Dr. Puri Divya Inder
Rheumatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
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.
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?
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?
Hello,
Welcome back to icliniq.com.
The result is negative, however, I would suggest you to see a rheumatologist also.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Rheumatology
Related Questions
I am getting pain under ribs and in the back like muscle pull. What to do?
What is the treatment for rheumatoid arthritis?
How to treat my upper back pain?
I am HLA-B27 patient. Is there any side effects on taking Adalimumab injections?
Can HLA B27 positve male with ankylosing spondylitis affect his children?
I have rheumatoid arthritis. How frequently do I need to consult my rheumatologist?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
