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Pain- left thoracic cage, scapula region
I have pain in left (anteriorly )thoracic cage(lower region) since 2018. It comes occasionally. Approached multiple specialities.
Cardio- Normal BP, Normal Pulse, ECG- WNL, ECHO- NORMAL. CT- thorax- Normal. All blood investigations are(CBC, LFT, RFT) are normal. Except Sgpt (96). Bronchoscopy - Normal. Pain worsens during winter season. What should I do now? Suggestive of consultation with some?
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Listen when all tests r normal even scan u falls in catagory of psychosocial illness.
Tab ciplar LA20 one after breakfast for ten days.
Tab nexito10/20 one after dinner at night for ten days.
Hot water bag or gel bag to apply locally.
Light diet plenty of water n liquid luck warm. Steam inhalation with Vicks or eucalyptus oil two times for few days.
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Thank you for sharing your case. Based on the details provided, it seems your symptoms are non-specific and have persisted for years despite multiple investigations. A few considerations:
1. While your tests appear normal, the elevated SGPT (96) might warrant further evaluation for liver health. Sometimes, subtle issues like fatty liver can contribute to discomfort.
2. Pain worsening during the winter could indicate musculoskeletal or neuropathic causes, such as costochondritis, myofascial pain syndrome, or even mild thoracic outlet syndrome. A rheumatology evaluation might help rule out any underlying inflammatory conditions.
3. Lifestyle factors, including posture, stress, and activity levels, should be reviewed. Occasional physiotherapy or guided exercises might relieve musculoskeletal strain.
4. Keep a symptom diary to track triggers like specific foods, postures, or activities that aggravate your pain.
Next steps:
Consult a gastroenterologist for further evaluation of liver function.
Consider an orthopedic or rheumatology consultation for musculoskeletal causes.
Explore pain relief measures like local heat application or analgesic creams.
For a more personalized assessment and treatment, feel free to contact me directly. You can reach out via WhatsApp at eight zero zero nine eight two one three three twofor a detailed consultation.
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