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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Stabbing Pain In The Chest

i am 23 yr old male , weighing 93 kgs and my height is 5ft 8in .

i had my ECG checked 5 times but all were normal.

in my 1st ecg i had read an interpretation on the graph that read an inferior ST elevation (borderline ECG) . thus to rule out any cardiac problem i had my Ecg done from different drs and location s but all say its absolutely normal.. i had checked my BP several times and the readings were like... 120/80 , 110/78 , 170/86 , 108/80 , and latest 140/90.... last night due to sudden stabbing pain in my chest i woke up at 4 am and went to ER and had my ECG checked , dr said its normal but i noticed some change in V3 and it worries me very much... they diagnosed it to be gastritis and gave me PPI and digene...please help me...
posted on Thu, 13 Mar 2014
Twitter Sat, 20 Sep 2014 Answered on
Twitter Mon, 22 Sep 2014 Last reviewed on
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General & Family Physician 's  Response
Hi
Thank you for asking HCMM
I have gone through your query.As you have checked your ECG on several occasions cardiac problem is most unlikely.Mild changes in 1 lead lead is not significant.You can rule out any problem related to stress by doing treadmil test.If that is also fine and if you dont have any gastric symptoms it is most likely costochondritis. Pain while palpation on rib area is characteristic.For such condition in my patients i treat with anti inflammatory gels of diclofenac or nimusulide for local application.I also give the same medicines as tablets for oral intake if pain is more.If no improvement then i advise local injection of corticosteroids or local anesthetics.Hope this may help you.
Let me know if you have any further query.
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Suggest Treatment For Stabbing Pain In The Chest

Hi Thank you for asking HCMM I have gone through your query.As you have checked your ECG on several occasions cardiac problem is most unlikely.Mild changes in 1 lead lead is not significant.You can rule out any problem related to stress by doing treadmil test.If that is also fine and if you dont have any gastric symptoms it is most likely costochondritis. Pain while palpation on rib area is characteristic.For such condition in my patients i treat with anti inflammatory gels of diclofenac or nimusulide for local application.I also give the same medicines as tablets for oral intake if pain is more.If no improvement then i advise local injection of corticosteroids or local anesthetics.Hope this may help you. Let me know if you have any further query.