Suggest Treatment For Pain In The Breast And Ribs
I get a pain on the left side,just below my breast,behind my rib cage,worse in the evenings.What could it be?
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that your symptoms do not seem to be related to any cardiac disorder.
Gastro-esophageal reflux or a musculo-skeletal pain could be the cause of your troubles.
Are your symptoms modulated by deep breathing or body movement?
I would recommend trying an antiacid or a PPI (omeprazole, pantoprazole, etc.). If it helps relieve your symptoms it would be indicative of gastro-esophageal reflux underlying your symptoms.
If this doesn't help, I would recommend trying ibuprofen. If it helps relieve the pain, it would indicate a musculo-skeletal pain.
But, if your symptoms are not relived by these drugs, I would recommend consulting with your attending physician for a physical exam and some tests to investigate for the possible causes:
- a chest X ray study
- a resting ECG
- complete blood count, PCR, ESR for inflammation
- a cardiac stress test.
Hope to have been helpful!
Kind regards,
Dr. Iliri