Suggest treatment for pain in chest and cold
Patient: I've been getting pain in the centre of my chest for sometime now. I've always suffered slight bouts of raynauds in my right hand when cold for years but recently (last week) I had a rather bad case that was White finger on both hands all fingers. I went to docs he prescribed me nifedipine asked about my chest (no lung or heart probs detected for ref) he looked at my hands asked if my finger nails had always been like it. No splits or cracks or problems i see other than i bite them, Then suggested that some blood tests might be needed to look at my autoimmunie system. This has left me very confused Doctor: Dear  , This is Dr. S. Tomar from healthcaremagic.com's medical team and I ll be your medical advisor for this question. First of all thank you for sharing your concern with us and showing trust on us.Any chest pain first should be ruled out for any heart related issue and I would suggest you to have ECG , ECHO , chest x ray done to rule out any serious issue . I guess that your physician was more concerned about the clubbed nails rather than white fingers , which is a characterstic finding in some heart and lung diseases which should be ruled out with mentioned further testings . As far as reynaud's phenomenon is concerned so you can start nifedipine .This is my initial response and discussion is open until you have any query or need further clarification.I wish you good health .Thank you for your question and feel free to contact further for any question .sincerely,Dr. Shardendu Tomar