Have asthma, shoulder blades pain, throbbing sensation below ear, nausea, extremely pain. What is going on?
Patient: 48 yo female, no kids, mild GED, well-controlled Asthma, non-smoker. Female woke up (4) days ago with severe mid chest pain, radiating into right shoulder, mid shoulder blades/ upper back, right neck CA & into the right ear. (throbbing sensation just below right ear) Pain has been constant & (in)creases with deep breathing, or lying down. Greatly (in)creased pain when trying to rest on her right side though the pain remains persistent laying on her left side too. Holding her breath (de)creases the pain somewhat but it does not go away. Nausea is present with some mild loss of appetite. General fatigue has set in with no will to thrive. (mostly due to pain while breathing/ movement) Female's father died of a stroke at age 52 but he smoked heavily. Female's Mat. Grandmother died from Lung Cancer in her 70's but she was also a chronic smoker. No sweating, clammy skin, or shortness of breath while at rest as of yet. Only SOB with prolonged activity. (It feels like a thousand sharp knifes cutting into the wind pipe every time a breath is taken in with radiating pain into right chest, right shoulder, neck & lower right ear. It's like I can feel the air going through the vessels due to the extreme pain, easy to follow the line of the pain? Chest pain radiates across mid chest like a fan opening with each breath. No pain in Left Chest at all unless laying on left side. Doctor: Hello,  Chest pain can be caused by various reasons, including minor problem such as indigestion or stress, to serious medical emergencies such as a heart attack. Investigations like an Electrocardiogram or Stress Echocardiography can be done to rule out any cardiac involvement. And a Chest X ray will rule out any pathology in the respiratory system.  Other causes of chest pain include: 1. Strained chest muscles due to overuse 2. Chest muscle injury 3. Short-term, sudden anxiety with rapid breathing 4. Peptic ulcer disease 5. Pain from the digestive tract, such as esophageal reflux  So, it will be better to consult a Doctor & get a physical examination done to rule out other causes. So that proper management steps could be taken.  Wishing a Good Health. Thanks & take care.