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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chest Pain, Neck Inflammation, Tenderness. CT Scan Normal. What Do We Do?

My mother is suffering from something that seems like a chest pain that radiates from her left side of her chest, to her sides and then moves to her back. She feels this all day, everyday since she can remember. She says that she feels inflammation around her neck, the pain is tender to the touch on her chest, it will jump from her left side to the right to her at times. She says it hurts when she moves in any direction and she can inhale easily but exhaling is prolonged. She does have mild asthma , has osteopenia and arthritis , she takes medicine to accelerate and slow down her heart rate. When she sleeps she can feel a sharp pain and it awakens her at night and the pain can be worse some days and others she can manage. She has been given many answers to this as it can be from her fribromyalgia, she has done CT Scans and X-rays and nothing shows up apparently. We just don t know what to do she is 60 years old and she has had this for more than 30 years. Desperate for an answer we have looked up online as some people have been able to find out what is wrong with them with their own reseach, when I look up her symptoms I am given results like microvascular angina or Pericarditis and pleurisy but we are so unsure on how to go about with this we really don t know what to do anymore. What could it be?
Tue, 29 Oct 2013
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Pulmonologist 's  Response
I feel as she has been a patient of hypertension for long that you should get her heart evaluated as the pain is radiating and present the whole day so can be very well of an angina.
Secondly you should also get a MRI chest done to rule out a fibromyalgia as this is more better then a CT scan and xrays. And see a cardiologist first then a rheumatologist to be able to diagnose the case well as fibromyalgia is a diagnosis on clinical parameters
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Chest Pain, Neck Inflammation, Tenderness. CT Scan Normal. What Do We Do?

I feel as she has been a patient of hypertension for long that you should get her heart evaluated as the pain is radiating and present the whole day so can be very well of an angina. Secondly you should also get a MRI chest done to rule out a fibromyalgia as this is more better then a CT scan and xrays. And see a cardiologist first then a rheumatologist to be able to diagnose the case well as fibromyalgia is a diagnosis on clinical parameters