Buzzing in the centre of my chest
by Tracey Kolb
(Melbourne, Victoria, Australia)
Buzzing in the centre of my chest since a fall.
I had a fall seven weeks ago with blunt trauma to the right rib cage causing severe winding. No visible breakages on x-ray, and ultrasound of liver, kidneys, gall bladder all clear.
I've experienced heartburn on and off, and most recently, pressure behind my breast bone. occasional heart palpitations, and most recently a buzzing in the centre of my chest. Please help!
Please tell me more about the fall. Was it over a shoe in the corridor, or from thirty feet?
There is cartilage joining the ribs to the sternum, or breastbone. Run your finger tips down this cartilage on both sides simultaneously; you can apply light pressure. Normally it shouldn't be tender; are any of those on the right significantly more tender than those on the left?
You make no mention of pain in the midback. Is that correct?
Now for a little test where your examiner needs to be sensible. Ask him or her to stand behind you and place their hands against the ribcage on the sides just under the armpits. Squeeze, take in a deep breath. Do you experience any pain? Where?
Now standing at the side, one hand is placed against the rib cage posteriorally and the other anteriorally just beneath the breast. Squeeze and breathe in again; compare with the right side. Is there a significant difference? Where?
Lie on your tum on a pillow. Ask him to pressure with the thumb firmly just to the side of the spine, comparing sides, up and down the midback. Is there any significant pain? Where?
Sit on the edge of the bed and twist first right and left, and then to the side; all okay?
The most usual injury from a fall of this nature is either to the ribs themselves which can be contused or broken, or the joints they form with the spine and the breastbone. The above tests will give you an idea of whether this is musculoskeletal.
If none of these are significantly painful, then one has to presume that you may have an internal injury.
Keeping to this thread, give me some answers.