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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Spots And Pain In Left Chest?

Since November, two spots in my left chest have stabbing pain triggered when I m stressed, studying for my licensure exam, eating, sleeping on my left side or when just idle. My CBC, ECG chest radiographs and stress test are all normal (taken last week and two months ago). In two weeks straight, I have been burping when I lie down. I have consulted two doctors. One said this is non-cardio related and the other said this is condochondritis.
Wed, 24 Jun 2020
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Pediatrician,  's  Response
H,

Since the pain is associated with burping and cardiac / chest related causes are ruled out, I would like to rule out esophagitis. Esophagitis is common in individuals with acid reflux / burping, and this can present with significant chest pain, although usually it is central in location.

If I were your treating doctor, I would have tried a trial of acid reducing drugs like pantoprazole. Your doctor will guide you. Meanwhile, keep food timings regular, avoid hot, spicy and fried items, reduce tea, coffee, caffeinated items, alcohol and tobacco. Drink enough fluids. Take plenty of green leafy vegetables and fruits.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Muhammed Aslam T. K., Pediatrician
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What Causes Spots And Pain In Left Chest?

H, Since the pain is associated with burping and cardiac / chest related causes are ruled out, I would like to rule out esophagitis. Esophagitis is common in individuals with acid reflux / burping, and this can present with significant chest pain, although usually it is central in location. If I were your treating doctor, I would have tried a trial of acid reducing drugs like pantoprazole. Your doctor will guide you. Meanwhile, keep food timings regular, avoid hot, spicy and fried items, reduce tea, coffee, caffeinated items, alcohol and tobacco. Drink enough fluids. Take plenty of green leafy vegetables and fruits. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician