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What Causes Recurring Tightness And Pain In Chest?

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Posted on Wed, 30 Jul 2014
Question: I have, for the past three years, suffered with reoccurring tightness, pain, swelling feeling on the left side of my chest. It started out three years ago as a sharp pain, like a knife in my heart and then radiated to my jaw, down my left arm and behind my shoulder blade. Well, when this would happen, I thought I was having a heart attack and my blood pressure would go off the charts. I went to an insta-care during one of these attacks and was sent to the hospital. I was checked out and told my heart was fine. I was later put through all kinds of heart tests. It was determined I had chest wall inflammation. Once I knew it was not my heart The symptoms calmed down. It was like it was also stress related. A year later it started up again. I changed doctors and the new doctor insisted I go through the heart test again. Nothing was found. December of last year I was diagnosed with breast cancer in my left breast with pre-cancer in my right. I under went a double mastectomy. Well, I am now dealing with the chest problems again. It is not as painful now, but the tight feeling with uncomfortable heat on my chest radiating from my chest to my jaw. I am now worried about my heart. You know a little anxiety. Do you think it is my heart or costochrondites?
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Answered by Dr. Rohit Gulati (25 minutes later)
Brief Answer:
Need evaluation...

Detailed Answer:
Hi, Ii feel so sorry for your sufferings. But whenever such a pain will occur heart tests would be mandatory. So even this time you will have to undergo the same battery of tests again.
Bur this type of pain hardly occurs due to costochondritis. Worse come worse it could be
1. Some secondaries of the breast cancer in the ribs
2. A syndrome called scapulocostal syndrome.

You can start a low dose steroid with antacid and anti inflammatory if your blood tests show raised ESR. If ESR is normal start a combination of antiinflammatory with pregabalin 75 mg once daily for 7 days.
You can get prescription from your GP.

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

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Rohit Gulati

Pain Medicine & Palliative Care Specialist

Practicing since :1999

Answered : 252 Questions

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What Causes Recurring Tightness And Pain In Chest?

Brief Answer: Need evaluation... Detailed Answer: Hi, Ii feel so sorry for your sufferings. But whenever such a pain will occur heart tests would be mandatory. So even this time you will have to undergo the same battery of tests again. Bur this type of pain hardly occurs due to costochondritis. Worse come worse it could be 1. Some secondaries of the breast cancer in the ribs 2. A syndrome called scapulocostal syndrome. You can start a low dose steroid with antacid and anti inflammatory if your blood tests show raised ESR. If ESR is normal start a combination of antiinflammatory with pregabalin 75 mg once daily for 7 days. You can get prescription from your GP. Regards