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Suggest Treatment For Pain In The Upper Right Side Of Chest
Question: i am having pain on right upper chest.Since 3 days its been.but was of less magnitude.Today i am feeling little bit more pain on my right chest upper side.Please suggest what i need to do.
Brief Answer:
Mostly muscular, local warm compress and meds as suggested would help
Detailed Answer:
Hello XXXXXXX I am Dr. Mody and I will be addressing your concern.
I went in detail with the history provided, considering you to a be fit 28 year old person, and the site of pain, it's less likely that it is of cardiac origin.
So some associated symptoms will help us narrow down our diagnosis.
1) does the pain increase or decrease with movement of arm or neck, have you been weight lifting, sleeping in wrong position, than in most likelihood it's muscular in origin
2) do you have associated cough or runny nose, viral symptoms, than the lungs should be evaluated.
3) lesser likelihood. Do you have a weak stomach, I mean symptoms of Pain in middle of chest, burping which increase or decrease with food intake, reflux gastritis should be thought.
4) only if pain increases with exertion, associated with sweating, cannot be localised at one point, you are a smoker, obese, strong family history than heart may be evaluated further.
In all probability, you may try taking
Tab dolonex DT (20) twice a day, tab neksium (40) once in morning for 3 days and it should help.
Lastly any recent change in lifestyle in last week may help us colobrate the origin of pain.
Some more detail on type of pain and associated symptoms, any recent investigation may help me narrow down the diagnosis.
However I would like to reassurance you that in all probability the pain, is non specific for anything serious.
Would let you know If any investigation needed after the details, presently none.
Hoping I could help.
Dr Priyank Mody, Lilavati Hospital, XXXXXXX
Mostly muscular, local warm compress and meds as suggested would help
Detailed Answer:
Hello XXXXXXX I am Dr. Mody and I will be addressing your concern.
I went in detail with the history provided, considering you to a be fit 28 year old person, and the site of pain, it's less likely that it is of cardiac origin.
So some associated symptoms will help us narrow down our diagnosis.
1) does the pain increase or decrease with movement of arm or neck, have you been weight lifting, sleeping in wrong position, than in most likelihood it's muscular in origin
2) do you have associated cough or runny nose, viral symptoms, than the lungs should be evaluated.
3) lesser likelihood. Do you have a weak stomach, I mean symptoms of Pain in middle of chest, burping which increase or decrease with food intake, reflux gastritis should be thought.
4) only if pain increases with exertion, associated with sweating, cannot be localised at one point, you are a smoker, obese, strong family history than heart may be evaluated further.
In all probability, you may try taking
Tab dolonex DT (20) twice a day, tab neksium (40) once in morning for 3 days and it should help.
Lastly any recent change in lifestyle in last week may help us colobrate the origin of pain.
Some more detail on type of pain and associated symptoms, any recent investigation may help me narrow down the diagnosis.
However I would like to reassurance you that in all probability the pain, is non specific for anything serious.
Would let you know If any investigation needed after the details, presently none.
Hoping I could help.
Dr Priyank Mody, Lilavati Hospital, XXXXXXX
Above answer was peer-reviewed by :
Dr. Prasad
1)pain i am not feeling with movement of arm or neck.And about sleeping wrong posture i never been to.
second question
2)do you have associated cough or runny nose, viral symptoms, than the lungs should be evaluated.
Yes i have cough sneeze and runny nose .and (cough and sneeze)its a continuous one.Few days (7 days)back i was down with sever cold cough and mild fever. more over fever i am not getting any more.
lesser likelihood. Do you have a weak stomach, I mean symptoms of Pain in middle of chest, burping which increase or decrease with food intake, reflux gastritis should be thought.
(ans) NO,i am not getting pain in the middle ,its liltle bit side to the right upper
4) only if pain increases with exertion, associated with sweating, cannot be localised at one point, you are a smoker, obese, strong family history than heart may be evaluated further.
Ans: i am not a smoker,no family history of heart disease.
Regards, XXXXXXX
second question
2)do you have associated cough or runny nose, viral symptoms, than the lungs should be evaluated.
Yes i have cough sneeze and runny nose .and (cough and sneeze)its a continuous one.Few days (7 days)back i was down with sever cold cough and mild fever. more over fever i am not getting any more.
lesser likelihood. Do you have a weak stomach, I mean symptoms of Pain in middle of chest, burping which increase or decrease with food intake, reflux gastritis should be thought.
(ans) NO,i am not getting pain in the middle ,its liltle bit side to the right upper
4) only if pain increases with exertion, associated with sweating, cannot be localised at one point, you are a smoker, obese, strong family history than heart may be evaluated further.
Ans: i am not a smoker,no family history of heart disease.
Regards, XXXXXXX
Brief Answer:
Mostly the pain is related to lungs infection, Any analgesic would help
Detailed Answer:
Thanks XXXX for the answer,
This helps me get more details and narrow down upon the diagnosis.
In most probability this is what we call pleuritic pain, it means the pain arising from the covering of the lungs (pleura) , now as you had a respiratory tract infection which might have involved the lungs and so forth the pleura, so when you take a deep breath or cough you may have a sharp pain in the upper chest, this with time would become more continuous, also viral infection causes considerable muscle soreness which may increase the pain.
Now what should we do for it? If the cough is resolving and no fever, we can wait,
Tab dolo (650mg) as needed may be taken, it contains plain paracetamol, XXXXXXX 4 times a day.
You may consider an antibiotic if persistent , as even though viral to start with you have a fair chance to develop secondary bacterial infection.
Lastly a chest x ray sos, to rule out development of pneumonia, though with resolution of symptoms and no fever, it shouldn't be much of a worry..
Hoping that would answer your doubt
Any confusion, do revert.
Regards Dr Priyank Mody.
Mostly the pain is related to lungs infection, Any analgesic would help
Detailed Answer:
Thanks XXXX for the answer,
This helps me get more details and narrow down upon the diagnosis.
In most probability this is what we call pleuritic pain, it means the pain arising from the covering of the lungs (pleura) , now as you had a respiratory tract infection which might have involved the lungs and so forth the pleura, so when you take a deep breath or cough you may have a sharp pain in the upper chest, this with time would become more continuous, also viral infection causes considerable muscle soreness which may increase the pain.
Now what should we do for it? If the cough is resolving and no fever, we can wait,
Tab dolo (650mg) as needed may be taken, it contains plain paracetamol, XXXXXXX 4 times a day.
You may consider an antibiotic if persistent , as even though viral to start with you have a fair chance to develop secondary bacterial infection.
Lastly a chest x ray sos, to rule out development of pneumonia, though with resolution of symptoms and no fever, it shouldn't be much of a worry..
Hoping that would answer your doubt
Any confusion, do revert.
Regards Dr Priyank Mody.
Above answer was peer-reviewed by :
Dr. Yogesh D
Thank you Sir for your valuable time and diagnosis.i am pretty much sure this would definately help me in curing the infection.
It was nice talking with you sir.
Very patient and humbled way you answered all my queries.
last but not the least .
Thank you again Sir.!!!
Regards, XXXXXXX
It was nice talking with you sir.
Very patient and humbled way you answered all my queries.
last but not the least .
Thank you again Sir.!!!
Regards, XXXXXXX
Brief Answer:
Wishing you a healthy life, God bless
Detailed Answer:
Thank you XXXX for the kind words,
When clinical examination I'd nit possible a good history helps, so had to give you the trouble.
For all future queries you can directly log on
Http://doctor.healthcaremagic.com/doctors/dr-priyank-mody/70273
Do rate the conversation For others reference.
Wishing you a healthy life .
Regards Dr Priyank Mody
Wishing you a healthy life, God bless
Detailed Answer:
Thank you XXXX for the kind words,
When clinical examination I'd nit possible a good history helps, so had to give you the trouble.
For all future queries you can directly log on
Http://doctor.healthcaremagic.com/doctors/dr-priyank-mody/70273
Do rate the conversation For others reference.
Wishing you a healthy life .
Regards Dr Priyank Mody
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
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