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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Pain In Chest Radiating Towards Neck And Arms?

Hi,i had a heart attack in May of this year they put a stent in,problem is iv been back in the hospital 4 times since May with same heart attack pain,they did a cath again and don t see anything,The pain is in my chest,goes to my arms neck up face into head,this is making my life misable I feel like im having a heart attack everyday,nitro helps for the moment but it comes back,i don t know what to do,my cardio doc says he doesn t know what kind of doc I should see to find out what this is,somebody please help I can live like this anymore
Wed, 17 Jun 2020
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Internal Medicine Specialist,  's  Response
Hi,

See definately the most important cause of chest pain is cardiac cause(heart related) but there are many other reasons also and if your cardiologist says that that it is not due to cardiac issues then we can explore other causes.

It can be due to cervical disc diseases ( neck related problems)-may be aggravated by abnormal posture while sleeping or working or lifting heavy objects.Sometimes gastritis or reflux can cause such symptoms.

Other reasons can be some trauma, inflammation of the muscles,vitamin deficiency or even stress.

So I feel first of all focus on your diet- take good balanced diet , avoid spicy and oily food , avoid tea and coffee.Take lots of fruits and vegetables.You must have a gap of 2 hours between your sleeping and dinner.

Go for some light walk.Maintain a proper posture.You can even start taking some multivitamins.

If still the symptoms persist then go for some investigations like complete blood count,FBS,TSH, vitamin d, vitamin b12, calcium levels and xray chest.This will help us to know the exact cause.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Milinda Gupta
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What Causes Persistent Pain In Chest Radiating Towards Neck And Arms?

Hi, See definately the most important cause of chest pain is cardiac cause(heart related) but there are many other reasons also and if your cardiologist says that that it is not due to cardiac issues then we can explore other causes. It can be due to cervical disc diseases ( neck related problems)-may be aggravated by abnormal posture while sleeping or working or lifting heavy objects.Sometimes gastritis or reflux can cause such symptoms. Other reasons can be some trauma, inflammation of the muscles,vitamin deficiency or even stress. So I feel first of all focus on your diet- take good balanced diet , avoid spicy and oily food , avoid tea and coffee.Take lots of fruits and vegetables.You must have a gap of 2 hours between your sleeping and dinner. Go for some light walk.Maintain a proper posture.You can even start taking some multivitamins. If still the symptoms persist then go for some investigations like complete blood count,FBS,TSH, vitamin d, vitamin b12, calcium levels and xray chest.This will help us to know the exact cause. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Milinda Gupta