HomeAnswersInternal Medicinemusculoskeletal painGive me a solution for fluctuating pain on both sides of the chest.

I have fluctuating pain on both sides of the chest and it has been increased recently. What causes it?

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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. Sushrutha M.

Published At December 5, 2020
Reviewed AtJune 16, 2021

Patient's Query

Hi doctor,

I have been having a fluctuating (comes and goes) type of pain in both sides of the chest for the last three years. However, the frequency has been increased in the last five months. I had gone through TMT and 2D echo tests three years before. Both these tests were perfect. I got whole body abdomen ultrasound and a chest X-ray did three years ago. These were also normal.

I got a chest CECT scan done two years ago. This is also perfect. I have gone through ECG tests four to five times during the last three years. All were normal. My lipid profile (before three years) was:

1) Total cholesterol -191.

2) Triglyceride - 143.

3) HDL - 49.

4) LDL - 125.

All other tests like LFT, KFT, TSH, sugar are normal. Vitamin D is 36 nmol/L. For Vitamin D, I took ten days course of Aqua D3 solution two years ago, but there is no relief. Daily Workout details are three to four km brisk walking, ten sets of Surya Namaskar, Natarajasana for two minutes.

I am under the following medications:

1) Multi-life Gold capsule.

2) Feburic 20 mg.

3) Etizolam 0.25 mg.

4) Opiprol 50 mg.

5) Supracal tablet.

6) Dolonex-DT tablet.

7) Aqua D3 solution.

8) Neuromet capsule.

Kindly give your opinion.

Hi,

Welcome to icliniq.com.

From what you mentioned, most likely, you have musculoskeletal pain. Musculoskeletal pain is dull aching and increases with movement or taking in your breath. The cause is most likely due to doing exercises. Chest pain has four dangerous causes that have been excluded with the investigations performed except one, which is pulmonary embolism (although very unlikely). Do you have any calf muscle pain? I suggest that you try local cream like Deep heat (Methyl Salicylate and Menthol) ointment thrice daily for two weeks.

Pulmonary embolism is due to small blood clots obstructing lung vessels. Sometimes it causes chronic pain. I suggest that you send me photocopies of the investigations done to be reviewed and give you my feedback soon. For further advice, please do not hesitate to follow up.

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

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Internal Medicine

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