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Hi This Is For Dr Sharka I Am Back And

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Posted on Sun, 29 Nov 2020
Question: Hi
This is for dr Sharka I am back and have a question I was asleep woke up with a pain like stitch under my left boob no other symptoms I wanted to ensure you don’t think this is cardiac related
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Follow up: Dr. Ilir Sharka (0 minute later)
Hi
This is for dr Sharka I am back and have a question I was asleep woke up with a pain like stitch under my left boob no other symptoms I wanted to ensure you don’t think this is cardiac related
doctor
Answered by Dr. Ilir Sharka (3 hours later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Dear XXXXXXX

Your symptoms are not typical of any cardiac issues.

In fact this kind of pain is very suggestive of local inflammation or a musculoskeletal pain.

So, there is no reason to panic. If the pain persists, I would recommend taking ibuprofen or acetaminophen.

Try to use your fingers straight, for a breast massage, in order to exclude any bumps in the breast, which may need further investigations (breast ultrasound or mammogram).

Do you see any skin changes ( redness, retraction, bumps) in the breast skin?

Hope you will find this answer helpful!

I remain at your disposal for any further questions whenever you need!

Kind regards,
Dr.Iliri
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Ilir Sharka (0 minute later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Dear XXXXXXX

Your symptoms are not typical of any cardiac issues.

In fact this kind of pain is very suggestive of local inflammation or a musculoskeletal pain.

So, there is no reason to panic. If the pain persists, I would recommend taking ibuprofen or acetaminophen.

Try to use your fingers straight, for a breast massage, in order to exclude any bumps in the breast, which may need further investigations (breast ultrasound or mammogram).

Do you see any skin changes ( redness, retraction, bumps) in the breast skin?

Hope you will find this answer helpful!

I remain at your disposal for any further questions whenever you need!

Kind regards,
Dr.Iliri
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Ilir Sharka (1 hour later)
Hi no it is not the breast it is under the left breast right in the rib area it comes and goes as well I have a pain in left side inner sturnum to breast also comes and goes uploaded picture of area please advise
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Follow up: Dr. Ilir Sharka (0 minute later)
Hi no it is not the breast it is under the left breast right in the rib area it comes and goes as well I have a pain in left side inner sturnum to breast also comes and goes uploaded picture of area please advise
doctor
Answered by Dr. Ilir Sharka (6 hours later)
Brief Answer:
It seems to be just costochondritis.

Detailed Answer:
Dear XXXXXXX

In my opinion this is just costochondritis.

I would completely exclude any cardiac issues!

So try to relax and don't worry too much about it! Nothing serious is going on!

Please let me know about everything!

Wishing all the best,
Dr.Iliri
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Ilir Sharka (0 minute later)
Brief Answer:
It seems to be just costochondritis.

Detailed Answer:
Dear XXXXXXX

In my opinion this is just costochondritis.

I would completely exclude any cardiac issues!

So try to relax and don't worry too much about it! Nothing serious is going on!

Please let me know about everything!

Wishing all the best,
Dr.Iliri
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ilir Sharka (8 hours later)
Thanks one more question you don’t think this is angina ? Also on ecg they said at depression but blood work said all good and July ecg also said slight st depression but stress echo all good don’t know what to make of all this ans it worries me I am afraid to be active
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Follow up: Dr. Ilir Sharka (0 minute later)
Thanks one more question you don’t think this is angina ? Also on ecg they said at depression but blood work said all good and July ecg also said slight st depression but stress echo all good don’t know what to make of all this ans it worries me I am afraid to be active
doctor
Answered by Dr. Ilir Sharka (14 hours later)
Brief Answer:
My opinion as follows:

Detailed Answer:
Dear XXXXXXX

That is right. You have had such ECG changes for a long time before and have performed all cardiac tests to exclude a cardiac issue and these tests have resulted normal.

That is why, I don't think that these ECG changes are anything serious.

Is the pain relieved by ibuprofen? This would be another argument in favor of a musculo-skeletal pain and would help exclude a cardiac issue.

Hope you will find this information helpful!

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

Regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Ilir Sharka (0 minute later)
Brief Answer:
My opinion as follows:

Detailed Answer:
Dear XXXXXXX

That is right. You have had such ECG changes for a long time before and have performed all cardiac tests to exclude a cardiac issue and these tests have resulted normal.

That is why, I don't think that these ECG changes are anything serious.

Is the pain relieved by ibuprofen? This would be another argument in favor of a musculo-skeletal pain and would help exclude a cardiac issue.

Hope you will find this information helpful!

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

Regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (5 hours later)
Thank you I just don’t understand I guess stress can make a difference in the ecg ? I only take tylnol
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Follow up: Dr. Ilir Sharka (0 minute later)
Thank you I just don’t understand I guess stress can make a difference in the ecg ? I only take tylnol
doctor
Answered by Dr. Ilir Sharka (2 hours later)
Brief Answer:
My answer as follows:

Detailed Answer:
Dear XXXXXXX

There are many causes that may lead to slight ST depression such as:
- strain pattern, in case of left ventricle hypertrophy
- microvascular dysfunction in the absence of coronary artery disease
- electrolyte imbalance (low potassium or low magnesium), etc..

Anyway, I don't think that this is anything serious. Regarding anxiety, it can lead to tachycardia and mimic chest pain.

If Tylenol helps improve your situation, this would be indicative of a musculo-skeletal pain.

Hope you will find this information helpful!

Wishing all the best,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Ilir Sharka (0 minute later)
Brief Answer:
My answer as follows:

Detailed Answer:
Dear XXXXXXX

There are many causes that may lead to slight ST depression such as:
- strain pattern, in case of left ventricle hypertrophy
- microvascular dysfunction in the absence of coronary artery disease
- electrolyte imbalance (low potassium or low magnesium), etc..

Anyway, I don't think that this is anything serious. Regarding anxiety, it can lead to tachycardia and mimic chest pain.

If Tylenol helps improve your situation, this would be indicative of a musculo-skeletal pain.

Hope you will find this information helpful!

Wishing all the best,

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9541 Questions

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Hi This Is For Dr Sharka I Am Back And

Hi This is for dr Sharka I am back and have a question I was asleep woke up with a pain like stitch under my left boob no other symptoms I wanted to ensure you don’t think this is cardiac related