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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain In The Chest With Heart Palpitations?

hi I am Simon. I have a serious pain on my left chest right below my breast. I play soccer but I can t even do warm up with my players because my panting rate increases within few minutes with pains as if I ran a marathon and when taking deep breath I feel pains and sometimes I can t sneeze because of the pains sometimes it allows me
Fri, 6 Feb 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion we should rule out cardiac cause first because you are having left sided chest pain.
So get done ECG. If ECG is normal then no need to worry for cardiac cause.
You are having worsening pain with coughing, sneezing, this is the feature of pleurisy (inflammation of pleura). So get done chest x ray to rule out causes of pleurisy (pneumonia, tuberculosis, pleural effusion etc).
If chest x ray is normal then no need to worry much. You are having musculoskeletal pain mostly.
So avoid strenuous exercise and heavyweight lifting.
Avoid bad postures in sleep and movements causing pain.
Take painkiller and muscle relaxant. Apply warm water pad on affected site.
Don't worry much, you will be alright.
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What Causes Severe Pain In The Chest With Heart Palpitations?

Thanks for your question on HCM. In my opinion we should rule out cardiac cause first because you are having left sided chest pain. So get done ECG. If ECG is normal then no need to worry for cardiac cause. You are having worsening pain with coughing, sneezing, this is the feature of pleurisy (inflammation of pleura). So get done chest x ray to rule out causes of pleurisy (pneumonia, tuberculosis, pleural effusion etc). If chest x ray is normal then no need to worry much. You are having musculoskeletal pain mostly. So avoid strenuous exercise and heavyweight lifting. Avoid bad postures in sleep and movements causing pain. Take painkiller and muscle relaxant. Apply warm water pad on affected site. Don t worry much, you will be alright.