Random symptoms in upper chest

Resolved question:
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.

Submitted: 4 Days
Category: Family Physician-GP

Expert:  Dr. Jaydeep Tripathy replied 4 Days.

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

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