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I was wanting to know why I am having sharp chest pain under…

Customer Question
I was wanting to...

I was wanting to know why I am having sharp chest pain under my left breast maybe 5-10 or 15 minutes apart

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

No not really

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

Yes lately I have been having shortness of breath

Submitted: 11 months ago.Category: Medical
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Answered in 5 minutes by:
9/17/2017
Doctor: Dr. Arun Phophalia, Doctor replied 11 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 39,108
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 11 months ago

What is your age and gender?

Are you on any medications?

Does the chest pain comes on rest or on physical activity?

Is there any tender point?

Do you have any anxiety?

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Customer reply replied 11 months ago
23 and female
No medications
Both
I can't tell
And I do have anxiety attacks a lot
Doctor: Dr. Arun Phophalia, Doctor replied 11 months ago

In your age group, the commonest cause of chest pain are;

1) Anxiety

2) Muscle pain

3) Esophageal spasm

4) Acid reflux.

Still no harm in getting an EKG and a troponin test for the evaluation.

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 11 months ago

I would consider following for your symptoms;

1) Esophageal spasm
2) Esophageal motility disorder
3) Esophagitis.

Following treatment may help you;

a) Calcium channel blockers (diltiazem, nifedipine) decreases the spasm and improves the movements of the esophagus.
b) Relaxation techniques.
c) Noncardiac chest pain in the setting of esophageal spasm and esophageal movement disorder (dysmotility) often shows good response to antireflux therapy, even in the absence of typical gastroesophageal reflux symptoms.
d) Reassurance and control of anxiety is extremely important.

Anti reflux therapy is;

1) antacids; Maalox

2) acid blocker; Prilosec

3) loosing weight, if overweight.

4) avoiding alcohol, citrus fruits and juices, chocolate, and tomato based products

5) avoiding large meals. Eat 5 small meals in a day.

6) wait three hours after the meal before you sleep.

7) elevate head end of the bed by 8 inches.

Following also would be helpful;

Nutrition and supplements;

1) Multivitamin; vitamins A, C, E, the B vitamins, and trace minerals, such as magnesium, calcium, zinc, and selenium.
2) Probiotic supplement
3) Omega 3 fatty acid
4) Avoid; cookies, crackers, cakes, French fries, onion rings, donuts, processed foods, and margarine.

5) Also avoid; white breads, pastas, and especially sugar, red meats,
6) Eat lean meats, cold water fish, tofu, beans, olive oil

Helpful investigations to establish and confirm the diagnosis are;

1) Esophageal manometry; evaluates esophageal motor pattern.
2) Esophagram / Barium swallow
3) Ambulatory esophageal manometry
4) CT scan of the chest.

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Doctor: Dr. Arun Phophalia, Doctor replied 11 months ago

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