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Osteoporosis

Question
Posted by: Richard | 2020/04/22

Q.

Chest and stomach pain

Hi, Up until the 20th of October 2019 i was a fit and healthy 30 year old man with no issues and took no medication, On the 20th i received the flu vaccine for the first time in my life, 3 days later chest pain started which has remained until this day. I now cannot do any physical activity due to the pain in my body, even walking or standing for ten minutes has my body in agony. It started with pain on the left side of my chest which then spread to the left side of my stomach. As months have passed it has now spread the the right side of my chest and stomach. GPs and Hospitals are not able to tell me what is wrong with me however the only tests i have received are blood tests and chest x rays which both come back normal. I have been given lots of medication from Naproxen, Citalopram, Amitryiptyline, Pregabalin, Iboprufen, Co-Codamol, Omeprazole, Esomeprazole and countless courses of antibiotics. I have been on anti biotics for almost 14 weeks as this is the only thing which seems to relieve some pain and stop the pain spreading. I have just received another 6 week course of antibiotics which i really don't want to take as i cant imagine the damage they must be doing to my body, however anytime i stop taking them the pain comes back ten times worse and starts to spread again. I have done alot of research online and think it could possibly be something like Bacterial Costochodritis? The reason i think this is because like i said the pain spreads daily all over my body when not taking antibiotics, but when i start taking them it seems to halt the process of the pain spreading. There are some pressure spots on my chest where i can apply pressure with one finger and feel intense pain. I would really like some help from anyone i have tried so many times and no one can help me i no longer know where to turn. Some questions i have are.. Would a CT or MRI scan help in finding the cause of the pain? Are there any other tests that you could recommend? why are the antibiotics helping with the pain? what are the long term effects the use of these antibiotics will have on my body? are there any specialists you can recommend me to see? I have already seen a respiratory specialist and he does not think it is my lungs. Thanks to anyone who reads this and anyone who replys. Kind Regards Richard RichieScanlon@Live.Co.Uk

Expert's Reply

A.

Healthy Bones
- 2020/05/08

Dear Richard

It is very difficult to speculate on this, but you may be right that it can be chostocondritis. You can read up a bit on Tietze syndrome which may become a chronic condition. I see you have been on some anti-inflammatories as well. 
You are right, longterm antibiotics are not good for the body in that it also kills all your natural gut flora - so probiotics are necessary for at least a few post antibiotic course.
I hope you get this sorted out! Chronic pain can be debilitating.

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