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What is the reason for right side chest pain with heaviness and burning sensation?

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Patient's Query

Hello doctor,

I am experiencing right side chest pain for the past four weeks. The pain originates just below the right-hand side rib cage. The pain never occurs on both the areas simultaneously (right side below the last rib and the other area right upper chest). Pain, heaviness, burning sensation moves from one area to the other area (as mentioned above). USG upper abdomen reports say hyperechoic area 4.7 mm is seen in the right lobe of liver suggestive of calcified hepatic granuloma. Blood test, urine test, PFT test reports are normal. The same pain I had experienced two years back. Earlier reports also uploaded. It lasted for about 1 to 2 months. But this time the intensity of pain is more (just below the right rib).

Answered by Dr. Zubin Dev Sharma

Education:

MBBS

Professional Bio:

Dr. Zubin Dev Sharma is a Consultant in Medical Gastroenterology with a special focus on Hepatology. He is skilled in diagnosing and managing a wide spectrum of digestive and liver disorders, offering advanced and evidence-based care. With a patient-centered approach, Dr. Sharma emphasizes accurate diagnosis, personalized treatment, and long-term digestive wellness. He is dedicated to improving patient outcomes through compassionate and comprehensive care.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

From your clinical history and attached report, there is no obvious cause of your severe pain. Calcified granulomas usually do not cause pain. Although looking at your old CT (computed tomography) chest and current USG (ultrasonogram) (attachment removed to protect patient identity), I would want to investigate more for tuberculosis (as a separate issue, not as a current cause of pain). Coming back to pain, it sounds like it may be musculoskeletal in origin or acid peptic disease. Particularly if the pain is more on moving, it may point towards musculoskeletal in origin. I would also suggest an EKG (echocardiogram) to be sure we are not missing anything cardiac. With discussion with your doctors, you can discuss regarding acid suppression therapy along with some muscle relaxant for few days if it helps.

Medically reviewed by iCliniq medical review team
Published At December 23, 2018
Reviewed At August 1, 2023

Education:

MBBS

Professional Bio:

Dr. Zubin Dev Sharma is a Consultant in Medical Gastroenterology with a special focus on Hepatology. He is skilled in diagnosing and managing a wide spectrum of digestive and liver disorders, offering advanced and evidence-based care. With a patient-centered approach, Dr. Sharma emphasizes accurate diagnosis, personalized treatment, and long-term digestive wellness. He is dedicated to improving patient outcomes through compassionate and comprehensive care.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Zubin Dev Sharma is a Consultant in Medical Gastroenterology with a special focus on Hepatology. He is skilled in diagnosing and managing a wide spectrum of digestive and liver disorders, offering advanced and evidence-based care. With a patient-centered approach, Dr. Sharma emphasizes accurate diagnosis, personalized treatment, and long-term digestive wellness. He is dedicated to improving patient outcomes through compassionate and comprehensive care.

This doctor is not available for online consultations on the platform anymore.

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