Hi, Thanks for your question. I'm Dr. Hasan and I'll try to help you.
Your age and gender?
Please enter the chat to proceed.
Thank you for your input.
I am so sorry to hear about your problem.
Have they given you any medicine for tietzes?
Just ibruprofen and omeprazole for stomach pains due to the ibruprofen
Have they helped?
Has ibuprofen helped?
and for how long you took it?
No not really i dont get a lot of pain apart from between my shoulder blades. The worst part is the tight feeling in my chest and the heart beating out of my chest. I have been taking them for a month
You have given a very good description of your problem so I am going to answer your primary concerns but later you can ask anything you want.
Ok thank you
No you don't need to go to A & E.
Your symptoms are absolutely consistent with anxiety and yes there are symptoms of tietzes as well.
The pain which is felt on pressing is never heart related.
This is a very basic medical thing.
I know you are feeling left side chest and left arm symptoms but most of the people with anxiety of heart problems do feel these symptoms commonly.
So this is one point that the diagnosis is correct and you don't have heart poblem.
Now the point is this that what you should do.
You should relax and should see your doctor by appointment,
You need to get treatment fr tietzes and you should take treatment for anxiety as well.
Once treated, you will be perfectly fine and back to the life :)
Are you on any treatment for anxiety?
Not at the minute no
Then you should ask your doctor for that because they can help you a lot
Any further question in your mind?
I think my main concern was that it was heart related as I am overweight however that has put my mind at rest a bit. What can I do mean time especially at night when I can feel my heart hammering out of my chest due to panicking about the tightness in my chest
Because that is one of the worst parts
Well you can take the pain killer prescribed by your doctor.
If you don't have any then you can use over the counter tab Tylenol as it will not affect your stomach.
Lastly just relax and do breathing exercises by taking deep breaths
My best wishes and prayers are for you :)
Thank you. Also are there any foods that aggrevate tietzes I have read numerous things
No food as such doesn't affect tietzes but food can affect acid reflux.
So avoid spicy foods, tea, coffee and alcohol.
Ok perfect and can posture affect it?
Posture has nothing to do with it.
Ok thank you. Is there anything else you can suggest apart from tylenol and omeprazole that will help with the burning just under my breasts which I presume is from the nsaid's
Yes you can use Syrup Gaviscon
2 table spoon thrice daily
and take sips of cold milk frequently.
Ok thank you. Does heat or cold compressions help?
it neutralizes the acid.
heating pads on chest can help.
but nothing to do with acid reflux.
Sorry I meant for the chest pains. My apolgies
Yes for chest heating pads will help
but ice will not
Ok thank you and also will it ease up at all any time or can this go on for months?
No once you get over it, you will remain fine.
It will not keep recurring.
And can this take a while to get over?
yes it will take a while
but don't worry you will be fine.
And do things like stretching and I work typing a lot will this aggrevate it as I find its usually worse at night however recently has been nearly all day
stretching can aggravate it but typing can't.
Ok perfect it is usually worse at night as I said would this be normal
yes pain can occur any time but actually anxiety usually kicks in at night.
Ok so at the minute you would suggest taking the ibuprofen and either omeprazole or gaviscon and trying to take deep breaths for anxiety until I see a doctor?
Is there any over the counter things that can help with the anxiety until I get to see one?
No I would advise to take 2 tablets tylenol thrice daily with omepazole and gaviscon
ibuprofen will aggravate the reflux.
Nothing over the counter is there for anxiety.
Is the anxiety brought on just by the tietzes?
Well I would say yes
to some extent
You are most welcome. I wish you good luck and that you get well soon. My goal is to provide you with excellent service – if you feel you have received anything less, please reply back as I am happy to address follow-up questions. Kindly rate me when you are done. You can come back here to ask anything even after you have rated the answer. I will be glad to help you always.
No I think that is all thank you for your help I will be sure to come back if I have any more queries
You are most welcome :)
You can rate my answer at the given menu
Take care, it was nice talking to you
Hi sorry to bother you again however this has seemed to have gotten worse and now I feel extreme discomfort between my shoulder blades as well as tightness in chest is this normal
Thank you for the reply. I am currently on 800mg slow release brufen with omeprazole and propanalol
And is this what is causing the extreme pain between my shoulder blades and making the chest tighter?
Is tietzes the most reasonable explanation for the tightness in chest and trouble breathing even though oxygen levels are in high 90's or do you think there is another diagnosis?
So much for 'please ask more because your satisfaction is my goal'! No thank you I will not be asking another question as what I asked relates to the question I have already asked so I do not see the point of paying more money for the same question. Thanks for your help but I think its ridiculous I have to ask a new question about an ongoing question
I very much appreciate this and all of your help. Many thanks for this reply.