<human>: in short-My Grandmother age-more 70 has suffering from chest pain from last 10-15days,we have done-x-ray,ecg and eco, from s s k m hospital and aft that doctor gave some medicines to get relief from pain,but she doesn t feel any relief after taking the medicines from last 3days,now the doctor is saying there will b some other problem like it may b some lunge infection or something like that, now i can t understand what to do for her, can u give me some suggestion?.
<bot>: Hello, Thanks for using Chat Doctor. I had gone through the data you have posted. Chest pain in 70 yr female the differential diagnosis would be1)HERD: Castro esophageal reflux disease: here chest pain would be burning sensation, may be more at night. Treatment would be to avoid spicy foods, keep head end raised and use PPIlike tab. Pantocid L which is a combination of PPI with prokinetic. 2) chest pain localized to one SID and increases with cough and deep breathing i suggestive of pleuritic pain seen with lung infection like pneumonia. CXR may be necessary and treatment would be antibiotics3)chest pain more central, associated with breathlessness, swelling of legssuggesive of cardiac4)Musculoskeletal: pain during some positions. Take combination painkiller for 2 days like diclofenac+thiocolchiside if renal parameters are normal.as you have said CXR, ECG and 2decho are normal to take a painkiller along with antacid L. hope this helps.