Doctor insights on:
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. ...Read more
Is substernal chest pain and pain above the breastbone easy to differentiate? Meaning is it blatantly obvious if it is below or above during pain?
Chest pain is: Seldom easy to differentiate with complete history & exam +/- testing. ...Read more
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. ...Read more
Many possibilities: Wow - this might be nothing, or it could be a catastrophe. Sure, that narrows it down, right? Without more information it is pointless to speculate. I suggest that if you are concerned at all about the pain you see your doctor. If you are not, just know that it could be something serious - so in the end, it is safest to get evaluated. ...Read moreSee 2 more doctor answers
Many: There are many things that can cause chest pain, but usually it is acid reflux, arthritis of the ribs, anxiety, & much less commonly hardening of the arteries or inflammation of the heart coverings = pericarditis, tumors, splitting apart of the main outflow blood vessel of the heart = aortic dissection. Get checked out by your primary care doctor or a cardiologist. Hrs, md www.Thepmc.Org. ...Read moreSee 2 more doctor answers
Depends on factors: Chest discomfort behind the breastbone can be from many causes. For example, spontaneous, sharp, evanescent chest discomfort with breathing has different implications than effort chest pressure associated with other symptoms. Age and risk factors are important as well. Most prudent to get a formal evaluation to avoid minimizing what may be a more serious underlying cause. ...Read moreSee 2 more doctor answers
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