Hello This Is For Dr Sharka I Have Been Havjng

Posted on Wed, 9 Sep 2020

Question: Hello this is for dr Sharka I have been havjng a pain that comes and goes in inner left side sturnum this pain can come even if I am just lying or sitting down my oxygen levels are good heart rate is 77 and blood pressure is 93\65 other than that pain and left shoulder upper arm pain nothing do u think this is cardiac related and should I go to er

Answered by Dr. Ilir Sharka (3 hours later)

Brief Answer:
I would exclude any cardiac issues.

Detailed Answer:
Dear XXXXXXX

Welcome back to Ask a Doctor service!

Based on your description of the pain, I would exclude any cardiac issues.

I would like to know if the pain is modulated by any certain body position or shoulder movements?

This could be indicative of musculoskeletal pain ( costochondritis and tendinitis).

If the pain is not modulated by body movements, it could be indicative of fibromyalgia.

So, there is no reason to panic!

Your recent performed cardiac tests have resulted normal. So there is no reason to perform any additional cardiac tests.

I would just recommend trying to relax and trying ibuprofen for the pain.

Hope you will find this answer helpful!

If you have any other questions, please don't hesitate to ask me again!

Wishing all the best,

Dr.Iliri

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Ilir Sharka (3 hours later)

Good morning
The shoulder and left arm pain happen when I turn my neck but the lower left sturnum happens even I do nothing it almost feels kike a pinched nerve pain but also slight tenderness when I touch it just wanting to confirm it is not cardiac

Follow up: Dr. Ilir Sharka (6 hours later)

Hello
Also just wondering I am doing a stress echo tomorrow should I cancel it also could this pain in inner sturnum be caused by mvp as I was diagnosed with trace mvp alittle worries and the pain comes and goes but does not move

Answered by Dr. Ilir Sharka (4 hours later)

Brief Answer:
Your symptoms are not related to the heart.

Detailed Answer:
Dear XXXXXXX

I am quite sure that your complaints are not related to any cardiac issues, including MVP.

So, try to relax and don't worry about it!

In my opinion, your complaints are related to a musculoskeletal pain ( possible costochondritis and tendinitis).

Regarding the stress test, I don't think that it is necessary, especially considering the Covid pandemic.

I am pretty sure that it will result normal.

Hope you will find this answer helpful!

Wishing all the best,

Dr.Iliri

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Ilir Sharka (27 hours later)

Thank you I will upload my stress test results when I receive them

Answered by Dr. Ilir Sharka (7 hours later)

Brief Answer:
I remain at your disposal whenever you need.

Detailed Answer:
Dear XXXXXXX
Let me know about everything!

I would be glad to review your test reports as soon as you will be able to upload them!

Regards,

Dr.Iliri

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar