HomeAnswersCardiologychest painI have chest pain and dyspnea despite normal reports. Why?

I have chest pain and shortness of breath. What could be wrong?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At May 16, 2018
Reviewed AtFebruary 16, 2024

Patient's Query

Hello doctor,

I am 44 years old female, for last four days, I am having chest pain with shortness of breath. I consulted a cardiologist and done echo, ECG, and TMT and the reports are alright. The doctor gave me a painkiller, but still having the same problem. What could be wrong and which doctor should I consult? Please advise.

Hello,

Welcome to icliniq.com.

I need to know more about the symptoms, like precipitating factors, factors that increase pain. It can be gastritis and reflux disease. Do you have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning? If yes, it further supports the diagnosis. You should avoid fatty, oily and high-calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You will need antacids in that case. Secondly, does this pain increase on applying pressure over the area? If yes, it could be costochondritis and it is a musculoskeletal type of pain and needs prolonged NSAID therapy. Does this pain increase with deep breathing and coughing? If yes, it a pain arising from the lining of lungs and needs NSAIDs treatment and evaluation. I suggest consulting an internal medicine physician first. I hope this helps. Take care.

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

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode

Cardiology

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