What Causes Prolonged Chest Pain?
Clinical information needed
Detailed Answer:
Dear XXXXXXX
Greetings from health care magic!!! I am Dr Thakker and shall be answering your question. I will try my best to answer your question and help you out.
I wish to know the following details from you:
1) Nature of chest pain, location, exaggerating, relieving factor, intensity on grade of 1 to 10. Is the pain related to meals?
2) Associated breathlessness, leg swelling.
3) If there is a history of trauma to the chest?
4) Past medical history with all medicines you are taking currently?
5) If any 2d echo/ angiography report is available? Lipid profile reports if available?
These details are required to know if you have a cardiac or non cardiac pain?
Please get back to me with these details.
Yours sincerely,
Dr Thakker.
2) no breathlessness.
3) involved in car crash 5 years ago, seatbelt injuries nothing serious.
4) one gastro tablet, one staten cholesterol (5.1), one aspirin
(precautionary).
5) 2d echo clear, angiogram clear, blood pressure normal, non cardiac.
Regards, XXXX
muscular chest pain
Detailed Answer:
Dear XXXXXXX
I have read your response to my questions and the echo and angiogram reports. I hope these are pretty recent.
Given the description of pain, it clinically seems muscular in origin. Also normal angiogram rules out an ischemic heart disease.
Another uncommon presentation would be vitamin d deficiency. I have seen some patients present with chest pain and they responded to vitamin D. I would suggest you to have vitamin D 3 levels done. also a fresh EKG would be helpful to rule out any new cardiac event.
For symptomatic relief I would recommend you a pain reliever and a muscle relaxant.
I hope this helps you out. If you have any more questions, please do not hesitate to write back to me.
Yours sincerely,
Dr Thakker.