If the muscle really is the cause, surely there is something I can take to reduce the pain. I feel like just a number with my doctor and fear I may not be getting the best medical care because of it.

Please give me your professional opinion: is this just a muscle problem or something else?

DEAR READER:
You have had a battery of appropriate testing with normal results. Both your heart and breasts have been ruled out as possible causes. This still leaves your lungs and the surrounding muscles. You say you had a breathing test but do not mention which one; therefore I recommend you have a pulmonology consult. This type of doctor specializes in breathing and lung disorders. If after the consultation and any additional, required testing, the pulmonologist rules out your lungs, your chest wall muscles may be the culprit. If this is the case, you are probably suffering from a strain or chest wall syndrome (inflammation of the lining around the lungs). Without proper treatment these conditions will heal on their own but often very slowly.

In the meantime, I recommend you take an anti-inflammatory medication such as ibuprofen (Advil, Motrin) or naproxen sodium (Aleve) for the pain. You may also want to try using a heating pad or cream such as Icy Hot or Castiva. If these prove ineffective, try acupressure or acupuncture. Physical or water therapy may provide with you with some pain relief also.

On a side note, if you feel your health care quality is lacking because of your physician, I urge you to find a new one. No one should feel like “just a number” at the doctor’s office. At 77, I assume you are on Medicare. If this is the case, you have the option of seeing other primary care physicians without making a commitment to them. Ask your family and friends about their doctors or ask your local hospital if they have a list of general, family and internal medicine doctors in your area. Make “Get Acquainted” visits with those that sound promising. After interviewing them, make your decision based on who best meets your wants and needs. Then ask to have your file transferred from the old to the new.

To give you related information, I am sending you a copy of my Health Report “Pulmonary Disease”. Other readers who would like a copy should send a self-addressed, stamped envelope and $2 to Newsletter, PO Box 167, Wickliffe, OH 44092. Be sure to mention the title.

Is this a bad practice? Is there anything I can do to arrest this process when those unavoidable interruptions occur? Is this an indication of a deeper, perhaps hormonal issue that can be treated?

DEAR READER: Acne is often triggered by stress, a common phenomenon that is challenging to treat. You seem to have found an answer to your problem. The regular use of low-dose ibuprofen will not harm you.

I do not believe that you have a hormonal imbalance. On the other hand, you don’t mention your age in your letter. If you are menopausal, hormone replacement therapy could help you. If you are pre-menopausal or post-menopausal, I suggest that you be seen by a gynecologist who can test your hormone levels and offer suggestions.

Your primary care physician can examine you and suggest treatment for your acne. He or she may also choose to refer you to a dermatologist for further evaluation.