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A 29-year-old female asked:

I have a pain under my left shoulder blade that causes my left arm to be numb & i can't sleep on my left side,i have nausea & sharp chest pains to my heart. its now 3 weeks with this pain but x-rays are clear yet doctors can't find a diagnosis.

2 doctor answers4 doctors weighed in
Dr. Ed Kaplan
Hematology and Oncology 39 years experience
Need better history: The nausea suggests that it may be GI (like GERD) but that symptom can also be heart related. Because of the pain and numbness, I suspect muskuloskeletal. Were you exercising or lifting? In a funny position for a while. Any trauma? Are you a smoker or drinker? Does food or deep breathing aggravate it? Would check basic labs and maybe an echocardiogram and even consider an upper endoscopy.
Dr. Edward Hellman
Orthopedic Surgery 29 years experience
Further workup : Certainly would need further workup to rule out potential cardiac, pulmonary, and spinal causes. An X-ray is not terribly sensitive to evaluate you for the symptoms you are describing. Further work up towards obtaining an accurate diagnosis should be pursued.

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Last updated Jan 7, 2019

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