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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Pain And Soreness In Chest,left Arm And Shoulder

Hi, I am 27 yo male. I have been smoking for more than 10 years, i got few irritating symptoms since 4 years. Symptoms started with SOB and localized stabbing pain in my chest and upper stomach, numbness and pain in my left arm and shoulder, doctors said it could be cardiac issue since symptoms get worsen with smoking and after it and last like for 1-2 hours.anyhow, i did all the cardiac workup but i am free , so doctors thought this could be GERD ! so i started PPIs and antiacides which settle my symptoms for a while .The thing is , if i smoke more than 10 ciggs in a day , for few days, i will get this . Also it is triggered with coffee and lack of sleep !!what diagnosis might be in my case and how to handle it ?
Thu, 15 Oct 2015
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Addiction Medicine Specialist,  's  Response
cannot say in your particular case, but generally, pain can be evaluated by what triggers it. If a particular part is sore on touch, that localizes it (muscles/joints/tendons). If it is from internal irritation (swallowing acidic, hot, jagged, large, icey, etc) then that localizes it also. Hiatal hernia, esophageal spasm, esophageal irritation is triggered by stomach and food acidity or other irritations. Mild forms occur in 1 in 3 people who have very little findings on scoping. Barium swallow might show. And it is reliably helped by PROTON PUMP INHIBITORS within a week.
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Suggest Remedy For Pain And Soreness In Chest,left Arm And Shoulder

cannot say in your particular case, but generally, pain can be evaluated by what triggers it. If a particular part is sore on touch, that localizes it (muscles/joints/tendons). If it is from internal irritation (swallowing acidic, hot, jagged, large, icey, etc) then that localizes it also. Hiatal hernia, esophageal spasm, esophageal irritation is triggered by stomach and food acidity or other irritations. Mild forms occur in 1 in 3 people who have very little findings on scoping. Barium swallow might show. And it is reliably helped by PROTON PUMP INHIBITORS within a week.