I'm a 27-year-old male, and I've been having some pain on the left side of my chest along with pain in my upper back and sometimes in the left side of my neck. It's been a real mixed bagsometimes it's a dull ache, other times it's much worse. About a month ago, I had an ECG, ECHO, and TMT done, and everything came back normal. My lipid profile and high-sensitive troponin levels were normal too, and even my chest X-ray didn't show anything unusual. But this has been going on for the last 10 months now. I'm trying to figure out if this pain might be related to my heart, my lungs, a muscle issue, or maybe just gas. Should I think about repeating the heart-related tests, or what do you recommend as the next step?

Answered by 1 Apollo Doctors

Dr Ibrahim Salah

General Practitioner

MBBS
2+ Yrs

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"Based on your symptoms and the normal results of your previous heart-related tests, it is less likely that the pain is heart-related. The pain in your left chest, left upper back, and neck could be musculoskeletal in nature, possibly due to muscle strain or inflammation. It could also be related to gas or indigestion. To help alleviate your symptoms, you can try taking over-the-counter pain relievers such as acetaminophen and applying heat or ice to the affected areas. Additionally, practicing good posture and gentle stretching exercises may also provide some relief. If the pain persists or worsens, you may consider consulting a doctor for further evaluation. They may recommend physical therapy, muscle relaxants, or other medications such as ibuprofen for pain and inflammation. It is not necessary to repeat the heart-related tests at this point, given your recent normal results. However, if you experience any new or concerning symptoms, it is important to seek medical advice promptly."

Dr. Ibrahim Suggests...

Consult a Cardiologist

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Answered 04/07/2025

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Reassess Symptoms: a. Monitor for any new symptoms like shortness of breath, dizziness, or increased pain. b. Note any triggers or patterns in the pain.
Consider Musculoskeletal Causes: a. Evaluate posture and recent physical activities. b. Try over-the-counter pain relief and gentle stretching exercises.
Consultation: a. Schedule a follow-up with a primary care physician or a cardiologist. b. Discuss the possibility of non-cardiac causes such as musculoskeletal or gastrointestinal issues.
Lifestyle Modifications: a. Maintain a balanced diet and regular exercise. b. Manage stress through relaxation techniques.
Further Testing: a. Consider imaging like a CT scan if symptoms persist. b. Explore referral to a specialist if no improvement.

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Answered 10/09/2025

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I'm really worried about some symptoms I've been having lately. For the past week, I've had this pain in my left arm, shoulder, and back, along with trouble breathing. It just keeps coming and going. I've always had lower blood pressure, and now I'm also experiencing chest pain on my left side. Plus, if I try to take a deep breath, my whole back hurts. Could this be something serious?

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I'm a bit concerned about my hs-CRP levels because they came back at 1 mgL. Is that considered high for my age? I'm wondering how I can lower it. Also, I noticed my CRP level is only 0.13 mgdL, which seems good. How often should I be checking these, along with my lipid profile?

"Hs-CRP level of 1 mgl is considered to be low risk for cardiovascular disease. To reduce it further, you can consider incorporating lifestyle changes such as regular exercise, healthy diet, and stress management. In some cases, medications like Atorvastatin 10mg daily can also help lower hs-CRP levels. For your CRP level of 0.13 mgdl, it is within the normal range. To maintain this level, continue with a healthy lifestyle. As for how often to repeat these tests along with lipid profile, it is generally recommended to repeat them annually for routine monitoring, unless your doctor advises otherwise based on your individual health status."

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