What causes burning pain in left upper chest and shoulder?
Patient: I have a burning pain in my left upper chest (upper left of sternum) and shoulder area. Sometimes t radiates to my left back and arm. I also have Shortness of breath. EKG and Stress test came back fine. Blood work shows ok. At times it feels like fire is running up the sides of my neck in my veins also. Any suggestions. Doctor: Hello,   I would explain that it is important to perform comprehensive differential diagnosis between different causes that may mimic this clinical situation:  - gastro-esophageal reflux - gallbladder stones - pancreatitis - chronic degeneration of the cervical spine (a bulging disc in this level).   For this reason, I would recommend performing some tests:   - a fibrogastroscopy  - an abdominal ultrasound  - a cervical spine X-ray study  - liver function tests  - amylase and lipase plasma levels.  You should discuss with your doctor on the above tests.   Hope I have answered your query. Let me know if I can assist you further.  Take care  Regards, Dr Ilir Sharka, Cardiologist