Chest Pain: Concerns About X-Ray Radiation and Symptoms - Pulmonology

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Please, doctor?


I have been experiencing abdominal pain along with a pressure sensation, pain, and tightness in my lower back to rib area, as well as an indescribable feeling of discomfort.
I have been unable to find the cause and have consulted gastroenterology, obstetrics and gynecology, urology, rheumatology, and neurology.
In the past six months, I have undergone a barium enema X-ray once, chest X-rays four times, abdominal X-rays twice, and additional X-rays of the pelvis, abdomen, and chest totaling around 6 to 7 images.
In total, I have had nearly 20 X-rays.

1.
Is this an excessive amount of radiation? Is it concerning to have so many X-rays? I am very worried.
2.
How can I eliminate the radiation exposure from my body?
3.
What should I do about my ongoing discomfort, which has lasted for over a year?

W, 20~29 year old female. Ask Date: 2012/09/20

Dr. Yang Wenda reply Pulmonology


Dear Ms.
W,
Here is a brief response:
1.
Unnecessary checks should be minimized; it is best to consult different specialties within the same hospital to avoid situations where there are no X-rays available for reference.
2.
The radiation dose from these X-rays is not excessive.
3.
Radiation naturally diminishes over time, and there is no need for methods to expel it.
4.
If no relevant abnormalities are found, it may be neuropathic pain.
Consider evaluating whether it is related to life or work stress, and arrange for more leisure activities to slow down the pace of life.
Alternatively, you may consider other forms of complementary treatment (such as Traditional Chinese Medicine...).
Best wishes!

Reply Date: 2012/09/20

More Info


When it comes to concerns about radiation exposure from X-rays and the symptoms you are experiencing, it’s important to address both aspects carefully.
Firstly, regarding your concern about radiation exposure from the numerous X-rays you've had over the past year, it’s essential to understand the context of the radiation doses involved. Each X-ray does expose you to a certain amount of radiation, measured in millisieverts (mSv). For instance, a standard chest X-ray typically exposes a person to about 0.1 mSv, while a CT scan of the abdomen can expose you to approximately 10 mSv. The cumulative effect of multiple X-rays can raise concerns, especially if the total approaches or exceeds 100 mSv, which is a threshold where some studies suggest a potential increase in cancer risk. However, the doses from standard X-rays are generally considered low, and the medical community emphasizes that the benefits of obtaining necessary diagnostic information often outweigh the risks associated with radiation exposure.

In your case, having undergone around 20 X-rays in a year, it’s crucial to evaluate whether each was medically justified. If your healthcare providers deemed these imaging studies necessary for diagnosing your abdominal pain and discomfort, then they were likely warranted. However, if you feel that some of these tests were redundant, it might be worth discussing this with your physician to ensure that future imaging is both necessary and appropriate.

As for your second question regarding how to "remove" radiation from your body, it’s important to clarify that radiation does not accumulate in the body in the way that toxins do. Once you are exposed to radiation, your body does not retain it; rather, it is the biological effects of the exposure that are of concern. The body naturally repairs itself from low levels of radiation exposure, and there are no specific actions you can take to "flush out" radiation. Maintaining a healthy lifestyle, including proper hydration, nutrition, and regular exercise, can support your overall health and potentially aid your body’s natural repair processes.

Now, concerning your ongoing symptoms of abdominal pain and discomfort, which have persisted for over a year, it is crucial to continue seeking answers. Given that you have consulted multiple specialists without a definitive diagnosis, it may be beneficial to consider a multidisciplinary approach. Sometimes, symptoms that do not have a clear physical cause can be linked to psychological factors, such as stress or anxiety, which can manifest as physical discomfort. In such cases, consulting with a mental health professional may provide additional insights and coping strategies.

Additionally, it might be worthwhile to revisit your primary care physician or a gastroenterologist to discuss your symptoms in detail. They may recommend further diagnostic tests, such as an MRI or ultrasound, which do not involve ionizing radiation, to explore other potential causes of your discomfort.
In summary, while your concerns about radiation exposure are valid, the cumulative doses from your X-rays appear to be within a range that is generally considered safe, especially if they were clinically indicated. Focus on managing your symptoms through continued medical evaluation and consider exploring the psychological aspects of your discomfort. Always feel empowered to ask your healthcare providers about the necessity of tests and the potential risks involved, as informed patients are better equipped to make decisions about their health.

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