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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Stabbing Right-sided Pain In The Heart And Weakness?

Hi,I am a 67 year old male, I have diabetes, heart failure, Conns Disease. My blood pressure is now normal, and my blood sugar level averages 125. A few days ago I suddenly developed a sharp, rhythmic, stabbing pain in my right chest, just under my right breast. I also feel a bit ill all over during the episodes. The episodes occur all day long, and last from a few minutes to a few hours, and do not respond to over the counter pain medicines. Should I worry? Go to my doctor this week? Go to the hospital if the condition get worse? Thank you Glen R Davis
posted on Thu, 27 Jul 2017
Twitter Thu, 30 Jul 2014 Answered on
Twitter Thu, 31 May 2018 Last reviewed on
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Cardiologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I need to know more about the symptoms, like precipitating factors, factors that increases pain etc. Sharp rhythmic stabbing pain is unlikely to be cardiac. However, its better to get yourself examined by local doctor. Mostly it's a gastritis and reflux disease. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis. You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg beforebreakfast once a day for 2 weeks. Secondly does this pain increases on applying pressure over the area, if yes it could be costochondritis and it's a musculoskeletal type of pain and needs prolonged nsaid therapy. Does this pain increases on deep breathing and coughing etc. if yes it a pain arising from lining of lungs and needs nsaids treatment and evaluation.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Stabbing Right-sided Pain In The Heart And Weakness?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I need to know more about the symptoms, like precipitating factors, factors that increases pain etc. Sharp rhythmic stabbing pain is unlikely to be cardiac. However, its better to get yourself examined by local doctor. Mostly it s a gastritis and reflux disease. Do you upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis. You should avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg beforebreakfast once a day for 2 weeks. Secondly does this pain increases on applying pressure over the area, if yes it could be costochondritis and it s a musculoskeletal type of pain and needs prolonged nsaid therapy. Does this pain increases on deep breathing and coughing etc. if yes it a pain arising from lining of lungs and needs nsaids treatment and evaluation. Hope I have answered your query. Let me know if I can assist you further.