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What Causes Recurring Radiating Pain From Chest To Right Side Lower Back?
Hi my wife is suffering from really bad pain starting from the centre of her chest running down her right side and through to her back, we have been over to A.E a few times and she has had lots of tests for her heart and they all come back fine. When the pain gets really bad i have been giving her Oramoph solution 10cc at a time but this is starting not to work and she is crippled up in pain, the condition seems to get worse with some foods, but movement seems to make it worse also. Please could you give me any advice so i can help my wife more comfortable or even tell me what it could be and find a cure, as this has been ongoing for nearly 2yrs now,i thankyou in advance Steve
Mon, 9 Mar 2015
Hello and welcome to HCM,
Chest pain can occur due to disease process in heart, lungs, mediastinum, musculoskeletal system or pleura.
As you have mentioned that cardiac investigations have come out to be normal, the cardiac abnormality is ruled out.
However, some more investigations are required to look for abnormality in other structures.
A X-ray chest is required to assess the lung fields and the bony rib cage.
X-ray chest will also help in assessing the mediastinum for any abnormality or enlargement of lymph node or any other structure.
As the pain is getting worse with eating some foods, an abnormality of the esophagus can also cause similar symptoms.
Thus, if no abnormality is detected on X-ray chest, esophageal assessment will be required.
Management can be planned after clinical assessment, relevant investigations and diagnosis.
Thanks and take care
Dr Shailja Puri
Chest pain can occur due to disease process in heart, lungs, mediastinum, musculoskeletal system or pleura.
As you have mentioned that cardiac investigations have come out to be normal, the cardiac abnormality is ruled out.
However, some more investigations are required to look for abnormality in other structures.
A X-ray chest is required to assess the lung fields and the bony rib cage.
X-ray chest will also help in assessing the mediastinum for any abnormality or enlargement of lymph node or any other structure.
As the pain is getting worse with eating some foods, an abnormality of the esophagus can also cause similar symptoms.
Thus, if no abnormality is detected on X-ray chest, esophageal assessment will be required.
Management can be planned after clinical assessment, relevant investigations and diagnosis.
Thanks and take care
Dr Shailja Puri
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