What should I do next for epigastric pain with radiation to my chest?

Doctor's Answer

As Dr Lim has pointed out in his reply, while it appears likely that the origin of your symptoms is probably of gastric origin, there are many other causes of abdomen pain, such as due to the gall bladder or pancreas as outlined.

However the most serious cause of the symptoms could be if the origin is from the heart. This usually manifests as chest pain or discomfort that is brought on classically by exertion i.e walking.

It's also accompanied by:

  • Sweating
  • Numbness/weakness
  • Pain radiating down the left arm
  • Radiation of pain up to the neck or jaw
  • Breathlessness or severe fatigue

This becomes more likely if there are risk factors for heart disease in the background such as positive family history, diabetes, high blood pressure or high cholesterol.

Stress does not help either.

Heart disease in women is not all that uncommon and yes, you should be formally assessed by a physician. Hopefully it will be nothing more than some gastritis - but it is better to come to that conclusion after all the relevant test etc are complete.

Regards

Dr Nandakumar

Ask any health question for free

I’m not so sure about a procedure...

Ask Icon Ask a Question

Join Human

Sign up now for a free Human account to get answers from specialists in Singapore.

Sign Up

Get The Pill

Be healthier with our Bite-sized health news straight in your inbox