What could be the causes of chest pain?

Question

Hello doctor,

I have been experiencing pain on the left side of my chest for the last two to three days. I am not certain, but it feels like muscular pain because the discomfort increases when I move my neck in a certain way or when I press on my collarbone. I work in a clerical job, which requires me to sit for extended periods in front of a laptop. Last year, I experienced similar pain, and after undergoing an ECG, blood sugar, cholesterol, and other tests, everything came back normal. The pain resolved after five to six days.

I am around 40 years old, a non-smoker, a non-drinker, and a vegetarian. Please guide me on how to alleviate this pain. Although the pain is very mild and not constant, it is irritating and causes some tension. Should I repeat all the tests? I would greatly appreciate your valuable guidance.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Based on the history and facts, your chest pain appears to be a non-cardiac. You have experienced similar pain in the past, which was also non-cardiac, so there is likely no need for concern. Cardiac pain typically does not worsen with movement or pressure, suggesting that, in all probability, this is non-cardiac in nature. However, to be absolutely certain, you could have an ECG (electrocardiogram) performed, and if the results are negative, there is no cause for worry. This will also provide objective evidence.

It is most likely musculoskeletal in origin. I recommend checking your vitamin D levels and subsequently getting an X-ray of the cervical spine to rule out cervical spondylosis. In the meantime, I suggest taking a combination of Serratiopeptidase and Diclofenac tablet or only Diclofenac 50 mg twice a day after meals, along with an antacid (Pantoprazole 40 mg) before breakfast for two to three days. You may also consider using Diclofenac gel or spray for local application three times a day. Please consult your specialist doctor, discuss this with them, and start taking the medications with their consent.

I hope this information helps, and feel free to reach out if you have any further questions.

Thank you.