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Nadim Al-Mubarak
Nadim Al-Mubarak, Doctor
Category: Medical
Satisfied Customers: 379
Experience:  MD at University Hospital Case Medical Center
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QUESTION} persistent pain on right side upper sternum, under

Customer Question

QUESTION} persistent pain on right side upper sternum, under breast bone around to back (almost like a belt size width) had CT, no lung abnormalities, or bone abnormalities,have my gallbladder removed. 4 days ago went to ER, said maybe shingles but no rash, tiredness, off and on headache/dizziness.Taking anti viral meds and pain meds. I worry about a hepatitis virus as I work in a residential drug rehab but I do not have yellowing of eyes or skin. Any help would be appreciated
Submitted: 1 year ago.
Category: Medical
Expert:  Nadim Al-Mubarak replied 1 year ago.

To start with, this is very unlikely to be heart-related. Musculoskletal etiology/source is still the most likely. CT scan of the chest does not exclude skeletal source. It only excludes anatomical pathology such as a mass or organ enlargement. Skeletal pain it typically a result of muscle or joint strain/inflammation. The symptoms your described do not point towards the liver, though they can not exclude it without liver tests. Shingles is certainly possible, even without skin lesions, but skeletal source is the most likely and can linger around for quite some time, specially if the trigger, such as bad position or certain repetitive movements or heavy lifting, persist. You may take advil/motrin 600-mg TID for few days. It does help

If you are still concerned about your liver, discuss it with your family doctor and get liver function test and hepatitis profile, both are blood tests.

Expert:  Nadim Al-Mubarak replied 1 year ago.

I hope I answered your question satisfactorily. When you are ready, please complete the stars rating, that's how we get compensated for our time. You may still email me questions about the same issues after you have completed your rating.

Expert:  Nadim Al-Mubarak replied 1 year ago.

Just checking and see if you have any further questions. If my response was satisfactory, gentle reminder to complete the stars rating. Thats how we get paid. Best of luck