Werid Pains

hi im 19 and have been experiencing regular chest pain that also goes to to my neck, left shoulder, and down my spine. I've been experiencing this pain for a couple of months now..its not very sharp kind of a dull pain but it doesn't go away and some times increases at night. I don't experience any more pain with movement but it also doesn't go away. sometimes my left arm tingles and just feels weak. Also I have alot of twitches on the left side of my chest and my left shoulder. And there is a little swelling on the left shoulder and left collar bone. Any chances you might know whats causing all of this?

[Dr. Kokil Mathur]

Hi
Welcome to the MedHelp forum!
I would suggest you get the blood levels of the following checked if they have not already been checked: potassium, calcium, sodium, magnesium, vitamin B complex, or vitamins B1, B3, or B6 and Vitamin D. Generally deficiencies of any of the above can cause muscle twitching and spasms in localized or generalized areas of the body. Get your kidney function, parathyroid gland function and adrenal function tests done because these affect the electrolyte balance in the body. Stress, alcohol, caffeine and fatigue all cause similar symptoms. Hence if you take alcohol or coffee then cut this down. Sleep at regular hours and see if it helps. Certain sleep disorders and peripheral nerve disorders due to diabetes or hypothyroidism can also be the cause.
Take Omeprazole empty stomach in morning and an antacid gel at bedtime. Refrain from smoking, alcohol, fuzzy drinks and spicy food. Do discuss this with your doctor and get yourself examined. Take care!