excuse me?
I have recently been feeling strange sensations near my heart, specifically above it.
I also experience some soreness in my shoulders.
When I lean forward while sitting, I feel uncomfortable.
What could this be? Which specialist should I see, a cardiologist or a pulmonologist?
Xin, 10~19 year old female. Ask Date: 2008/05/04
Dr. Lin Jixiong reply Cardiology
Hello: Your clinical symptoms are not obvious, and compared to general cardiac clinical symptoms, it is difficult to definitively determine if they are related to the heart.
Therefore, you should first consult a cardiologist to rule out the possibility of heart disease.
If the cardiologist believes that your symptoms are not significantly related to the heart, you may then consider seeing a gastroenterologist or a pulmonologist.
Sincerely, Dr.
Lin Chi-Hsiung, Taoyuan General Hospital.
Reply Date: 2008/05/04
More Info
When experiencing discomfort near the heart, especially if it is accompanied by symptoms such as shoulder pain, it is essential to approach the situation with caution. The symptoms you describe could be indicative of various conditions, some of which may require immediate medical attention.
Firstly, the discomfort you feel near the heart could stem from several sources. It might be related to cardiac issues, such as angina or even a myocardial infarction (heart attack), particularly if the discomfort is associated with exertion, stress, or is accompanied by other symptoms like shortness of breath, sweating, or nausea. However, it is also possible that the discomfort is musculoskeletal in nature, such as muscle strain or tension in the chest and shoulder area, which can occur from poor posture, overexertion, or stress.
Given your symptoms, it is advisable to consult a cardiologist first. A cardiologist specializes in diagnosing and treating heart-related conditions and can perform necessary tests, such as an electrocardiogram (ECG), echocardiogram, or stress testing, to assess your heart's health. If the cardiologist determines that your symptoms are not heart-related, they may refer you to another specialist, such as a pulmonologist for lung-related issues or an orthopedist for musculoskeletal concerns.
In addition to the physical examination and diagnostic tests, it is crucial to consider your medical history and lifestyle factors. For instance, if you have a history of anxiety or panic attacks, these could also manifest as physical symptoms, including chest discomfort. Stress and anxiety can lead to muscle tension, which might explain the shoulder discomfort you are experiencing.
Moreover, if you have risk factors for heart disease, such as high blood pressure, high cholesterol, diabetes, or a family history of heart disease, it becomes even more critical to seek medical advice promptly. Early intervention can help prevent more severe complications down the line.
In summary, if you are experiencing unusual discomfort near your heart, especially if it is persistent or worsening, it is wise to see a cardiologist. They can evaluate your symptoms, perform necessary tests, and determine the appropriate course of action. If it turns out that your symptoms are not heart-related, they will guide you to the right specialist for further evaluation. Remember, it is always better to err on the side of caution when it comes to heart health.
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