The inflammation of the cartilage present in the rib cage is called costochondritis. This inflammation results in pain in the upper or middle rib area, which can radiate to the back or abdomen. The causes include chest trauma, respiratory infections, and physical strain.

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My heart rate was between 150 and 180 beats per minute when I soaked my legs in the hot tub. Is it due to the water temperature?

Query: Hello doctor, I soaked my legs in our hot tub, which was heated to 104 degrees while lounging outside. I looked at my phone to check my heart rate and saw that it had been between 150 and 180 beats per minute for about 30 minutes. Before observing the number, I did not have any anxiety. Might the te...  Read Full »

Dr. Yash Kathuria

Answer: Hello, Welcome to I read your query and can understand your concern. Certainly, immersion in warm water may cause an increase in heart rate. Increased heart rate can be brought on by a variety of factors, such as stress, hyperthyroidism, alcohol, smoking, and caffeine consumption. Gi...  Read Full »

What could be the reason for mild chest pain?

Query: Hello doctor, I am a 30-year-old female. Since last night I am suffering from mild chest pain. I took Digene and gastric medicine thinking it is a gastric problem but I do not find any difference. Please help.  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hello, Welcome to I can understand your concern. According to your statement, you have been suffering from chest pain with some numbness in the left arm. Chest pain can result from various conditions such as: Muscle strain inflammation of the muscles and tendons around the ribs can resu...  Read Full »

I have chest soreness and radiating pain.Is this due to pleurisy or costochondritis?

Query: Hello doctor, I am a 36 year old, otherwise healthy (as far as I know) female. I was a smoker earlier. No history of heart disease. My mother has COPD, but has been a long time smoker.  Two and a half weeks ago, I went on a hayride with my sons. I have a short stature. To get on and off the hayrid...  Read Full »

Dr. Rahul Rathee

Answer: Hello, Welcome to You are right, muscular pain will not last so long. Pleurisy: It is an inflammation of the outer covering of lungs.It is most commonly caused by infections in which condition there will be fever which is not present in your case.Rarely it can also be caused by chest tr...  Read Full »

I have been experiencing a burning sensation along with pain in the base of my neck and back. What could be the cause?

Query: Hello doctor, I am a 41-year-old female. For the past week, I have had pain in the upper center of my back. It feels muscular or nerve-related, and I get a burning sensation at the base of my neck, but I am anxious and afraid if it is heart-related. I am taking Ursodiol, Symbiacort, and Montekulast....  Read Full »

Dr. Isaac Gana

Answer: Hello, Welcome to Your ECG (electrocardiogram) is within normal limits (attachment removed to protect the patient's identity). It does not indicate anything to suspect heart disease. I would like to know a few details, 1. Does your chest pain worsen with physical activity? 2. Have y...  Read Full »

Why do I get pinpointed chest pain on the left side?

Query: Hello doctor, I am a 32 year old male having a normal health condition. My height is 5 feet 6 inches, and weight is 58 Kg. Recently (yesterday), I noticed chest pain in the left side which feels like pinpointed pain (electric shock kind) and lasted for a few seconds. Please let me know what I need ...  Read Full »

Dr. Anshul Varshney

Answer: Hello, Welcome to  Read Full »

Does constant coughing cause rib injury?

Query: Hi doctor, I have annual breast MRI for a history of breast cancer. I had one last week, and the breasts looked normal. But, there was some linear enhancement on two ribs. I had rib x-rays after and they were normal. I am having a bone scan next week. My question is that prior to this MRI I had a ho...  Read Full »

Dr. Vivek Chail

Answer: Hi, Welcome to It is possible that you might have had a slight injury to your ribs due to coughing. It is not a complete fracture, though. The MRI scan picked up these lines of bone edema and therefore, linear areas of enhancement showing acute stress fracture are possible from a...  Read Full »

What could be the reason for severe pain in the left middle rib?

Query: Hello doctor, I have been having severe left middle rib pain for about a month and now it is always hurting. I had an upper endoscopy, colonoscopy, left kidney CT scan, gallbladder ultrasound, blood work, and HIDA scan and found nothing, but I have a torturous colon. The pain gets pretty bad and I ...  Read Full »

Dr. Rahul Goel

Answer: Hello, Welcome to From your history, it seems to be an inflammation of one or more of the cartilages that connect the ribs to the breastbone. It is a condition called Tietze syndrome (when there is a swelling over the painful area) or costochondritis (no swelling, only pain). This condi...  Read Full »

Do you think that a skin test is enough to diagnose scleroderma?

Query: Hi doctor, I traveled to a different country to get more in depth testing of multiple health problems. I was diagnosed with the start of scleroderma, because of my gastrointestinal symptoms, idiopathic angioedema, thickened skin, weird blood vessels (tiny red tree-like veins), family history of scle...  Read Full »

Dr. Bharat Patodiya

Answer: Hi, Welcome to Yes, in my opinion your case could be suggestive of scleroderma (autoimmune disorder - hardening of skin). However, I want to know the pattern of sclerosis. For scleroderma, it should start from hand and reach main trunk. Also, revert back with details of GI sympt...  Read Full »

Why am I having sharp pain just left of sternum?

Query: Hello doctor,Last night and today, I have been experiencing a sharp pain just left of the sternum, which is not deep, seemingly on top of the rib where it joins the sternum. It lasts a second or two but may repeat several times before stopping in five minutes or so. I went out in the garden today to...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to I have gone through your history, and it does not appear to be an ischemic pain. Ischemic pain will not be sharp and so short lasting. So the possibilities are costochondritis and pleuritic or pleuro-pericarditis. Do you get an increase in pain on the application o...  Read Full »

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

Query: 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 mm of Hg). 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-le...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to 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? T...  Read Full »

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