Jump to content

RickG16

Advanced Member
  • Posts

    5,992
  • Joined

  • Last visited

Posts posted by RickG16

  1. 48 minutes ago, Don Chance said:

    Guess what, my chest hurts too! It is because of the high levels of SMOG.  I suggest relax and try some deep breathing, go somewhere else..

     

    "

    Any level above 50mcg is considered unsafe as long-term exposure is linked to chronic diseases, including lung and heart problems.

     

    “The BMA is urging city residents who have difficulty breathing, eye inflammation, chest pain, or headaches after going outside to see a doctor.”

    Thanks but i don't live in Bangkok

  2. 1 hour ago, Sheryl said:

    With chest pain the main differentials are:

     

    1. Cardiac cause (angina, heart attack). This is an emergency but would usually be described as a crushing pain/pressure and more often on the left. Can't exclude this but your description does not raise immediate alarm bells.

     

    2. GERD (reflux). Your mention of burning and of it being triggered by lying flat or bending over is suggestive of GERD though there would usually also be some throat discomfort/burning. Reflux is common in older people and people of any age if overweight. Also often linked to caffeine intake. 

     

    3. Gastritis. Consistent with location and description of the pain but not so much with  being worse lying down or leaning over. 

     

    Gastritis and GERD can coexist

     

    4. Muscle spasm or injury - in that location  this would be usually be what is called  costochondritis though that pain is usually described as sharp. Most often there would be a history of injury or strain before the onset. Strain could include things that required upward movements of the arm or twisting of the torso. Rowing, weight lifting, various sports can cause it. So can severe coughing. Any history of these? 

     

    5. Least likely would be an issue with the lungs. Can't rule it out but I would start with other possibilities first.

     

    If it were me-- and assuming there was no strain or injury that preceded this --  I'd start by seeing if antacids and PPIs (omeprazole etc) give relief. In the case of antacids you'd be looking for temporary improvement whereas PPIs would give longer relief or prevent the pain altogether.  I would also avoid lying or bending over for 2 hours after eating.  If these things work then GERD and/or gastritis is likely cause but to be sure would need endoscopy.  Also should exclude h. Pylori,  common cause of gastrutis. For this would see GI specialist. 

     

    If  you do have a history of injury or strain that might have inflamed chest muscles,  rest and NSAIDs usually do the trick but be very careful re NSAIDs as if the problem is gastrits it will make if much worse. Also there are contraindications to  NSAIDs that should be researched before taking.

     

    If the pain becomes severe and if there is any radiation to left arm or shoulder these are signs of posdinle heart attack and shoukd go at once to hospital. 

     

    Thanks....

     

    No history of chest muscle injury but I do play squash and tweak things quite often

     

    No other symptoms. Just a pain in my upper back / neck at about the same level

  3. 17 minutes ago, KhunLA said:

    Need get BP checked, at least rule out immediate cardiac/heart attack issue if normal range 120s/60s range.

     

    At least go to clinic fast & cheap, or gov't hospital, and probably parking a hassle, but can walk in and their machines are usually their in waiting area.

     

    Stick arm in take BP, if high, have a seat, wait 20 mins and do it again.  Any other cardiac/heart attack symptoms ?

    No other symptoms. Just a pain in my upper back / neck at about the same level

  4. 15 minutes ago, KhunLA said:

    Need get BP checked, at least rule out immediate cardiac/heart attack issue if normal range 120s/60s range.

     

    At least go to clinic fast & cheap, or gov't hospital, and probably parking a hassle, but can walk in and their machines are usually their in waiting area.

     

    Stick arm in take BP, if high, have a seat, wait 20 mins and do it again.  Any other cardiac/heart attack symptoms ?

    No, no other symptoms.

     

    Just a pain in my upper back / neck at about the same level

  5. 8 minutes ago, Sheryl said:

    Can you please describe the pain more clearly:

     

    1. Where in the chest do you feel it exactly? You say middle but how high up,? Does it extend to base of the throat? 

     

    2. What does the pain feel like? Burning? Cramping? Achy? Pressure etc?

     

    3. What if anything seems to releive it?

    1. No not up to the the throat. About level with the nipples.

     

    2. It's more of an aching or burning

     

    3. Not tried much yet but am trying some gaviscon now. Will report back

  6. Felt this for a few days, particularly when lying horizontally or bending my upper half.

     

    Apparently the likely cause could be heartburn (my diet has been pretty bad + drank a lot of booze in last couple of weeks)... or could it be muscular?

     

    How long before I should get more concerned?

    • Haha 2
×
×
  • Create New...