What should I do next for epigastric pain with radiation to my chest?Gastroenterology Health & Fitness
I'm a 50 years old Chinese female. I've been experiencing pain in the epigastrium with radiation to the left chest. The pain felt over the chest and epigastric region was sudden and appears as though a gas/ electricity has whizzed pass the area. It normally lasts for a short duration and recurs once in a while. In addition, I also experience pain in my back, over the shoulder/ scapula region and along the right middle section of the vertebra.
Dr Kieron Lim
Dr Kieron Lim
MBBS, MRCP, FAMS
MOUNT ELIZABETH MEDICAL CENTRE
#10 - 02 Singapore 228510
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:
- 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.
Dr Nandakumar Ramasami
MBBS, MRCP, FRCP
38 IRRAWADDY ROAD
#05 - 34/35 Singapore 329563
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