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My Chest Has Been Hurting Last Few Days. I Went
Posted on
Thu, 19 Mar 2020
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Thu, 19 Mar 2020
Answered on
Last reviewed on
Question : My chest has been hurting last few days. I went to ER Monday In fear of a heart attack, I was not having one. But my chest continues to hurt and increase when I lie down on my side while trying to sleep. My pulse is normal and blood pressure was 130. I aam male 42 with no history of heart issues or family. I don’t smoke and rarely drink. But the pain is legit and scary in my chest. I’m trying to get in with a cardiologist but that’s not till who knows when.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome on - Ask a Doctor - service!
I understand your concern and would like to explain that your chest pain seems to be prolonged and modulated by body posture.
Considering the above pain characteristics, your symptoms are likely to be of an extra-cardiac origin. Coming to this point, as the preliminary ER tests haven't been able to detect any acute cardiac issues, it is necessary to further investigate in alternative directions.
A muscular-skeletal disorder (such as costochondritis) should be sought in case suggesting symptoms and signs are present (local edema, tenderness on palpation) is present.
Additional medical test are advisable:
- complete blood count with leukocytes differential, ESR, PCR and chest X ray study to rule out any underlying pulmonary inflammation/infection;
- backbone X ray study to investigate any possible degenerative disorder
- a chest CT scan could provide additional medical information.
You may upload your already performed tests here for a second professional opinion.
You should discuss with your attending doctor on the above mentioned issues.
Hope to have been helpful to you!
In case of any further questions, feel free to ask me again.
Kind regards,
Dr. Ilir Sharka
cardiologist
I would explain as follows:
Detailed Answer:
Hello!
Welcome on - Ask a Doctor - service!
I understand your concern and would like to explain that your chest pain seems to be prolonged and modulated by body posture.
Considering the above pain characteristics, your symptoms are likely to be of an extra-cardiac origin. Coming to this point, as the preliminary ER tests haven't been able to detect any acute cardiac issues, it is necessary to further investigate in alternative directions.
A muscular-skeletal disorder (such as costochondritis) should be sought in case suggesting symptoms and signs are present (local edema, tenderness on palpation) is present.
Additional medical test are advisable:
- complete blood count with leukocytes differential, ESR, PCR and chest X ray study to rule out any underlying pulmonary inflammation/infection;
- backbone X ray study to investigate any possible degenerative disorder
- a chest CT scan could provide additional medical information.
You may upload your already performed tests here for a second professional opinion.
You should discuss with your attending doctor on the above mentioned issues.
Hope to have been helpful to you!
In case of any further questions, feel free to ask me again.
Kind regards,
Dr. Ilir Sharka
cardiologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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