Suggest Treatment For Pain In Biceps And Chest With Breathlessness

Posted on Sat, 6 Feb 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 6 Feb 2016 Answered on

Tue, 12 Apr 2016 Last reviewed on

Question : HI I get pain in left arm below biceps (under arm) and some times pain in chest and breath less XXXXXXX and not able to sleep. I had taken many ECG , some 2D echo lastest few weeks back and TMT one year back and complete blood and urine test including full lipid and all are normal. May i please know why i get pain in chest and under arm and mid back as if pointed in centere to front and back of body and get me scared hell out of me. i continuosly keep thinking and feared of heart attack.Also i feel little burning sensation tow left top on chest below shoulder.my food habbits are normal, i eat loof fat, except chicken atleast 3 times a week and drink only beer no heavy alchol and no smoking i feel heart moving or beating as it does after we see snake suddenly

Answered by Dr. Prasanna Heijebu (1 hour later)

Brief Answer:
Possible neurological pain?Require MRI scan

Detailed Answer:
Hello, XXXXXXX

I can certainly understand your concerns.

I have worked through your query in detail.

As per your reports and symptoms, the possibility of heart disease is extremely unlikely.

Symptoms may be related to a combination of Neuropsychological-implying a spine disc disease and anxiety disorder.

I advice you to get an MRI scan of the cervico and Thoracic spine plus Serum B12 levels checked.

Meanwhile, I generally prescribe oral pills of CLONAZEPAM 0.5 mg at bed time and PREGABALIN 75 mg once daily to control your pain and burning symptoms.

Please discuss with your doctor whether he shares my view and prescribes you the same.

Avoid alcohol and smoking if any especially during drug intake.

Further management if any is largely based on test results.

Post your further queries if any.
Thank you.

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

Follow up: Dr. Prasanna Heijebu (26 hours later)

Hello doctor thank you, i have forgot earlier i have serum B12 AND SPINE ABSOLUTELY NORMAL i have noramla values for B12 and vitamin d but still get above symptoms , Please advice to get me out of fear

Answered by Dr. Prasanna Heijebu (24 hours later)

Brief Answer:
Possible functional pain related to stress disorder

Detailed Answer:
Hello, Sir.

I apologize for the delayed response owning to my work schedule.

I worked through your reports.

A all the major reports are within normal limits, it's imperative that the pain and breathing difficulties could be related to psychosomatic symptoms of functional disorder like anxiety.

This should not be a major problem.

Continue using the medications I prescribed, CLONAZEPAM and PREGABALIN for 1 month and update me with the level of response.

Stay relaxed and comfortable.

Post your further queries if any.
Thank you.

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

Above answer was peer-reviewed by : Dr. Naveen Kumar