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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Middle Of Chest Radiating To Upper Back?

I have sever pain on my toraxic cage both right and left and in the middle of my chest. the pain goes to my upper back. I had done MRI, CT scan with contrast, several xrays of my chest, back ribs--everything shows normal. I also have a small hitial hernia and reflux. I had an endoscopy and colonoscopy last year. all normal, no hpilori, just showed a small hernias and minor gastritis and reflux. I had bone density, ok, mammogram ok, several lab test ok. I am 70 yrs. old. overweight like 20 pounds. the pain on my ribs and back has intensify. doctor said could be costocondritis. what could help. I don t want to take pain killers cause of my stomach problem. please help----ana
Mon, 31 Aug 2015
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Cardiologist,  's  Response
Hello Ana!

Thank you for asking on HCM!

I read your question carefully and understand your concern.

Your performed tests can exclude any possible cardiac disorders, column disorders, aorta disorder related to your symptomatology.

So if the gastro enterologist excludes possible implications of endoscopic findings ( small hiatal hernia, reflux, gastritis) in your symptoms, the most probable diagnosis would remain a costochondritis.

This is inflammation of the ribs and sternum joint.

I recommend performing a complete blood count and inflammation tests (fibrinogen, sedimentation rate, PCR) besides a physical examination.

This disorder usually recovers spontaneously. But painkillers are helpful , due to their anti inflammatory effect.

Regarding your stomach problem, I would recommend trying suppository of indomethacione, diclofenac or ibuprofen, which avoid gastritis exacerbation.


Hope to have been of help!

Best wishes,

Dr. Iliri

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What Causes Pain In Middle Of Chest Radiating To Upper Back?

Hello Ana! Thank you for asking on HCM! I read your question carefully and understand your concern. Your performed tests can exclude any possible cardiac disorders, column disorders, aorta disorder related to your symptomatology. So if the gastro enterologist excludes possible implications of endoscopic findings ( small hiatal hernia, reflux, gastritis) in your symptoms, the most probable diagnosis would remain a costochondritis. This is inflammation of the ribs and sternum joint. I recommend performing a complete blood count and inflammation tests (fibrinogen, sedimentation rate, PCR) besides a physical examination. This disorder usually recovers spontaneously. But painkillers are helpful , due to their anti inflammatory effect. Regarding your stomach problem, I would recommend trying suppository of indomethacione, diclofenac or ibuprofen, which avoid gastritis exacerbation. Hope to have been of help! Best wishes, Dr. Iliri