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I have been having some rather severe chest pain. My

Customer Question
I have been having...

I have been having some rather severe chest pain. My cardiologist says that the pain in not from my heart. I also have costochondritis. I am not able to tell the difference in the pain. Would a work up from Mayo clinic be helpful?

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

Yes I have been dealing with it for a couple of years now. Yes, I do have shortness of breath when I have exertion.

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

I am diabetic.

Submitted: 6 months ago.Category: Medical
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Answered in 9 minutes by:
12/28/2017
Doctor: Dr.Saleem, Doctor replied 6 months ago
Dr.Saleem
Dr.Saleem, Doctor
Category: Medical
Satisfied Customers: 3,424
Experience: MBBS
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Helllo I am Dr Saleem I will be answering you very shortly ..Can you describe your pain a bit more please ? Is it dull, sharp , throbbing or shooting in nature ? Where exactly do you feel it? Does it radiate anywhere ? Constant or intermittent? Any aggravating or relieving factors ? Any tests done ?Your age and gender please
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Customer reply replied 6 months ago
Pain is like a stabbing pain. That leads to a lot of pressure. Sometime this last all day. I have had an angiogram done with negative results
I feel very tired and weak. The pain is in the middle of my chest. I visit a pain management clinic for injections. It gives me relief for a short time.
Doctor: Dr.Saleem, Doctor replied 6 months ago

Well it could be your costochondritis esp with relief on analgesic injections. Have you had a thalium test or stress / exercise tolerance test (ETT) ?

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Customer reply replied 6 months ago
I have one scheduled again for next week
Doctor: Dr.Saleem, Doctor replied 6 months ago

Well typical cardiac pain is usually gripping central or left sided which tends to radiate towards left arm or neck / jaws , worsens with exertion / activity and relieved with rest or nitrates . So if you think the presentation fits in this type of pain then it merits evaluation with a stress or exercise test. If thats clear too then its unlikely to be your heart and could be musculoskeletal or gastrointestinal in nature .

Hope it answers your query

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Doctor: Dr.Saleem, Doctor replied 6 months ago

Let me know if you have any more queries.

Pease reward credit for the consult by clicking 5 stars in rating corner of your page if you are satisfied.

Wishing you a healthy life.

Regards.

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