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Forum Name: Chest symptoms

Question: Chest pains


 Yorkie - Thu Sep 01, 2005 4:18 am

After numerous tests/endoscopies etc and nothing shown on it ime about to come to the conclusion that its stress/anxiety.but ive just had a thought.
Could the chest pains have something to do with jumping up and down at punk gigs ? you know-everything moving around inside the body giving me pain ? would something like Ibuprofen get rid of it ?? ive had it for over a year

Thanks
 Dr. Safaa Mahmoud - Sat Jul 08, 2006 6:33 pm

User avatar Dear Yorkie,

It would have been of help if you could describe the character of this pain like; its site, nature, onset, course, associated symptoms like tenderness, related to movement , breathing problems or any other medical problems or received medications.

The investigations you have done also and their results would give me an idea about the further investigations that might be done.

I will give you a general idea about common causes of Chest pain, hoping to help you understand where you are.
The chest contains many organs, like the heart, lungs with its pleural covering, esophagus, muscles, ribs, tendons, and nerves. They all can be the source of the pain felt in the chest.

These causes include :
Angina that is due to ischemia or decrease in the blood supply to the cardiac muscle. If this occurs during exercise the Angina is named stable Angina, and if it occurs during rest it is named unstable Angina. However, Chest pain that is similar to angina can occur in people with episodic hypertension , that is why it is recommended to measure the blood pressure during the pain.

Overexertion of the chest wall muscles or their inflammation as a part of viral infection like flu or cold results also in Chest pain, the pain is usually aggravated with certain moves and is usually associated with tenderness over the affected muscles. Pain due to rib or chest wall bone disease is also another cause of Chest pain. They are also tenderness over the affected areas. In all of these conditions the Chest pain is usually aggravated by taking deep breath and Cough.

Inflammation of the pleura covering the lung gives a sharp pain that is associated with Cough and is more severe when taking deep breath.

Sometimes Chest pain is not originating from the chest itself; instead it is due to problems in the digestive tract. These problems include IBS, Gastritis and Gastric ulcer, gall bladder disease, GER.

Pain due to Gastritis increase either after fasting or after meals, while pain due to gall bladder disorder is felt on the right side of the upper abdomen and is associated with fatty meals.

Sometimes the cause of chest pain is not recognized and the possibility of anxiety or panic syndrome to be the cause is high

You need to be examined by your doctor. Only by complete history and physical examination your doctor can reach the right diagnosis and provide you the proper management.

Best regards,

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