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Doctor insights on: Severe Substernal Chest Pain

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Would one typically be able to tell the difference between substernal and non substernal chest pain?

Would one typically be able to tell the difference between substernal and non substernal chest pain?

Substernal...: ...Just means "under the breastbone." if that's where the pain is, it's substernal; if off to the side, or feels superficial, then it's not.

Dr. Gutti Rao
3,148 doctors shared insights

Chest Pain (Definition)

The chest resides between the neck & abdomen. Chest pain refers to ...Read more


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I have been having substernal chest pain for the past 3 days. I have no other symptoms except for tightness and pain in my chest. Help please?

I have been having substernal chest pain for the past 3 days. I have no other symptoms except for tightness and pain in my chest. Help please?

Go To ED : Those symptoms are the concerning for acute coronary syndrome. It would help to risk stratify based on your age, family hx, smoking status, hx of high blood pressure, high cholesterol, diabetes or previously DX artery dz. With the information given, however, i can only assume you are high risk. If not acs, this may be onset angina pectoris, gastroesophageal reflux, gastritis or esophagitis.

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I have severe chest pain hours after running?

Chest pains: It is worth going to your doctor and being checked to see what is going on.

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How do I get rid of chest pain that is not severe?

How do I get rid of chest pain that is not severe?

Address cause: The cause of pain needs to be addressed and treated. It is not feasible to provide a meaningful opinion without taking additional history, physical examination and may be some tests. It would be prudent to see your doctor.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex.
Get HPV vaccine

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My 9 year old daughter is complaining of severe chest pain? She is not sick or hasn't falling.

My 9 year old daughter is complaining of severe chest pain? She is not sick or hasn't falling.

Pediatric : Take her to the pediatrician or children emergency room. Impossible to guess the cause without seeing the child.

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I have severe chest pain around my sternum which is worse when lying down and trying to move around. What could this be?

Go to the ER: Severe chest pain should never be taken lightly. The positional nature of the chest pain makes one think of a possible pericarditis (inflammation or infection of the lining around the heart) although this could be a heart attack, blood clot, lung infection, etc. All possibilities that are very serious and should be excluded rapidly. Especially because you are on an immunosuppressive. Go now!

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Why do I have recurring chest pain like i swallowed hard candy? Lasts for 2 weeks at a time, comes back severely in two or three months.

Odynophagia: Your symptom is called odynophagia. There are many causes. If you'd like to learn more about it, see: http://www.Med.Ucla.Edu/modules/wfsection/article.Php?Articleid=280.

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I broke my shoulder around 6 months ago. Never did any kind of follow up as I was supposed to.. Now I'm having severe chest pain... Not sure why...

Chest pain: Since your shoulder and chest are both connected to each other, I highly recommend you do that follow up ASAP to make sure you don't have something else broken such as broken ribs. Your broken shoulder could have distracted you enough from looking into that.

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I am having random chest pain, some severe but only lasting a few seconds, i take nitro and it goes away only to come back later, what should I do?

See your doctor: Chest pain can be from the heart - unlikely in a 38 year old woman but not impossible. It can also be from the esophagus, the chest wall or lungs. Best bet is to see your doctor and be tested, .

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When i wake up in the morning i have severe chest pain and there looks like i have a lump in the middle of my chest from the inside where it hurts ?

When i wake up in the morning i have severe chest pain and there looks like i have a lump in the middle of my chest from the inside where it hurts    ?

See your doctor: I think you need a chest xray and EKG as soon as possible. Your doctor should see you today or tomorrow with these complaints. I hope you are able to get some assistance right away.

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What do I do about severe chest pain, what could it be?

Severe chest pain: You should consult a phydsician immediately. You need work up to rule out blocks in heart arteries. Consult your physician immediately. If heart arteries are fine then other non-cardiacv causes of chest pain cabn be evaluated.

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Teenage son has severe chest pain on exertion. Should i be concerned and what is causing his pain?

Teenage son has severe chest pain on exertion.  Should i be concerned and what is causing his pain?

Have him checked out: It isn't "normal" for a healthy teenager to have severe chest pain on exertion. Please reassure yourself and make sure he's okay by having him evaluated asap. Good luck. Lgromko md.

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What to do if I have severe chest pain when i cough?

What to do if I have severe chest pain when i cough?

Coughing chest pain: Such pain is usually due to irritation of the linings of the lung and inner chest wall known as pleura. When one or the other is inflamed (pleuritis) one experiences pain on movement of the chest wall which is abrupt and explosive when one coghs. Pleuritis can occur by itself (viral) or due to inflammation in the lung which has extended out to the surface of the lung among other causes. See doc.