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KarayanMD
KarayanMD, Board Certified Physician
Category: Medical
Satisfied Customers: 830
Experience:  Board Certified Neurologist with Subspecialty in Clinical Neurophysiology. Private Practice.
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severe pain in chest & both arms while coughing hard

This answer was rated:

severe pain in chest & both arms while coughing hard

KarayanMD :

Hi, Thanks for your question.

KarayanMD :

Is the pain continuing?

JACUSTOMER-hu1xtkmf- :

it happened 3 times in last 2 weeks

KarayanMD :

How long does the pain last each time?

JACUSTOMER-hu1xtkmf- :

around 1 to 2 minutes

KarayanMD :

Can you describe the pain?

JACUSTOMER-hu1xtkmf- :

very sharp had to pull over while driving both arms all the way down to elbows

KarayanMD :

And involving the entire chest region?

JACUSTOMER-hu1xtkmf- :

yes

KarayanMD :

Any electric or burning sensations?

JACUSTOMER-hu1xtkmf- :

yes like so stunned cant do anything

KarayanMD :

Hmmm...have you ever had any problems with your neck?

JACUSTOMER-hu1xtkmf- :

no but back

KarayanMD :

I see. Do you have any medical problems?

JACUSTOMER-hu1xtkmf- :

asthma

KarayanMD :

That's why you cough I imagine?

JACUSTOMER-hu1xtkmf- :

just when it flares up

KarayanMD :

OK. Thanks for answering my questions. My suspicion in your case is that there may be some trouble with the cervical (neck portion) of the spine. This becomes more likely because of the involvement of the arms, indicating that when you cough, you may be increasing the pressure around the spinal cord or the exiting nerve roots, resulting in these uncomfortable pains.

KarayanMD :

It is less likely that the coughing is straining the heart and causing the chest pain for that reason. I think this is doubtful.

JACUSTOMER-hu1xtkmf- :

what action should i take?

KarayanMD :

I would recommend talking to your primary doctor, as an MRI of the Cervical Spine may be worthwhile.

KarayanMD :

You can see if he or she can come up with any other ideas, but I think this would be a reasonable starting point.

JACUSTOMER-hu1xtkmf- :

thank you

KarayanMD :

You are quite welcome. Best wishes. Please let me know if there are more questions. If this has been helpful, please click on ACCEPT so that I may be reimbursed for the time taken to answer your question. Bonuses (and positive feedback) are appreciated.

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