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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Upper Left Chest, Neck And Upper Back?

Hello. I have been having constant pain in my upper left chest, neck, and upper back for 8 months. EKG, schest x-ray were normal. Echocardiogram showed mild MVP. 24- hour holter showed frequent sinus tachycardia. Primary doctor thinks it is fibromyalgia. I am 32 year old female. The only other problems I have are IBS and frequent headaches.
Thu, 4 Sep 2014
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Pain Medicine & Palliative Care Specialist 's  Response
hai,consant pain in your case is due to fibromyalgia related with cardiac problem of mitral valve prolapse(mvp),that too with varied sinus tachycardia,
in that case it is very good on your part to start with beta-blockers like metoprolol,to control the heart rate added with anxiolytics like alprazolam,(small doses)
this sort of radiating chestpain responds very well to centrally acting drugs like paracetomol,used safely,added with some multivitamin supplements
take care
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What Causes Pain In Upper Left Chest, Neck And Upper Back?

hai,consant pain in your case is due to fibromyalgia related with cardiac problem of mitral valve prolapse(mvp),that too with varied sinus tachycardia, in that case it is very good on your part to start with beta-blockers like metoprolol,to control the heart rate added with anxiolytics like alprazolam,(small doses) this sort of radiating chestpain responds very well to centrally acting drugs like paracetomol,used safely,added with some multivitamin supplements take care