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Does all types of chest pain have a cardiac cause?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

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.

Answered by Dr. Rishu Sharma

Education:

MBBS

Professional Bio:

Dr. Rishu Sharma is a well-experienced Cardiologist specializing in the diagnosis and treatment of heart diseases, including hypertension, arrhythmias, coronary artery disease, and heart failure. With strong expertise in ECG, echocardiography, and interventional cardiology, she is committed to delivering personalized, evidence-based cardiac care. Dr. Sharma focuses on prevention, early detection, and effective management of cardiovascular conditions to ensure optimal heart health for her patients.

This doctor is not available for online consultations on the platform anymore.

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.

Medically reviewed by Dr. K. Shobana
Published At November 27, 2016
Reviewed At September 24, 2024

Education:

MBBS

Professional Bio:

Dr. Rishu Sharma is a well-experienced Cardiologist specializing in the diagnosis and treatment of heart diseases, including hypertension, arrhythmias, coronary artery disease, and heart failure. With strong expertise in ECG, echocardiography, and interventional cardiology, she is committed to delivering personalized, evidence-based cardiac care. Dr. Sharma focuses on prevention, early detection, and effective management of cardiovascular conditions to ensure optimal heart health for her patients.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Rishu Sharma is a well-experienced Cardiologist specializing in the diagnosis and treatment of heart diseases, including hypertension, arrhythmias, coronary artery disease, and heart failure. With strong expertise in ECG, echocardiography, and interventional cardiology, she is committed to delivering personalized, evidence-based cardiac care. Dr. Sharma focuses on prevention, early detection, and effective management of cardiovascular conditions to ensure optimal heart health for her patients.

This doctor is not available for online consultations on the platform anymore.

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