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I6 months ago i had 5 yeeth extracted and a plate denture…

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i6 months ago i had...
i6 months ago i had 5 yeeth extracted and a plate denture put in i have severe pain in my jaw going to my chest had ecg and blood at hospital i only get it when i walk or run after a minute especially in cold doctor tells me its ligaments dentist says tmj naturopath says angina i am 50 yo Never had it till about month after extraction i lift real heavy weights and dont get it but on treadmill it starts in ears goes to jaw and then chest pain is unbearable blood pressure is 140/75 what can i do i am a removalist and when i lift and move furniture in cold it hurts bad
Submitted: 8 years ago.Category: Medical
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Answered in 5 minutes by:
6/11/2010
Doctor: Dr. Abid, Doctor replied 8 years ago
Dr. Abid
Dr. Abid, Doctor
Category: Medical
Satisfied Customers: 5,985
Experience: MBBS, FCPS(R)
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Hi keeping your history in mind as you have chest pain along with raised blood pressure but ECG is normal still you should need to do ETT (exercise tolerance test ) to see any evidence of angina(ischemia).also check your fasting cholestrol level,avoid salt,excessive fatty meal,hard exercise and work unless and untill you didnot rule out angina so please get ETT and once consult CARDIOLOGIST.

Regards.

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Customer reply replied 8 years ago
Relist: Answer quality.
Doctor: Dr. Arun Phophalia, Doctor replied 8 years ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 39,101
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
Verified

Greetings.

Since you pain increases on the physical activity like lifting etc; there is a possibility of following conditions also;

1) Costochondritis; it is inflammation at the junctions of rib and cartilage or with the breast bone / sternum. Local analgesic ointment, or spray, chest brace and warm compresses with Ibuprofen is helpful. Another possibility is muscle sprain. Please read about the costochondritis;

http://www.mayoclinic.com/health/costochondritis/DS00626

2) Myofascial pain syndrome; they may develop after an initial injury to muscle fibers. This injury may be a noticeable traumatic event (say violent cough) or repetitive microtrauma to the muscles. The trigger point causes pain and stress in the muscle or muscle fiber. As the stress increases, the muscles become fatigued and more susceptible to activation of additional trigger points. When predisposing factors combine with a triggering stress event, activation of a trigger point occurs, termed as myofascial pain syndrome.

So you pain can be just musculoskeletal. But for any chest pain; it is strongly advised, (especially if it initiates with the physical activity and cold weather) to be thoroughly investigated and heart association should be categorically ruled out. So despite your ECG being normal; following should be done;

1) A stress test (nuclear heart scan or treadmill test)

2) Echocardiography

3) Cardiac enzymes during the time of pain

4) Coronary angiography (cardiac catheterization); if above investigations suggest.

This is just to keep an high index of suspicion and to work on highly cautionary side.

Please feel free for your follow up questions.

Dr. Arun

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