HomeAnswersCardiologychest painCan pain in the left region always be due to cardiac problems?

Is left-sided breast pain always due to cardiac problems?

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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. Chithranjali Ravichandran

Published At April 4, 2021
Reviewed AtJuly 7, 2023

Patient's Query

Hello doctor,

I have had on and off pain under the left breast and sometimes in the center for 16 hours. Should I worry? Or am I fine? I also had an EKG earlier today, which was normal and a normal echo a month and a half ago.

Hi,

Welcome to icliniq.com.

What is your age? Any co-morbidities like diabetes, hypertension? Or any family history?

Patient's Query

Hello doctor,

I am 32 years old. I have nothing but asthma. But I have had so many blood tests done this month. My grandma has diabetes, and my aunty has hypertension. But I do not have any of that.

Hi,

Welcome back to icliniq.com.

Thanks for the follow-up. Young age and no risk factors, normal EKG, and echo. Chances of cardiac pain (angina) are rare. You should not worry about the cardiac issue. Many a time, localized chest pain is due to costochondritis, an inflammation of rib joints. If there is tenderness (costochondritis), take Diclofenac Potassium 50 mg for pain and capsule Dexlansoprazole 30 mg daily before breakfast. Physiotherapy will also help. To know the future cardiac risk, have a fasting lipid profile done. If already done, then no need to repeat if normal.

Treatment plan

Take pain killer and anti-inflammatory.

Patient's Query

Hello doctor,

Thank you. I went to the emergency room because I was so scared, and they said all is normal. EKG, they even tested me for blood clots and other things, all normal and great.

Hi,

Welcome back to icliniq.com.

As I already there is no need to worry. But you did a good job relieving your stress. ECG (electrocardiography) and blood tests excluded serious issues. It is natural to worry when we have chest discomfort or pain. Not all chest pains are due to angina or heart attack. We have to see the patient as a whole to diagnose the cause of chest pain. I recommend reading my articles regarding chest pain and heart attack to know more about it. If you still have any queries or concerns, you are always welcome to ask. Regards.

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

Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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