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Suggest Treatment For Severe Pain In The Chest, Jaw And Ears

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Posted on Wed, 4 Jan 2017
Question: I have pain in the upper right chest, neck, jaw and ear.
doctor
Answered by Dr. Ilir Sharka (18 minutes later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to this clinical scenario:

- coronary artery disease
- an inflammatory disorder
- cervical spine chronic degenerations or a bulging intervertebral disk.

So, I would recommend consulting with your attending physician for a careful physical exam and some tests:

- a chest X ray study
- a resting ECG and a cardiac ultrasound to examine your heart function and structure
- inflammation tests (PCR, sedimentation rate)
- a cardiac stress tests would be needed to investigate for possible coronary artery disease
- a cervical spine X ray study.

You should discuss with your doctor on the above issues.

Hope you will find this answer helpful!

Wishing all the best,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (11 minutes later)
I recently had a carotid ultra-sound that was clear. I had an ultra-sound of my heart (includes a bovine aortic valve) that was clear. Could this have any relationship to several cold nodules on my thyroid?
doctor
Answered by Dr. Ilir Sharka (7 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

Cold nodules in the thyroid gland do not produce any hormones. But they can be cysts or Cancer. A needle biopsy is needed to determine their nature.

Coming to this point, I would recommend going to the ER for a physical exam and the above mentioned tests.

Hope you will find this answer helpful!

Regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (6 minutes later)
Thank you.
doctor
Answered by Dr. Ilir Sharka (12 minutes later)
Brief Answer:
You are welcome!

Detailed Answer:
I am glad to have been helpful to you!

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
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Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9533 Questions

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Suggest Treatment For Severe Pain In The Chest, Jaw And Ears

Brief Answer: I would recommend as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to this clinical scenario: - coronary artery disease - an inflammatory disorder - cervical spine chronic degenerations or a bulging intervertebral disk. So, I would recommend consulting with your attending physician for a careful physical exam and some tests: - a chest X ray study - a resting ECG and a cardiac ultrasound to examine your heart function and structure - inflammation tests (PCR, sedimentation rate) - a cardiac stress tests would be needed to investigate for possible coronary artery disease - a cervical spine X ray study. You should discuss with your doctor on the above issues. Hope you will find this answer helpful! Wishing all the best, Dr. Iliri