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What Causes Pain In Upper Chest Area While Moving?

Posted on Mon, 15 Jun 2015

Question: Hi

I need help please the top centre of my chest hurts when i move, it hurts when i wash my hands. If i sit or lay down theres not much pain. What could this be?

Answered by Dr. Rakesh Madhyastha (51 minutes later)

Brief Answer:
Need more info

Detailed Answer:
Hello

Thanks for the query

It is rather an unusual presentation. So I would like more information in order to help you better

1. When you say to centre, do you mean the rib cage ?
2. what is the type of pain? pricking, stabbing, dull, etc
3. was there trauma to the chest recently ?
4. did you suffer from a viral infection recently ?
5. Do you have cough?

Please get back to me , I am awaiting your reply

Regards

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

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

Hi

Thanks it is in rib cage. Pain is a like a dull ache not sharp or stabbing.
Its a top of just just below the throat. The pain feels from the front
No trauma
No infection or cough

I had a issue i picked up a 20kg flour bag

Answered by Dr. Rakesh Madhyastha (8 hours later)

Brief Answer:
Muscular pain

Detailed Answer:
Hello

Thanks for getting back

I am sorry for the short delay in my reply. It was a very busy day at the hospital

Here is what I think

1. Dull aching pain at the rib cage can either be muscular pain or pain at the junction of rib cage and the sternum known as costochondritis.
2. Treatment is with NSAIDs. The best NSAIDs for this would be acecloefenac. It has to be taken twice daily for not more than 3 days
3. If the pain does not come down then I recommend further work up with a x ray of chest anterior posterior view to look at the morphology
4. Please do not exercise or lift heavy weights until you are better
5. an ideal person to approach for this is an internal medicine doctor

I hope I was of help, if you have any further queries please get back to me

Regards

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

Follow up: Dr. Rakesh Madhyastha (1 hour later)

Thank you

It is a dull acheing pain that has been there since yesterday eveing. When i move it hurts when i sit the pain is very light sometimes it be hurts in back
My question could this be heart related

Answered by Dr. Rakesh Madhyastha (12 minutes later)

Brief Answer:
Not heart related

Detailed Answer:
Hello

Thanks for getting back

Heart related pain is usually stabbing pain, behind the chest and also typically left sided. Sometimes it radiates to the jaw. The pain can typically increases on exertion and relieves on taking rest.

I don't think yours is heart related but no harm getting an ecg done. Appraoch a general physician for an examination and ecg

Regards

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

Follow up: Dr. Rakesh Madhyastha (59 minutes later)

Hi

My pain has been in same spot. When i am bending it is hurting
I done ECG a year ago i have had a few all normal

Answered by Dr. Rakesh Madhyastha (13 hours later)

Brief Answer:
Not heart pain

Detailed Answer:
Hello

If it is a dull aching pain in one spot then it is most likely to be muscular pain. ECG taken a year ago is not sufficient to rule out current cardiac illness. Please get another one soon.

Regards

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

Follow up: Dr. Rakesh Madhyastha (3 minutes later)

Ok thanks

My doctor spoke to me over phone

He prescribed me Naproxen and said it is pulled muscle. He said no need for ECG

Answered by Dr. Rakesh Madhyastha (2 minutes later)

Brief Answer:
Naproxen

Detailed Answer:
Hello

I am happy your doctor and I are thinking in similar lines.

I wish you a speedy recovery

Regards

Note: For further follow up on related General & Family Physician Click here.

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