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Good Morning This Question Is For Dr Sharka I Have

Posted on Tue, 9 Oct 2018

Question: Good morning
This question is for dr Sharka I have returned for your expert guidance I woke up this morning fine although when I went to move I got a sharp pain in my upper middle sturnum as well as an ache across the chest I did an ecg on wed which was fine other than having sinus tycardia 124 due to anxiety my blood pressure was good my heart rate right now is 87-89 I am due to menstrate ans last night I did have night sweats and a bit of the shivers and my head and neck ache a bit I believe that it was due to the air cindintikng being high other than this I have no other symptoms

Answered by Dr. Ilir Sharka (22 minutes later)

Brief Answer:
I would recommend as follows:

Detailed Answer:
Dear XXXXXXX

Welcome back on Ask a Doctor service!

I passed carefully through your question and would explain that your symptoms could be related to local inflammation (musculoskeletal pain or costochondritis).

As the pain was triggered by body movements, it is sure that it is musculoskeletal skeletal pain.

The other symptoms like shivering, sweating, headaches could be related to premenstrual syndrome or just a light cold.

Coming to this point, there is no reason to worry about your heart.

I would just recommend using local warm packs and taking Tylenol or ibuprofen for the pain.

Hope you will find this answer helpful!

I remain at your disposal for any further questions whenever you need!

Wishing a nice weekend,

Dr.Iliri

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Ilir Sharka (34 minutes later)

Great so u don’t think I need any further cardiac tests and this is not cardiac related

Answered by Dr. Ilir Sharka (3 hours later)

Brief Answer:
I would explain as follows:

Detailed Answer:
Dear XXXXXXX

I don't think that your symptoms are related to the heart.

So, in my opinion you don't need to perform any additional cardiac tests, as nothing seems to be wrong with your heart.

Hope to have clarified some of your uncertainties!

Kind regards,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (2 days later)

Hello dr Sharka as I have in going Costo issues I am wondering if you can give me your input I am having pain that comes and goes inner left sternum ans under left breast my heart rate is normal I have taken Tylenol and heat pad ... is there any vjncern of cardiac issues that I may be having
Symptoms are as follows
Inner left lower sturnum pain comes and goes
Under left breast pain comes and goes
No other symptoms

Answered by Dr. Ilir Sharka (3 hours later)

Brief Answer:
I would explain as follows:

Detailed Answer:
Dear XXXXXXX

Your symptoms seem to be typical of costochondritis.

Is the pain triggered by deep breathing or body movements?

Does the pressure on the chest trigger the pain?

These would be other arguments in favor of costochondritis.

Coming to this point, I would recommend adding ibuprofen to your therapy and having some rest.

But as a cardiologist, I would exclude any cardiac issues.

So, try not to think about it!

Hope to have clarified some of your uncertainties!

Wishing good health,

Dr.Iliri

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Ilir Sharka (1 hour later)

Hi sorry this was the incorrect question as I asked one today

Answered by Dr. Ilir Sharka (20 minutes later)

Brief Answer:
I would explain as follows:

Detailed Answer:
Dear XXXXXXX

I just answered to your question on the system.

I an not see any other questions, besides this.

Anyway, please let me know about everything!

Kind regards,

Dr.Iliri.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Ilir Sharka (31 hours later)

Hi
One more thing I have got shirt sharp pain on the right side of my chest that comes and goes no other symptoms but my left arm does hurts middle of arm tenderness when I touch again no other symptoms can this be cardiac or Costo in the chest and the arm can this be bursitis should I be going to seek immediate cardiac tests

Answered by Dr. Ilir Sharka (14 hours later)

Brief Answer:
There is no need to perform any cardiac tests.

Detailed Answer:
Dear XXXXXXX

The sharp chest pain that comes and goes is typical of local musculoskeletal pain.

While the pain in the arm, as it is tender to touch is typical of bursitis or tendinitis.

So, in my opinion your symptoms are not related to the heart and there is no reason to perform any cardiac tests.

I would just recommend taking ibuprofen, which will help against inflammation.

Hope you will find this answer helpful!

Please let me know about everything!

Wishing all the best,

Dr.Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (32 hours later)

Thank you I am due to see my gp maybe she can cmrexommend something my last question is that I just started getting pain that comes and goes right side lower back jaw feels like the bone it comes and goes mostly in that area I do have slight tmj but it hasn’t bothered me in some time I know this is one of the cardiac signs to look for should I be concerned

Answered by Dr. Ilir Sharka (16 hours later)

Brief Answer:
Your symptoms are typical of TMJ inflammation.

Detailed Answer:
Dear Theresa!

Your symptoms seem to be related to TMJ inflammation.

Is the pain triggered by mouth opening or chewing? This would be indicative of TMJ pain, possibly local inflammation.

I don't think that your symptoms are related to the heart.

Ibuprofen can help against inflammation. From the other hand, avoiding hard food in the next days, will help too.

Hope you will find this answer helpful!

Please let me know about everything!

Wishing a pleasant weekend,

Dr. Iliri

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar