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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Recurring Chest Pain, Numbness In Left Arm. Stress Test Done, Low Oxygen Level. What Could Be The Underlying Cause?

I am a 42 year old female who was experiencing chest pain on and off for week (just above the left breast). I then started to experience numbness to my left arm. I went to the hospital and they found my oxygen levels were low though my heart was beating quickly. They kept me in for two days and did a stress test. They determined it was not a heart attack but did not know what caused the initial result. Any ideas?
Tue, 26 Nov 2013
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Pulmonologist,  's  Response
HI,
Thanks for your query.
A left sided chest pain must be ruled out for angina, exactly what your doctor meant and did. But the negative result warrants more differentials.
This may be a pleuritic chest pain, which is due to underlying inflammation, typically present with sharp chest pain, aggravating on coughing, sneezing, deep inhalation etc.
This can be pain due to nerve root compression due to some spinal or perisinal pathologies and may explain the tingling and numbness.
Doctor may have prescribed you some analgesics and muscle relaxants with vit. B12 and you may have got relief....

Best wishes
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Recurring Chest Pain, Numbness In Left Arm. Stress Test Done, Low Oxygen Level. What Could Be The Underlying Cause?

HI, Thanks for your query. A left sided chest pain must be ruled out for angina, exactly what your doctor meant and did. But the negative result warrants more differentials. This may be a pleuritic chest pain, which is due to underlying inflammation, typically present with sharp chest pain, aggravating on coughing, sneezing, deep inhalation etc. This can be pain due to nerve root compression due to some spinal or perisinal pathologies and may explain the tingling and numbness. Doctor may have prescribed you some analgesics and muscle relaxants with vit. B12 and you may have got relief.... Best wishes