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Twinge & Dull Ache under left breast

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January 16th, 2012
I've recently been experiencing a pain under my left breast that I would describe as a
Twinge or dull ache that comes in waves, lasts a few seconds, goes for a few seconds and then comes
back again...it's like it goes tight & then releases and then goes tight again...... It feels like it is directly under my left breast and is almost like a pulsating twinge. It is very hard to describe. I did experience a similar pain many years ago & the docter kept telling me it was heartburn and gave me gaviscon, a few weeks later a very loud dripping noise came and the docter then believed it wasn't heartburn and sent me for an ECG where a heart murmur was detected. I do have alot of heart related issues in my family but I am only 27 myself & of normal weight. The Docters said it was only a very mild heart murmur & no further treatment would be needed. I don't know if this pain is in anyway related to my heart but I do worry about what this pain could be as I've read so many different explanations.
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replied January 18th, 2012
There is a syndrome of sharp fairly severe pain that occurs in the left chest, under the left breast in women, that is recurrent for a while and then will disappear for long periods of time. I collected a series of patients with this discomfort, and named it "the precordial catch." I describe it in some detail on page 44 in my book "Chest Pain, When and When Not to Worry". The discomfort you describe has some of the characteristics of this pain. It is a benign condition, tends to occur in thin persons, does not relate to heart disease of any kind and has nothing to do with heartburn. However, we do not know its exact origin.
I cannot comment on your heart murmur, but do want to point out that a heart murmur cannot be diagnosed on an electrocardiogram. Sometimes an echocardiogram can help establish the origin and significance of a heart murmur.
Please be advised that I am unable to diagnose medical conditions online.


An easy-to-read book about the heart for lay persons. Available at major online book retailers and other fine bookstores.
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replied January 18th, 2012
Hello and welcome to e health forum.

Since the EKG, has been done and your doctor has concluded that your cardiac parameters are within normal limits, there may no reason to worry about cardiac issues.

The pain could be due to musculoskeletal issues or due to breast lesions (benign tumors like fibroadenoma, abscess, fat necrosis, etc).

In case the pain increases with direct pressure on the chest wall, it may indicate a musculoskeletal issue. A chest X ray might rule out any bone lesions. A breast ultrasound may be used to diagnose any breast lesions.

You may consult with your doctor or your OB-GYN, for proper diagnosis and advice.


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candicej710
replied May 5th, 2013
Chest/breast pain inside lower left breast
I'm also experiencing the same thing for a few months now its not a sharp pain more of an ache like she had said. Im 27 just had tein girls 3 month ago and no longer breastfeeding. Often nights I wake up and it is hurting and periodically throughout the day. I have an appt with my doctor but am really nervous.
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