Suggest medication for pain noticed under the sternum while breathing
Patient: So yesterday every time I would breathe in or move it would hurt right under my sternum,and today it was not so bad, but today I was just sitting and if felt like someone hit me under the collarbone and it made my whole body jruked and it only hurt for a second. So what is wrong and do I need to go see a doctor? Doctor: Hi,Dear,Thanks for your query to HCM.Dear I read your query and reviewed it with context to your query facts.I understood your health concerns and feel Concerned about them.Based on the facts of your query, you seem to suffer from-Acute MI(Myocardial infarct)?Hepatitis ?Pancreatitis?Acute Duodenitis.These possibilities need to be kept in mind besides other which cause similar complaints under the sternum.Pre-cordial Catch Syndrome (PCS or Texidor's Twinge) with sharp pain due to Costo-chondritis  with ? Parietal Pleuritis of the lower chest ribs,also needs to be ruled out while assessing this complaint complex.Remedy--Investigate by X-ray Chest with standing diaphragm/ CT Abdomen and as needed by treating specialist based on the physical findings.-Would depend on the cause assessed and investigated from Physician/Surgeon/Chest Physician.-Tab Advil 400 mgm would reduce the pleuritic pain over time.-Hepatitis pain would reduce with Conservative and supportive treatment with Iv Fluids +Vit Bplex +Vit C--PPI -Tab Veloz  D -20 /30 mg x 2 times a day-Inj Fortwin 30 mg/ Iv if need be.This would be supplemental with supportive treatment as per the causes in your case.Hope this would lead to the exact diagnosis and proper treatment with your doctor there.Hope this reply would help you to plan further treatment with your doctors there.Welcome for any further query in this regard.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS