Can I See a General Practitioner for Chest Pain? - Pulmonology

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Can I see a general internist for chest pain?


Dear Director Wang,
I have been experiencing sharp pain in my left chest when I take deep breaths, cough, hiccup, assume certain positions, or lie on my stomach.
I have been taking acetaminophen for a week, but there has been no improvement.
Although the pain is in my left chest, I am not quite sure which organ is causing the discomfort.
Which specialty do you recommend I see first? Since there are no resources for thoracic medicine in my current location, would it be acceptable to consult a general internist? Thank you for taking the time to respond.
Thank you.

Zhuang Xiaojie, 30~39 year old female. Ask Date: 2022/09/26

Dr. Wang Lanfeng reply Pulmonology


Hello: Based on your description, your symptoms are non-specific manifestations.
You may first visit a family medicine clinic for evaluation.
Thank you.

Reply Date: 2022/09/26

More Info


When experiencing chest pain, it is crucial to approach the situation with caution and seek appropriate medical attention. Given your symptoms of left chest pain that intensifies with deep breathing, coughing, certain positions, and even when pressing on the chest, it is advisable to consult a healthcare professional. While you mentioned that you have been taking acetaminophen (commonly known as Tylenol) for a week without improvement, this may indicate that the underlying issue requires further evaluation rather than just symptomatic treatment.

To address your question about whether you can see a general practitioner (GP) for chest pain, the answer is yes. A general practitioner is well-equipped to assess your symptoms, perform a physical examination, and determine if further testing or referral to a specialist is necessary. Given that you are experiencing persistent pain, it is essential to have a healthcare provider evaluate your condition to rule out any serious underlying issues.

Chest pain can arise from various causes, including musculoskeletal issues, gastrointestinal problems, respiratory conditions, and cardiac concerns. Since you mentioned that the pain occurs with specific movements and positions, it could potentially be related to musculoskeletal strain or inflammation, such as costochondritis, which is inflammation of the cartilage connecting the ribs to the sternum. However, it is also important to consider other possibilities, including issues related to the heart, lungs, or even gastrointestinal tract.

If you are unable to access a chest specialist due to resource limitations in your area, a visit to a general practitioner is a practical and effective first step. They can conduct a thorough evaluation, which may include a physical exam, a review of your medical history, and possibly some initial tests such as an electrocardiogram (ECG) or chest X-ray if deemed necessary. Based on their findings, they can provide you with a diagnosis or refer you to a specialist if further investigation is warranted.

In the meantime, it is essential to monitor your symptoms closely. If you experience any of the following warning signs, seek emergency medical attention immediately:
1. Severe or worsening chest pain: If the pain becomes unbearable or changes in character.

2. Shortness of breath: Especially if it occurs suddenly or is accompanied by chest pain.

3. Radiating pain: Pain that spreads to the arm, jaw, back, or neck.

4. Sweating, nausea, or lightheadedness: These could indicate a more serious condition.

In summary, seeing a general practitioner for your chest pain is a sensible decision. They can help determine the cause of your discomfort and guide you toward the appropriate treatment. Remember, it is always better to err on the side of caution when it comes to chest pain, as timely intervention can be crucial for your health.

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