For this reason, I recommend taking an antiacid or PPI (omeprazole, pantoprazole) to help against nausea.
I would recommend having some rest and taking ibuprofen for the pain.
Try to relax and don't worry about it!
Hope you will find this answer helpful!
Wishing all the best,
Dr. Iliri
                                    
                            Your symptoms are not related to the heart.
Detailed Answer:
Dear XXXXXXX
I understand your concern, but your symptoms do not seem to be related to the heart.
Your heart rate values are perfectly normal. So, considering also your performed tests, I insist that your symptoms are not cardiac related.
Acid reflux can trigger all this clinical situation. For this reason, I recommend taking an antiacid or PPI (omeprazole, pantoprazole) to help against nausea.
I would recommend having some rest and taking ibuprofen for the pain.
Try to relax and don't worry about it!
Hope you will find this answer helpful!
Wishing all the best,
Dr. Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Thank u so much I just came back from gp she does not think it is cardiac related but I have uploaded my last stress echo for u to view 
                                
                            
 
                                    Thank u so much I just came back from gp she does not think it is cardiac related but I have uploaded my last stress echo for u to view 
                                
                            
                                    Brief Answer:
Your stress echo is perfectly normal.
Detailed Answer:
Dear XXXXXXX
Your stress echo is perfectly normal.
So, we can definitely exclude coronary artery disease.
So, just relax and don't worry about it!
I remain at your disposal for any further questions whenever you need!
Let me know about everything!
Wishing a pleasant weekend,
Dr.Iliri
                                    
                            Your stress echo is perfectly normal.
Detailed Answer:
Dear XXXXXXX
Your stress echo is perfectly normal.
So, we can definitely exclude coronary artery disease.
So, just relax and don't worry about it!
I remain at your disposal for any further questions whenever you need!
Let me know about everything!
Wishing a pleasant weekend,
Dr.Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr.   Arnab Banerjee
                                  
                              
                                         
 
                                    
                                    
                                
                                    Brief Answer:
Your stress echo is perfectly normal.
Detailed Answer:
Dear XXXXXXX
Your stress echo is perfectly normal.
So, we can definitely exclude coronary artery disease.
So, just relax and don't worry about it!
I remain at your disposal for any further questions whenever you need!
Let me know about everything!
Wishing a pleasant weekend,
Dr.Iliri
                                    
                            Your stress echo is perfectly normal.
Detailed Answer:
Dear XXXXXXX
Your stress echo is perfectly normal.
So, we can definitely exclude coronary artery disease.
So, just relax and don't worry about it!
I remain at your disposal for any further questions whenever you need!
Let me know about everything!
Wishing a pleasant weekend,
Dr.Iliri
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr.   Arnab Banerjee
                                  
                              
                                         
 
                                    
                                    
                                Answered by
                                                    Get personalised answers from verified doctor in minutes across 80+ specialties
                        
                                
                                