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Anthony Bray, MD
Anthony Bray, MD, Doctor
Category: Medical
Satisfied Customers: 10337
Experience:  14 years experience in the field of Family Practice
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I'm having these sharp pain under my heart and left shoulder

Customer Question

I'm having these sharp pain under my heart and left shoulder
Submitted: 1 year ago.
Category: Medical
Expert:  Anthony Bray, MD replied 1 year ago.

Hello!

Do you hurt to take a deep breath?

Does it hurt to press on the chest ?

Do you feel short of breath?

How long have you noticed these pains?

How long does each pain last?

Does it hurt to lift your left arm?

Is your heart racing or pounding?

Any nausea ?

Scale of 1 to 10 -- 1 barely notice -- 6 too intense to allow sleep...10 like being set on fire ...what is level of these pains?

Any

Expert:  Anthony Bray, MD replied 1 year ago.

Anything that makes your pain better or worse??

These details may be helpful

I will get back with you right away ....

Best Regards ***** *****!

Anthony Bray MD

Expert:  Anthony Bray, MD replied 1 year ago.

At age 26 we would not think you to likely have problem with heart attack or coronary heart diseae such as we would be highly concerned about at more advanced age ....

Sharp pains are type of quality that is not usually cardiac in nature ...

Customer: replied 1 year ago.
Its like a 6 on the scale for like a week now it comes and goes threw the day off and on heart not racing or pounding
Customer: replied 1 year ago.
At nite it really bothers me
Expert:  Anthony Bray, MD replied 1 year ago.

Does it get worse with certain positions ? Leaning forward or back? Does it hurt to stand and twist trunk left or right ?

Customer: replied 1 year ago.
Laying down
Expert:  Anthony Bray, MD replied 1 year ago.

Do you have any signs of rash? Blisters ? Skin sore to touch ?

Expert:  Anthony Bray, MD replied 1 year ago.

Does the shoulder and chest pain seem connected or different?

Customer: replied 1 year ago.
Connected and no
Expert:  Anthony Bray, MD replied 1 year ago.

Is it sore to press on lower chest ?

I think inflammation of cartilage near breastbone( sternum ) may be cause ... Costrochondritis....

Customer: replied 1 year ago.
It feels connected and I been having this migraine
Customer: replied 1 year ago.
I went to my doctor he said take Excedrin and he took some tests everything came back normal
Expert:  Anthony Bray, MD replied 1 year ago.

What do you take for your migraines ??

Customer: replied 1 year ago.
I took medication over the counter don't do nth at all idk wat to do .. Do u think it very severe that i could die ?
Customer: replied 1 year ago.
what would the doctor do if it is what u just said
Customer: replied 1 year ago.
when I press on it it do hurt
Customer: replied 1 year ago.
It feels tight
Expert:  Anthony Bray, MD replied 1 year ago.

You may have some benefit to try an anti-inflammatory medicine such as Aleve ( 2 tablets twice a day with food ) and may add Tylenol along with .....up to 8 extra strength tablets per day of Tylenol ...

No I do not think you have any critical issue here not going to die !!

Expert:  Anthony Bray, MD replied 1 year ago.

It does not sound to be heart related and not lung related since you do not report any shortness of breath ....

Expert:  Anthony Bray, MD replied 1 year ago.

Serious causes of chest pain could include heart attack, pericarditis , pulmonary embolism, pneumothorax, pneumonia ---

None of these serious conditions seem to fit your descriptions so far ....

Customer: replied 1 year ago.
I hope the doctor could help me cuz I been having this migraine for some time now it all started with a stuffy nose to my nose bleeding to a headache everyday
Expert:  Anthony Bray, MD replied 1 year ago.

How long have you been having the headaches ? How about the nosebleeds?

Do you take any mediicines or drugs ?? Stimulants? Caffeine? Methamphetamine? Cocaine ??

Customer: replied 1 year ago.
Headache for like 6 months now I took test for that it came back normal nose bleed stop but was for a week
Customer: replied 1 year ago.
None wat so ever
Expert:  Anthony Bray, MD replied 1 year ago.

Your blood pressure ok?

Expert:  Anthony Bray, MD replied 1 year ago.

Does it hurt to take in deep breath now?

Expert:  Anthony Bray, MD replied 1 year ago.

No cough...no fever ?

Customer: replied 1 year ago.
no cough no fever no it don't hurt
Customer: replied 1 year ago.
They said it waa
Customer: replied 1 year ago.
They told me pressure was good
Customer: replied 1 year ago.
Imma take a visit to my doctor tommorow for x ray on my chest
Expert:  Anthony Bray, MD replied 1 year ago.

Ok...that sounds reasonable ...I think try what you can tonight such as Aleve 2 tablets plus Tylenol (or ADVIL plus Tylenol) then check with your doctor tomorrow

Expert:  Anthony Bray, MD replied 1 year ago.

I agree that you need to be seen and examined and then supportive tests may help such as chest xray and blood work. It seems that you need more evaluation here to really get to bottom of cause

Expert:  Anthony Bray, MD replied 1 year ago.

Does pain seem to radiate to back ??

What part of chest more specifically has this pain ?

And it does not hurt to press anywhere ??

Expert:  Anthony Bray, MD replied 1 year ago.

It does not hurt in mid upper abdomen just below center chest??

Expert:  Anthony Bray, MD replied 1 year ago.

It does not hurt to eat or drink anything either , right ??

Customer: replied 1 year ago.
Yeh it do right under my left breast
Customer: replied 1 year ago.
back 2
Expert:  Anthony Bray, MD replied 1 year ago.

It hurts here to press as well? Under left side chest ?

Expert:  Anthony Bray, MD replied 1 year ago.

Or do you mean it hurts after you eat or drink at times ??

Customer: replied 1 year ago.
No just sharp burning tight pain and my back not abdomen .. But I had my appendix took out a year ago do u think that have something to do with it
Expert:  Anthony Bray, MD replied 1 year ago.

So far it seems a list of possible causes needs to be sorted out. .

Costochondritis

Gallstones

Pancreatitis

Spine problems with radicular nerve compression ....

Customer: replied 1 year ago.
Not it don't hurt to drink or eat nth either
Expert:  Anthony Bray, MD replied 1 year ago.

No not related to appendix

Expert:  Anthony Bray, MD replied 1 year ago.

Does it hurt to stand and rotate back and forth in back or chest ? Bending forward or leaning back ? Back could be your source as possible ...

Expert:  Anthony Bray, MD replied 1 year ago.

Any recent injury that you recall??

Customer: replied 1 year ago.
No it don't hurt to stand up it actually feels good when I stretch and breath in and out
Expert:  Anthony Bray, MD replied 1 year ago.

At this point I think you need to see your doctor tomorrow. I think careful exam of chest / abdomen/ back and shoulders should be done. It may be clear if certain positions or palpation or maneuvers may bring out a reproduction of your pain. Supportive tests may include xrays of chest, spine , ribs...certain scenariosxmight call for blood work.It sounds that several potential sources need to be checked here in your case . I hope that this is helpful for you.Let me know if you have further questions or discussion.I will be happy to get back with you.If my answers have been helpful and to your satisfaction then please remember to leave positive feedback Thank you and Best Regards,

Anthony Bray MD

Customer: replied 1 year ago.
U said something bout spine nerve problem what could I have done to causes that ?
Expert:  Anthony Bray, MD replied 1 year ago.

Hello again,

If you had a spinal nerve impingment then it may be that you could see improvement with anti-inflammatory medicine...physical therapy... Injections in some cases ....surgery in certain difficult cases ...so it varies and depends on the details

Customer: replied 1 year ago.
Thanks I wish u was my doctor in real life u in Brooklyn new York .. And oh yeah I also b having this cracking in my neck when I move it u think that can b why I b having a migraine
Expert:  Anthony Bray, MD replied 1 year ago.

Hello again!

Well I am a few states away in NC...

I don't think your neck cracking is cause of your migraines. You may twist and bend neck to get snaps of ligaments . very common...migraines are vascular type headaches ...so that is separate issue really...

If frequent migraines you may have benefit from a preventive ( common are Topamax, Inderal, Elavil) these may help reduce how often you get migraines ...you may benefit when you do get one to try a migraine specific type medicine for relief such as Zomig, Maxalt or Immitrex as a few examples

I hope that this is helpful for you.Best regards,

Anthony Bray MD

Customer: replied 1 year ago.
Thanks these have to be prescribed to me right not otc medicine ?
Expert:  Anthony Bray, MD replied 1 year ago.

Yes those I listed above are by prescription...

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