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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Chest At The End Of My Chest Bone?

I have a protruding xiphoid process.. It has hurt me for years.. I recently had gallbladder surgery.. Inflamed diseased gallbladder.. No stones.. But bad enough to have it removed.. Now the pain in my chest at the end of my chestbone.. Is hurtin so bad.. I feel like I m slowly being suffocated.. And I cannot lie down flat on my back.. The pain worsens..and I can t breathe.. My doctor said it s probably inflammation from the surgery.. But I explained that I ve had this pain for years.. And I ve had scans and tests to no avail.. So I don t know what to do next! Any suggestions?
Fri, 26 Dec 2014
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Pulmonologist,  's  Response
Thanks for your question on HCM.
In my opinion you are having musculoskeletal pain.
End of chest bone, xiphoid process gives attachment to many muscles like abdominal, diaphragm, intercostal , pectoralis etc.
So tendinitis of any muscle can cause pain at xiphoid process.
Since your all other work up is normal, I think it is musculoskeletal pain only.
Try to follow these steps for better symptomatic relief.
1. Avoid heavy weight lifting and strenuous exercise.
2. Avoid bad postures in sleep.
3. Avoid movement s causing pain.
4. Take good painkiller and muscle relaxant.
5. Apply warm water pad on affected site.
6. Loose weight if you are obese.
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What Causes Pain In The Chest At The End Of My Chest Bone?

Thanks for your question on HCM. In my opinion you are having musculoskeletal pain. End of chest bone, xiphoid process gives attachment to many muscles like abdominal, diaphragm, intercostal , pectoralis etc. So tendinitis of any muscle can cause pain at xiphoid process. Since your all other work up is normal, I think it is musculoskeletal pain only. Try to follow these steps for better symptomatic relief. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Avoid movement s causing pain. 4. Take good painkiller and muscle relaxant. 5. Apply warm water pad on affected site. 6. Loose weight if you are obese.