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What Causes Pain In Upper Left Chest?

Posted on Tue, 7 Oct 2014

Question: Hi Doctor.i have been experiencing mild pain in upper left chest for 4 days now which has returned back after 2-3 weeks.my ECG, blood&urine test and TMT all show normal result but this pain continues to be there.I smoke for 5 days and moderate drinking.i have no cough but I had severe headache this morning and I took combiflam..i sometimes do not get good sleep in the night and when im at home during weekend I feel very tires and sleepy
.what is happening to me..im very worried

Answered by Dr. Drkaushal85 (32 minutes later)

Brief Answer:
you should get done chest x ray.

Detailed Answer:
Hi XXXXXXX myself Dr. Kaushal Bhavsar. I am practising Pulmonologist in XXXXXXX XXXXXXX XXXXXXX

Thanks for your question on HCM.

Since your cardiac work up is normal, I will suggest you to get chest x ray done. Since you are smoker there are high chances of bronchitis. An x ray will also helpful to rule out infection in lung which is very common in smokers.

And I also want to know your weight. If you are obese than you may need to loose some weight as your symptoms of headache, tiredness, day time sleepiness etc favors early symptoms of obesity related sleep disorder.

For your chest pain I think you should consult pulmonologist and rule out bronchitis first. If all these is normal than no need to worry it must be musculoskeletal pain. Take good painkillers. I still insist on quitting smoking immediately.

Hope I have solved your queries. I will be happy to answer further queries if you have. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Drkaushal85 (16 minutes later)

Hi Doctor I weigh 70kgs..i had a chest xray 3 weeks back which suggested acute bronchitis..I will take another xray again today

Answered by Dr. Drkaushal85 (56 minutes later)

Brief Answer:
consult pulmonologist before chest x ray.

Detailed Answer:
Hi XXXXXXX thanks for your query. So your weight is ok. So no need to worry about obesity associated sleep disorder.

Now for your bronchitis part, I suggest you to first consult pulmonologist before going for x ray. My concern for this is because of two reasons.
1. You are smoker and chances of early chronic bronchitis is there. So better to confirm it with PFT (Pulmonary Function Test). This will tell you the severity also.
2. You have already diagnosed and treated for acute bronchitis but still not relieved, this demands expert consultation and may need of inhaled medicines.

So you can delay chest x ray and first consult pulmonologist.

Hope I have solved your query. I will be happy to help you further.Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Drkaushal85 (21 minutes later)

Thanks Doctor..i was treated with antibiotics for 7 days..the pain went away for 2 weeks and has returned back..i will consult a doctor tomorrow..im quitting smoke and hope to recover from this pain and trouble

Answered by Dr. Drkaushal85 (15 minutes later)

Brief Answer:
no need for antibiotics now.

Detailed Answer:
Hi, XXXXXXX Thanks for your query. You have taken antibiotics for enough period, so no need to take it further. You may require bronchodilator as bronchitis induced bronchospasm may cause pain. So consult pulmonologist and get done PFT.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Shanthi.E