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What Causes Severe Pain In Jaws, Shoulders And Back?
Question: I was in the hospital recently which was thought to be a heart attack. All tests said 'no'. At one point the doctors thought I had a blood clot from the blood taken when I arrived in the ER. CAT scan did not show blood clot. Had a chemical stress test and it was normal. My question, since I left the hospital the next day not knowing any more than when I went in....I had terrific pain in my jaws which actually went down my throat, in my shoulders and at one point down my back. The pain was awful and I tried to stand and nearly past out. I felt sick at my stomach all day. This was the second episode that day with the first one a mild pain...not the second one. I never felt such pain. The doctors couldn't tell me or my husband anything and said if it happened again to come back to the ER.....I'm asking why? They did not help the first time! I'm 75 years old and have asthma which is pretty well under control. I started allergy shots in Dec. to help control the asthma.
Brief Answer:
I recommend performing further tests to establish the possible diagnosis
Detailed Answer:
Hello!
Thank you for asking on HCM!
I understand your concern, and would like to reassure that based on your performed tests, we can exclude 3 most serious causes of this symptomatology:
1. acute coronary syndrome
2. pulmonary embolism
3. acuter aortic syndrome.
Coming to this point, it is necessary to perform a comprehensive differential diagnosis:
- an esophageal spasm
- acute pancreatitis or acute cholecystitis
- back bone disorder, related to the neck and shoulders pain.
I recommend consulting with your GP for further tests, to establish the possible diagnosis :
- Gastro-intestinal endoscopy, to exclude possible esophageal spasm or hiatal hernia
- chest x ray
- Amylazemia and inflammation tests.
- abdominal ultrasound
- liver function tests and bilirubin
- a cervical spine x ray, followed by a cervical spine CT scan to exclude possible cervical spine disc displacement.
You should discuss with your attending physician on the above possibilities.
Hope to have been of help!
Feel free to ask any other questions whenever you need!
Best wishes,
Dr. Iliri
I recommend performing further tests to establish the possible diagnosis
Detailed Answer:
Hello!
Thank you for asking on HCM!
I understand your concern, and would like to reassure that based on your performed tests, we can exclude 3 most serious causes of this symptomatology:
1. acute coronary syndrome
2. pulmonary embolism
3. acuter aortic syndrome.
Coming to this point, it is necessary to perform a comprehensive differential diagnosis:
- an esophageal spasm
- acute pancreatitis or acute cholecystitis
- back bone disorder, related to the neck and shoulders pain.
I recommend consulting with your GP for further tests, to establish the possible diagnosis :
- Gastro-intestinal endoscopy, to exclude possible esophageal spasm or hiatal hernia
- chest x ray
- Amylazemia and inflammation tests.
- abdominal ultrasound
- liver function tests and bilirubin
- a cervical spine x ray, followed by a cervical spine CT scan to exclude possible cervical spine disc displacement.
You should discuss with your attending physician on the above possibilities.
Hope to have been of help!
Feel free to ask any other questions whenever you need!
Best wishes,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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