<human>: Hello, Im having sharp pain in my chest right by my top rib right side. Should I worry ? I just had a blood test a few months ago and everything was perfectly fine and all 4 blood tests in 4 years have been perfectly fine. heart desease runs in the family and I smoke.
<bot>: Hi and thank you for choosing Chat Doctor to post your question. In my opinion sharp chest pain can be a cause of concern since it can be the presentation of a serious heart or lung disease. Your family history of heart disease should not be neglected and neither smoking history. If I was your treating doctor I would suggest doing these examinations: 1.ECG, graded exercise stress testing to exclude coronary artery disease or other cardiac cause.2. Chest X-ray to exclude a lung problem such as pneumothorax or other lung causes. Normal results of blood test can not exclude serious causes of chest pain. I hope my opinion can be helpful. Wish you good health. Kind regards Chat Doctor. 