I Am Fighting Chronic Costo And Fybro Should I Request For Cardiac Testing?

Posted on Wed, 22 Mar 2023

Question: Hi this is for Dr Sharka as I know I am fighting chronic Costo and fybro I woke up this morning and I went to stretch and got a pain in my chest inner sturnum sharp pain I got up and took a Tylenol for my headache and applied heat to my chest during this I had no other symptoms no shortness or breath no neasea although I did have it last night because I had a headache migraine type blood pressure was check last Monday good normal heart rate normal I do not have any pain right now I do have pain when I touch or poke it so u think these are cardiac symptoms and should I request further cardiac testing

Answered by Dr. Ilir Sharka (35 minutes later)

Brief Answer:
Your symptoms are not related to the heart.

Detailed Answer:
Dear,

I passed carefully through your question and would explain that your symtoms are typical of a musculo-skeletal pain like a stretched muscle.

As a cardiologist, I would exclude any cardiac issues and I don't think that there is any need for further cardiac tests.

I would just recommend taking Tylenol three times daily and avoiding straining physical activity for a couple of days.

The fact that it is tender to touch, is another argument in favor of a muscular pain. You know that we can not touch the heart as the local pain during manual pressure is closely related to the muscles in this region and local inflammation.

So, just relax and don't worry about it!

Nothing serious is going on!

If you have any other questions, please don't hesitate to ask me again!

Wishing good health,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (31 hours later)

Hi thank u I do have one more question I was cleaning up dinner dishes got a sharp dull like pain under left breast upper rib right under the breast it comes and goes no shortness of breath or other symptoms could this be cardiac or maybe gas should I be looking out for anything

Answered by Dr. Ilir Sharka (27 minutes later)

Brief Answer:
My opinion as follows:

Detailed Answer:
Dear XXXXXXX

This kind of pain could be related to the costochondritis or acid reflux.

I don't think that it is related to the heart.

So just relax and don't worry about it!

An antacid coupled with Tylenol can help reduce the pain.

If you have any other questions, please don't hesitate to ask me again!

Wishing you good health,

Dr.Iliri

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Ilir Sharka (1 hour later)

Great so u don’t think I need further cardiac tests

Answered by Dr. Ilir Sharka (9 hours later)

Brief Answer:
There is no need for any cardiac tests.

Detailed Answer:
Dear XXXXXXX

I don't think that you need to perform any additional cardiac tests, as I am sure that they will result normal!

So, just relax and don't worry about it!

Nothing serious seems to be going on!

If you have any other questions in the future, I would be glad to answer to all of them!

Wishing good health,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (6 days later)

Hi this is a continued question for de Sharka the question closed before I have had my colesterol tested in XXXXXXX it was normal I am on mertazapine ans I know it can raise ur colesterol how fast does this happen I am due for blood work on wed morning should I be concerned

Answered by Dr. Ilir Sharka (19 minutes later)

Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello again!

I understand your concern and would recommend periodically check your blood lipid profile every 3 months, considering the fact that you are on mirtazapine.

Hope to have been helpful!

If you have any other questions, please don't hesitate to ask me again!

Wishing good health,

Dr. Iliri

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar