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Suggest Treatment For Severe Chest Pain

Posted on Fri, 11 Dec 2015

Question: Bad stitch pain, left side
Feels like bad painful side stitch and intermittent sharp pain
Hurts more with deep breath
Have had this pain on and off for over a year can't seem to get it diagnosed
Pain went away for a few weeks while taking pro biotic and cutting back smoking.
Have returned from Fiji one week ago with diarrhoea daily since then the pain has got worse ... it feels like something is stuck under left rib. Very painful.
Also feel as is I may have irritated colon or something? Could it be trapped gas?
Worse since returning from Fiji and stopping pro biotics

Answered by Dr. Rakesh Madhyastha (1 hour later)

Brief Answer:
need more info

Detailed Answer:
Hello

Thanks for the query

I understand that you have chronic pain on the left side however in order to help you I need a few more details

1. What exactly do you mean by 'stitch' pain? It is pricking, dull aching or stabbing?
2. Does it reduce on sleeping on the same side? Are you able to feel the pain when you touch it or is it from within?
3. Was any scans and x rays done? It is possible to furnish the report
4. Please mention your height and weight

Please get back to me, I am awaiting your reply

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Rakesh Madhyastha (38 minutes later)

1. feels like a too much exercise stitch sometimes stabs then dull ache - all 3 really. pain reduces when I sleep on left cannot touch the pain. scan clear. 163cm 82kg

Answered by Dr. Rakesh Madhyastha (26 hours later)

Brief Answer:
Pleuritic pain

Detailed Answer:
Hello

Thanks for getting back,I am sorry for the short delay in my reply. I was on call at my hospital and I just got back

From the history you have provided it looks like you are suffering from chest pain which is arising from the pleura, which is the lining the of the lung. Here is how you should go about it

1. Avoid smoking
2. I recommend Tab Tramadol for the pain, it will reduce the pain instantly
3. I suggest you to get evaluated by a pulmonologist, MRI of the chest will be helpful to know if there are any pleural blebs

I hope I was of help, i am once again sorry for the delay

Regards

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Rakesh Madhyastha (4 hours later)

Hello

Thank you for the reply.
I have had two ultra sounds and both clear and also a chest and lung x ray...all satisfactory results and lungs clear and heart of
Pain has calmed down a fair bit today ...on the probiotics for three days again.
Do you suggest I go to GP tomorrow and ask for mri

Answered by Dr. Rakesh Madhyastha (14 hours later)

Brief Answer:
Get an MRI

Detailed Answer:
Hello

I suggest you to ask your GP for an MRI of the chest and also to recommend you to a pulmonologist/ chest physician

Regards

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

Follow up: Dr. Rakesh Madhyastha (18 hours later)

Thanks... saw GP today and have been referred for colonosphy ...not sure why not scan.
thank you

Answered by Dr. Rakesh Madhyastha (12 hours later)

Brief Answer:
Coloscopy

Detailed Answer:
Hello

Thank you for getting back. Why did he order for a colonoscopy? What was the indication? Please get back to me with the results
Please discuss about my suggestions to him.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Rakesh Madhyastha (41 minutes later)

I am not sure, I explained my symptoms and the test results I had over the last 14 months and he seemed to be leaning towards the bowel and has referred me to gastrologist .he thought I may have air pockets ( or something) near the colon because of westin low fiber diet...and said they may get infection when irritated...didn't listen to my lung info that you gave because I had a clear xray..

Answered by Dr. Rakesh Madhyastha (24 hours later)

Brief Answer:
Regards

Detailed Answer:
Hello

Thanks for getting back

Please get back to me with the report so that I can give my second opinion

Regards

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Prasad