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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?
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
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 ...
Does it get worse with certain positions ? Leaning forward or back? Does it hurt to stand and twist trunk left or right ?
Do you have any signs of rash? Blisters ? Skin sore to touch ?
Does the shoulder and chest pain seem connected or different?
Is it sore to press on lower chest ?
I think inflammation of cartilage near breastbone( sternum ) may be cause ... Costrochondritis....
What do you take for your migraines ??
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 !!
It does not sound to be heart related and not lung related since you do not report any shortness of breath ....
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 ....
How long have you been having the headaches ? How about the nosebleeds?
Do you take any mediicines or drugs ?? Stimulants? Caffeine? Methamphetamine? Cocaine ??
Your blood pressure ok?
Does it hurt to take in deep breath now?
No cough...no fever ?
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
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
Does pain seem to radiate to back ??
What part of chest more specifically has this pain ?
And it does not hurt to press anywhere ??
It does not hurt in mid upper abdomen just below center chest??
It does not hurt to eat or drink anything either , right ??
It hurts here to press as well? Under left side chest ?
Or do you mean it hurts after you eat or drink at times ??
So far it seems a list of possible causes needs to be sorted out. .
Spine problems with radicular nerve compression ....
No not related to appendix
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 ...
Any recent injury that you recall??
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,
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
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,
Yes those I listed above are by prescription...