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Is chest pain with left arm pain a heart problem?

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

Patient's Query

Hello doctor,

I have always had chest pains and pains specifically in my left arm or chest, but right now, I feel like it is difficult to breathe, and I have upper left arm pain in my left breast. It is mainly a pressure a dull pressure, but now it is shooting. It is more difficult to breathe when I lie down.

When I run or exert myself physically or when I am distraught or crying, I have shooting pain down my left arm.

Please help.

Thank you.

Answered by Dr. Anshul Varshney

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

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

Hello,

Welcome to icliniq.com.

Your chest pains seem to be muscular. Another possibility is acid reflux that can also cause such kind of illnesses. We should also rule out any cardiac issues in case of chest pains.

So, you should get a chest X-ray and an ECG done. If the ECG and chest X-ray are normal, the pain is probably muscular or due to acid reflux. For muscular pain, I advise doing hot fomentation over the affected area three to four times a day. You can also apply Diclofenac gel locally over the involved area.

On taking this treatment, this usually resolves in five to seven days. In case you have pain in the abdomen and acid reflux, I would advise you to take a combination of Pantoprazole and Domperidone. Share my opinion with your doctor before acting upon it.

I hope it helps.

Kindly revert in case of further queries.

Thank you.

Medically reviewed by Dr. Nithila. A
Published At September 1, 2019
Reviewed At June 9, 2026

Education:

MBBS

Professional Bio:

Dr. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

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

Education:

BDS

Professional Bio:

Dr. Nithila A is a Dental Surgeon specializing in providing comprehensive oral healthcare. She focuses on preventive care, routine dental treatments, and patient education to maintain optimal oral health. Known for her compassionate and patient-centered approach, she ensures comfortable and effective dental care tailored to the individual needs of each patient.

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. Anshul Varshney is a highly skilled Critical Care Physician specializing in nephrology, pulmonology, and rheumatology. He is committed to providing advanced, life-saving care to critically ill patients while addressing complex medical conditions affecting the kidneys, lungs, and immune system. His holistic and multidisciplinary approach ensures comprehensive treatment tailored to individual patient needs.

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

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