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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Pain In The Chest Indicate?

Hi my age is 25 year old .and my problem is heart cover in totaly area last 2 year and i have all ready chack in heart area in my city local doctors bt allways my heart cairiogram is normal of till date .
So why pain in my heart area if my body .
Please ans me sir
posted on Thu, 14 Dec 2017
Twitter Sat, 17 Feb 2018 Answered on
Twitter Sat, 17 Feb 2018 Last reviewed on
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Ayurveda Specialist,  's  Response
**
Thanks for contacting with your health concern

1. since you have checked with your primary care doctor and his examination and investigation come out to be normal, thus following should be your symptomwise approach:

i .Think of fractured rib or old fractured rib not healed completely.
ii. Think of costochondritis, very common anteriorly
iii. Think of muscle sprain.

. If by adopting
- hot water fomentation
- rest with minimal movements
- chest strapping
- intercostal nerve block
- taking an analgesic, anti-inflammatory enzymes, and muscle relaxant, the pain goes away continue with the same, however, if the pain is not relieved ask for Hb%, WBC, ESR & X-ray Chest

2. Apart from injury, pain could be a pleural pathology so a Chest Specialist opinion is necessary, [ask for chest X-ray to exclude pleuritis, pleural effusion]

PS. Although most of the times, pain may be the result of minor injury or postural changes, however sometimes there may be an underlying medical condition/situation which needs appropriate treatment, seek an opinion of a Cardiologist to exclude precordial catch syndrome. [PCS] which is a nonserious condition affecting the left side of the anterior chest wall and/or pericarditis.

3. If everything is normal, probably it is wise to see a Gastroenterologist to exclude GERD/gastritis as the cause of the same
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What Does Pain In The Chest Indicate?

** Thanks for contacting with your health concern 1. since you have checked with your primary care doctor and his examination and investigation come out to be normal, thus following should be your symptomwise approach: i .Think of fractured rib or old fractured rib not healed completely. ii. Think of costochondritis, very common anteriorly iii. Think of muscle sprain. . If by adopting - hot water fomentation - rest with minimal movements - chest strapping - intercostal nerve block - taking an analgesic, anti-inflammatory enzymes, and muscle relaxant, the pain goes away continue with the same, however, if the pain is not relieved ask for Hb%, WBC, ESR & X-ray Chest 2. Apart from injury, pain could be a pleural pathology so a Chest Specialist opinion is necessary, [ask for chest X-ray to exclude pleuritis, pleural effusion] PS. Although most of the times, pain may be the result of minor injury or postural changes, however sometimes there may be an underlying medical condition/situation which needs appropriate treatment, seek an opinion of a Cardiologist to exclude precordial catch syndrome. [PCS] which is a nonserious condition affecting the left side of the anterior chest wall and/or pericarditis. 3. If everything is normal, probably it is wise to see a Gastroenterologist to exclude GERD/gastritis as the cause of the same