FROM OUR EXPERTS
Chest pain is one of the scariest symptoms a person can have because the first thing we usually think of is a heart attack. Of course, any new chest pain should be considered a medical emergency and checked out right away. But once a heart problem has been ruled out, one of the possibilities your doctor may consider is costochondritis. Costochondritis ((kos-toe-KHON-dri-tis) is an inflammation of the cartilage that connects a rib to the breastbone (sternum). It is one of the most common cause of musculoskeletal chest pain. Symptoms: The two main symptoms of costochondritis are pain and tenderness in the chest wall, specifically where the ribs attach to the breastbone.
Pain – The pain of costochondritis is usually described as sharp and/or stabbing, but may also be dull, burning or gnawing. Often the pain gets worse when coughing or taking a deep breath. There may also be some difficulty breathing. The location of the pain can be on either...
What do you think is the cause of waking up each morning with a migraine on my right side? I sleep on either side with one leg straight and one knee up (taught to me by a doctor).
An Eye Physician and Surgeon is suggesting I go to a sleep clinic because my husband says I snore softly but do not wake up.
Thank you for your insights. Nancy .
A sleep study isn't a bad idea. Snoring might indicate sleep apnea.
When people wake with a Migraine, sleep issues are the most common trigger. It can be too much sleep, too little sleep, interrupted sleep, an irregular sleep schedule, or poor quality sleep. Take a look at our video Migraines, Headaches, and Sleep . It's recommended that Migraineurs go to bed and get up at the same time every day, including weekends and holidays.
Good luck, John Claude Krusz and Teri Robert
To review other questions from our Ask the Clinician Column, bro...
What does one do if she experiences major chest pains and medical examinations reveal no heart or BP abnormalities? This is a particularly good question because it applies to all fields of medicine, and to all people who at some time in their lives will become patients (Yes, even doctors). If a person is experiencing symptoms that are not accompanied by signs of disease, or evidence in the form of an abnormal test, the diagnostic work-up will sometimes cease. Yet the patient still has the symptoms. What should be done? First, were all the elements of your complaint dealt with? Please see my prior posting about preparing for a visit to a cardiologist . It is appropriate for a visit to any physician. Second, what constitutes a full work-up for chest pain? This is actually different depending upon the likelihood of different processes causing the discomfort. Arteriosclerotic coronary artery disease is quite unlikely in very young people (but congenital disease may be more ...
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