Chest Pain After Cold Medicine: When to See a Doctor? - Internal Medicine

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After taking cold medicine, eating food causes a feeling of tightness (pain) in the chest?


Hello, I visited the doctor for the first time and after taking the medication, my cold didn't improve, so I went to a second doctor.
After taking the first packet of medication, I started feeling a tightness and pain in my chest, which also hurts when I eat.
Two days later, I developed a fever, which has now subsided, but I still experience pain and discomfort when eating.
Should I see an internist or a gastroenterologist?

Lingling, 30~39 year old female. Ask Date: 2014/02/10

Dr. Cai Zonglin reply Internal Medicine


If medication is taken without sufficient water or with too little water, the drug may remain in the esophagus, potentially causing localized ulcers and discomfort.
If pain occurs while eating, it is important to consider issues related to the throat or esophagus, and a visit to an otolaryngologist or gastroenterologist is recommended.
If chest pain occurs even without eating, it is necessary to rule out heart disease, and a consultation with a cardiologist is advised.

Reply Date: 2014/02/10

More Info


When experiencing chest pain after taking cold medicine, it is essential to approach the situation with caution. Chest pain can arise from various causes, some of which may be serious. Given your symptoms of discomfort and pain in the chest after taking medication, along with a recent fever, it is advisable to seek medical attention promptly.

First, let's consider the potential causes of your chest pain. It could be related to gastrointestinal issues, such as esophagitis or gastritis, especially if the pain occurs when eating. Cold medications can sometimes irritate the stomach lining or esophagus, leading to discomfort. Additionally, if you have taken any medications that could cause an allergic reaction or adverse effects, this could also contribute to your symptoms.

On the other hand, chest pain can also be indicative of more serious conditions, such as cardiac issues or respiratory problems. Although it seems less likely given your recent cold and fever, it is crucial not to overlook these possibilities. Symptoms like chest pain, especially if accompanied by shortness of breath, sweating, or radiating pain to the arm or jaw, warrant immediate medical evaluation.

Given your situation, you should consider the following steps:
1. Consult a Doctor: Since your symptoms include chest pain and a recent fever, it is best to consult a healthcare provider. You can start with your primary care physician or visit an urgent care facility. If you have a history of heart problems or risk factors such as high blood pressure, diabetes, or smoking, it is even more critical to seek medical attention.

2. Determine the Right Specialist: If your doctor suspects that your symptoms are related to gastrointestinal issues, they may refer you to a gastroenterologist. However, if there is any concern about cardiac issues, they may recommend seeing a cardiologist. In many cases, starting with an internal medicine physician can help you get the appropriate referrals based on your symptoms.

3. Diagnostic Tests: Depending on your examination, your doctor may recommend tests such as an electrocardiogram (ECG), chest X-ray, or blood tests to rule out any serious conditions. If gastrointestinal issues are suspected, tests like an upper endoscopy or esophageal pH monitoring may be necessary.

4. Monitor Symptoms: Keep track of your symptoms, including the nature of the chest pain (sharp, dull, burning), when it occurs, and any associated symptoms (like nausea, vomiting, or sweating). This information will be helpful for your healthcare provider.

5. Avoid Self-Medication: Until you see a doctor, avoid taking any additional medications without consulting a healthcare professional, as this could complicate your symptoms or mask underlying issues.

In summary, while your chest pain may be related to gastrointestinal discomfort following cold medication, it is essential to rule out any serious conditions. Seek medical attention promptly, and be prepared to discuss your symptoms in detail with your healthcare provider. They will guide you on the appropriate next steps and ensure that you receive the necessary care. Your health is paramount, and addressing these symptoms early can lead to better outcomes.

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