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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Safe To Take NSAID's For Chostochondritis?

I have had this off and on pain in my chest for about three months now. I have had x-ray and my blood work done about a month ago and everything was clear - they tough it was chostochondritis and gave me some NSAID's - they do help but the pain has not gone away. I have also had ECG, thrombosis tests and everything is normal. However the pain is still here. It feels like grabbing sometimes, sometimes it is sharp. I am otherwise healthy 34 year female.
Mon, 29 Jun 2015
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Cardiologist 's  Response
Hello. Thank you for your question and welcome to HCM. I understand your concern.

My opinion is that taking NSAID for chostochondritis is a good choice. I would only add that NSAIDs work by inhibiting the formation of prostaglandins, which are a very important factor in counterbalancing the acid formation in stomach. Knowing this, there will be excessive, uninhibited acid formation, which predisposes the mucosa of stomach to ulceration. Therefore, if you decide to go on NSAIDs, I would strongly recommend that you accompany them with a gastric protector, such as a histamine-H2 receptor blocker (ranitidine 150 mg x 2 tb/d) or a protein pump inhibitor (PPI: omeprazole 20 mg x 1 tb/d).

I hope I was helpful with my answer. Wish you good health.
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Is It Safe To Take NSAID's For Chostochondritis?

Hello. Thank you for your question and welcome to HCM. I understand your concern. My opinion is that taking NSAID for chostochondritis is a good choice. I would only add that NSAIDs work by inhibiting the formation of prostaglandins, which are a very important factor in counterbalancing the acid formation in stomach. Knowing this, there will be excessive, uninhibited acid formation, which predisposes the mucosa of stomach to ulceration. Therefore, if you decide to go on NSAIDs, I would strongly recommend that you accompany them with a gastric protector, such as a histamine-H2 receptor blocker (ranitidine 150 mg x 2 tb/d) or a protein pump inhibitor (PPI: omeprazole 20 mg x 1 tb/d). I hope I was helpful with my answer. Wish you good health.