Does all types of chest pain have a cardiac cause?

Question

Hi doctor,

My doctor started me on Wellbutrin and I have body aches. A really bad pressure is on the little left of the center and it is constant for at least 24 hours. Only, a cold compress dulls the pain. Do you think this can be heart-related? Should I stop the Wellbutrin?

I have had an issue with fluid-filled cysts in my breast. This is located in my breast into the breast bone and does not hurt more. I never had heart problems before. I am currently taking Synthroid and have had issues with energy. Please guide.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

Women are by default less at cardiac risk before the age of 65 years. An early presentation of cardiac disease is highly unlikely in females unless they are smokers. You have not mentioned your smoking habits. If the pain is always there in your left chest area, then it can be because of the cyst present in your breast.

A cyst is a fluid-filled space or is either solid. You have not attached any reports of the cyst. So, a pain that is there for 24 hours and relieved by ice water is more likely to be of muscular origin and likely because of the cyst. But, it is also important to rule out cardiac causes. Do you feel the chest pain during rest? What is the nature of the pain is it dull pinching or aching? Does an anti-inflammatory drug relieve the pain? Do you have any breathing difficulty while walking or climbing upstairs?

As of now, your pain seems more likely to be muscular and less likely to be cardiac. But, detailed answers to the above questions are required before arriving at any conclusion.

Please let me know if you need any help.

Thank you.