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I am suffering from muscle pain near my chest. Please help.

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 muscle pain near the chest. I am having muscle pain near the chest for the last two to three months. I have done all the cardiac tests, and it is fine, then I consulted a rheumatologist, and she suggested some tests and medicine. It has been a month, and I am still having some pain.

Answered by Dr. Puri Divya Inder

Education:

MBBS

Professional Bio:

Dr. Puri Divya Inder is a Rheumatologist specializing in diagnosing and managing autoimmune and inflammatory disorders such as rheumatoid arthritis, lupus, and vasculitis. Her expertise also includes joint pain evaluation, biologic therapies, and long-term management of chronic rheumatic diseases.

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

Hello,

Welcome to icliniq.com.

You are right, and you have peripheral arthritis due to HLA-B27 positive. Your chest pain is due to enthesitis, and please feel free to query me in this regard. If your HLA-B27 is positive by PCR (polymerization chain reaction), that is a condition that can give rise to pain in the chest.

Thank you.

Patient's Query

Hello doctor,

I have not done a PCR test. What medicine should I take? And is it something very serious?

Answered by Dr. Puri Divya Inder

Education:

MBBS

Professional Bio:

Dr. Puri Divya Inder is a Rheumatologist specializing in diagnosing and managing autoimmune and inflammatory disorders such as rheumatoid arthritis, lupus, and vasculitis. Her expertise also includes joint pain evaluation, biologic therapies, and long-term management of chronic rheumatic diseases.

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

Hello,

Welcome back to icliniq.com.

As you are describing, you have muscle pain, and there are some types of arthritis called spondyloarthritis which can produce pain and tenderness in entheses of the chest. So it is essential first to confirm whether this is the cause of your pain. This pain generally gets reduced by taking NSAIDs like Diclofenac or Naproxen. In severe cases, DMARDs (disease-modifying antirheumatic drugs), steroids, or biological medication is used. This depends on the severity of the disease. So HLA-B27 report is required to confirm the diagnosis. It is not severe. However, it is a troublesome disease.

Patient's Query

Hello doctor,

I will get the PCR test result today evening. I will attach the file once I get it. Could you please suggest to me if I need to meet a rheumatologist physically to check the severity of my problem or if u can recommend medicine just by seeing the test results?

Answered by Dr. Puri Divya Inder

Education:

MBBS

Professional Bio:

Dr. Puri Divya Inder is a Rheumatologist specializing in diagnosing and managing autoimmune and inflammatory disorders such as rheumatoid arthritis, lupus, and vasculitis. Her expertise also includes joint pain evaluation, biologic therapies, and long-term management of chronic rheumatic diseases.

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

Hello,

Welcome back to icliniq.com.

The result is negative, however, I would suggest you to see a rheumatologist also.

Medically reviewed by Dr. Nithila. A
Published At October 6, 2019
Reviewed At December 5, 2023

Education:

MBBS

Professional Bio:

Dr. Puri Divya Inder is a Rheumatologist specializing in diagnosing and managing autoimmune and inflammatory disorders such as rheumatoid arthritis, lupus, and vasculitis. Her expertise also includes joint pain evaluation, biologic therapies, and long-term management of chronic rheumatic diseases.

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. Puri Divya Inder is a Rheumatologist specializing in diagnosing and managing autoimmune and inflammatory disorders such as rheumatoid arthritis, lupus, and vasculitis. Her expertise also includes joint pain evaluation, biologic therapies, and long-term management of chronic rheumatic diseases.

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

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