Q. I have a burning chest pain which improves when I stand. Is it costochondritis?

Answered by
Dr. Ilir Sharka
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 21, 2018

Hello doctor,

I am a 40 year old female. I have a BMI of 17. I am a recovering eating disorder patient and also suffer from GERD, GAD, and low BP (105/60). I saw a cardio two years ago and cleared. I developed a burning, sharp chest pain (more intense than normal GERD pain), in the upper-left sternum just below the manubrium which sent me to the ER. X-ray, bloods, and ECG are normal. I was given an Omeprazole and an antiinflamatory. But, I am still having constant pain, which varies in intensity and improves when I stand. I did lift a heavy rock a few days prior and can feel a slight crunching when I move, but I am really anxious about ischemic heart disease or something more dubious, even though I have no accompanying symptoms besides this pain. Does this sound like costochondritis, or should I be more concerned?

#

Hello,

Welcome to icliniq.com.

I passed carefully through your question and would explain that your symptoms are not typical of any cardiac disorders. They could be suggestive of costochondritis or gastro-esophageal reflux.

Is the pain triggered by deep breathing or pressure in this chest area? This would be another argument in favor of costochondritis. In such case, it is necessary to perform inflammation tests (PCR, ESR, complete blood count). If the pain is triggered by heavy meals or bending over, it would be indicative of a gastro-esophageal reflux. In such case, it would be necessary to perform a fibrogastroscopy.

I would also exclude any possible heart issues, considering your clinical symptomatology for which I would recommend performing an exercise cardiac stress test just to reassure you that your symptoms are not related to your heart. So, just relax and do not worry about it.

For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist



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