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I'm having chest pain left side to right by my sternum, when…

Customer Question
I'm having chest pain...

I'm having chest pain left side to right by my sternum, when I inhale it hurts the worst hurts to swallow and hurts hold my breath

Doctor's Assistant: Have you ever dealt with this before? Are you having any shortness of breath?

Yes short of breath, hard to catch my breath. And I have asthma and scar tissue from histoplasmosis but I haven't felt any pain like this before

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Histoplasmosis scar tissue and asthma

Submitted: 8 months ago.Category: Medical
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Answered in 2 minutes by:
9/14/2017
Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 38,149
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

What is your age and gender?

Any history or family history of heart disease, high cholesterol?

Are you a smoker?

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Customer reply replied 8 months ago
20 year old female
My father has had 3 heart attacks and has 6 stents
Not a smoker
Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

Thanks for the additional information. I am writing the answer for you and will get back to you in 4-5 minutes. If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you.

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Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

Your symptoms are likely due to;

Esophageal spasm

Costochondritis

Acid reflux

In young females of your age group, heart disease is highly uncommon.

But the medical guidelines are to get an EKG and echocardiography for all the chest pain which are moderate to severe in intensity. The chance of heart related issues in less than 1-2%, but that is worth enough for getting them for all.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

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Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

Following should be the possibilities in your case (in order of decreasing incidence);

1) GERD would be prime consideration as it is one of the commonest cause for non cardiac chest pain.

2) Hiatus hernia

3) Esophagitis

4) 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

5) Esophageal spasm

6) Pleurodynia

7) Polychondritis

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Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

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