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Date of last update: 10/19/2017.

Forum Name: Chest symptoms

Question: chest pain

 Usafhoitsman - Fri Aug 12, 2005 1:52 am

Im 19 years of age and ive been have chest pains in my upper left chest and now in my shoulder its feels like it burning but it goes off and on (1 DAY IT HURTS THE NEXT DAY IT DOSENT) But i woke up and cant go to bed bc im in soo much pain from it but this is the first time ive ever been in this much pain before. Ive been to the doctor to have it looked at about a year ago but i didnt have these burning feels when r before i went. They just said that i have an heart mumor but thats it. but ive been having this burning feeling for about an month. Could these be early signs of an heart attack? If not what can it be?
 Dr. Safaa Mahmoud - Fri Jul 28, 2006 7:03 pm

User avatar Dear Usafhoitsman,

Pleurisy is an inflammation of the pleura, the double layered membrane that covers the lung. According to your description it is more likely to the cause of your symptoms.

The condition is due to viral infection in most of the cases.
The pain is felt like sharp pain on one side or less commonly in both sides, it increases with deep breath. The pain usually stops once you hold your breath and result in rapid, shallow breathing.

The condition gradually improves with rest, plenty of fluid. NSAID can help reduce the pain.

If you develop a productive Cough with yellowish or greenish sputum, or high Fever, you should visit your doctor immediately to receive the proper medical care.

Cardiac causes, should be excluded in any case of Chest pain especially if the pain is similar to that caused by cardiac ischemia although less likely to be the cause in your case (young age with no risk factors and no typical symptoms). Some other cardiac causes like Mitral valve prolapse give pain that may be similar to that of ischemic heart disease and is usually associated with palpitation and auscultation of the heart may show a murmur. These conditions should be investigated by ECG, stress ECG, Echocradiography and Cardiac catheter if needed.

Overexertion of the chest wall muscles (spasm) 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.

I advise you to follow up with your doctor, only by complete history and physical examination, the correct diagnosis can be reached.

Hope you find this information useful.
Best regards,

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