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Random symptoms in upper chest

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random symptoms in upper right chest for 2 1/2 months. The cycle goes like this: day 1 soreness between sternum and upper right pectoral area. Then day 2 mucous and constant clearing throat day 3 no symptoms - then the cycle repeats itself. the soreness often radiates over the right shoulder and onto the back of the neck. recently had physical. my doctor has listened to my chest multiple times - he says it sounds clear. I had a chest Xray on September 8th. Had cardiologist workup and he says - all clear.

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 19 Doctors Online

Hello,

Thank you for asking your query at DoctorSpring.

I have discussed your concern with our Pain Medicine Specialist. The cyclical / intermittent nature of the pain suggests a possible viral aetiology. Unfortunately your symptoms are bit non specific. By non specific I mean it is difficult to come to a single diagnosis. This is probably a myofascial pain (with a mild neuropathy)probably from a viral infection (?)

Since you have been adequately evaluated the best approach would be a symptomatic treatment approach. (Pain meds, steam inhalation). The radiating nature of the pain suggest a possible nerve involvement . A never conduction study can help in identifying the nerve involved. However it might not give any further information. The symptoms might recur for some more time , and after that should spontaneoulsly resolve. If there any new symptoms / worsening symptoms you may require further testing - including a NCS and MRI.

Hope this helps
Please feel free to ask followups / clarifications
Thank you


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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