Discussions By Condition: Cardiovascular disease

Cardiac problem or Costochondritis or anything else?

Posted In: Cardiovascular disease 6 Replies
  • Posted By: Anonymous
  • February 24, 2010
  • 06:30 PM

Myself 38 year old male. Never touched tobacco or alcohol.

It all started from late last year (October 2009), when I felt I've some problem in breathing and a pinching pain at the left chest at times. The pain often radiated to the left shoulder and left arm. In the arm the pain was particularly in the inner sides and near the armpit. The pain

As suggested my primary care physician(PCP) I underwent an ecg followed by an treadmill stress Eco test (full Doppler and color Doppler). All results were normal.

The PCP told it might be a case of anxiety/stress.

Days went on and the pain came and go. The duration of pain varied from a few seconds to several hours. Sometimes it felt like a sharp pinch and sometimes a dull ache or tightness or just plain discomfort. Even after the pain vanishes, sometimes I had a feeling of malaise for a whole day. The breathing difficulty was also there.

I've noticed physical exertion has little role in causing the pain, but if I'm awake late at night say till 1-30 AM or get angry and shout it causes the pain to appear.

In January end this year I had a strong discomfort while sleeping at night and that woke me up. I went to my PCP next morning and got an ECG done, all normal again. Next week I had a 'nuclear stress test' with all normal results. The doctor again said it could be a skeleto-muscular pain triggered by stress/ anxiety.

Till date I live with the pain that comes and goes.Same varied chest pain that radiates to shoulder and left hand.

I've the problem of breathing too. It's not that I've to gasp but it feels like my lungs are not completely filled up. Late night out triggers the pain and I'm trying to go to bed early. I've no sleeping problem.

Painkillers like Naproxen or Ibuprofen helped me only little. I've located some points on my ribs and rib joints that pains when I press them, but that's NOT severe pain and the pain on those points comes and goes too.

So what's going wrong ? My PCP(splz. internal medicine) ruled out cardiac problem. Or do I have to consult a cardiologist ? can this be a case of Costochondritis or anything else?

BTW I've a high uric acid detected since May,2009 and I'm also deficient in Vitamin D, for which I'm taking Vit. D supplements.

Any suggestions or sharing of experiences is most welcome

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6 Replies:

  • I just recently started getting the pinching near the heart and my thinking is that it is gas but now that I've read a few different forums about it I'm going to conclude that it's anxiety. I've had the breathing issues for at least 5+ years now and I also went to the doctor to find out why I had a hard time breathing. I had a stress test and all those other tests and it was all normal. So I started researching all the different forums and came to the conclusion that the breathing issues were indeed anxiety/stress. I just keep yawning constantly and I hate it. I can't get that breath of relief. Since I hate taking all those crazy panic anxiety pills I just take Dramamine when I get anxious or stressed. Even more recently Ive been having a stupid eye spasm on the bottom left eye of which I've been told is due to stress. I didn't realize I was under so much stress. The pinching near my heart is scarey along with the eye twitching and sometimes dizziness - if it gets overwhelming I turn on some spa radio and take a Dramamine. Try this test. blow air out of your lungs really fast like five times in a row and if you get light headed real easily you might be stressed.
    Anonymous 42789 Replies Flag this Response
  • The stress test showed there was nothing wrong with me, everything was normalhttp://www.sideeffectsguide.org/nuclear-stress-test-side-effects/
    Anonymous 42789 Replies
    • September 24, 2010
    • 07:51 AM
    • 0
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  • hello,i have also been suffering from the same symptoms for months i get a really sharp pinching or stabbing pain somewhere behing my left breast and into my back and if i press under the breast on the rib it really hurts and now suffering from bad heartburn i dont even know if its related in any way, my job as a mushroom picker is very physical but i dont get the pain on the side that i pick with and sometimes the pain is worse when im resting, i have been so worried so my doctor sent me to a heart specialist and he told me it sounds like muscle pain but im not satisfied with that answer, i have also had the breathing problems and palpitations for months and im exhausted even after 10 hours sleep and was always told your having panic attacks but i got a second opinion and this doctor took the time to actually get alot of tests done and was found to have graves disease (overactive thyroid) im so glad im not going mad there is actually a reason why i feel so shocking all the time and look terrible, alot of weight loss, but it still doesnt explain the horrible stabbing pain hopefully my heart is fine and it is just muscle, if you are all getting told your breathing and palpitations is due to panic attacks please go and ask your doctor to do a full thyroid test as thyroid damage can affect your heart if let go too long untreated,if anyone has any info about the chest pains i would to hear about it,thankyou,michelle. :)
    shellmak 9 Replies
    • September 30, 2010
    • 01:21 PM
    • 0
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  • Myself 38 year old male. Never touched tobacco or alcohol.It all started from late last year (October 2009), when I felt I've some problem in breathing and a pinching pain at the left chest at times. The pain often radiated to the left shoulder and left arm. In the arm the pain was particularly in the inner sides and near the armpit. The pain As suggested my primary care physician(PCP) I underwent an ecg followed by an treadmill stress Eco test (full Doppler and color Doppler). All results were normal.The PCP told it might be a case of anxiety/stress.Days went on and the pain came and go. The duration of pain varied from a few seconds to several hours. Sometimes it felt like a sharp pinch and sometimes a dull ache or tightness or just plain discomfort. Even after the pain vanishes, sometimes I had a feeling of malaise for a whole day. The breathing difficulty was also there.I've noticed physical exertion has little role in causing the pain, but if I'm awake late at night say till 1-30 AM or get angry and shout it causes the pain to appear.In January end this year I had a strong discomfort while sleeping at night and that woke me up. I went to my PCP next morning and got an ECG done, all normal again. Next week I had a 'nuclear stress test' with all normal results. The doctor again said it could be a skeleto-muscular pain triggered by stress/ anxiety.Till date I live with the pain that comes and goes.Same varied chest pain that radiates to shoulder and left hand. I've the problem of breathing too. It's not that I've to gasp but it feels like my lungs are not completely filled up. Late night out triggers the pain and I'm trying to go to bed early. I've no sleeping problem.Painkillers like Naproxen or Ibuprofen helped me only little. I've located some points on my ribs and rib joints that pains when I press them, but that's NOT severe pain and the pain on those points comes and goes too.So what's going wrong ? My PCP(splz. internal medicine) ruled out cardiac problem. Or do I have to consult a cardiologist ? can this be a case of Costochondritis or anything else?BTW I've a high uric acid detected since May,2009 and I'm also deficient in Vitamin D, for which I'm taking Vit. D supplements.Any suggestions or sharing of experiences is most welcomeThis all sounds familiar except I am 27.I have the same symptoms.I have had ECG tests several times and echo but not stress tests.For my shoulder and arm pain, I was told it could be a pinched nerve.I have gone to see a cardiologist (normal) and also found to be Vitamin D deficient (prescribed high doses for a short time)
    Anonymous 42789 Replies
    • January 8, 2011
    • 02:36 PM
    • 0
    Flag this Response
  • Myself 38 year old male. Never touched tobacco or alcohol.It all started from late last year (October 2009), when I felt I've some problem in breathing and a pinching pain at the left chest at times. The pain often radiated to the left shoulder and left arm. In the arm the pain was particularly in the inner sides and near the armpit. The pain As suggested my primary care physician(PCP) I underwent an ecg followed by an treadmill stress Eco test (full Doppler and color Doppler). All results were normal.The PCP told it might be a case of anxiety/stress.Days went on and the pain came and go. The duration of pain varied from a few seconds to several hours. Sometimes it felt like a sharp pinch and sometimes a dull ache or tightness or just plain discomfort. Even after the pain vanishes, sometimes I had a feeling of malaise for a whole day. The breathing difficulty was also there.I've noticed physical exertion has little role in causing the pain, but if I'm awake late at night say till 1-30 AM or get angry and shout it causes the pain to appear.In January end this year I had a strong discomfort while sleeping at night and that woke me up. I went to my PCP next morning and got an ECG done, all normal again. Next week I had a 'nuclear stress test' with all normal results. The doctor again said it could be a skeleto-muscular pain triggered by stress/ anxiety.Till date I live with the pain that comes and goes.Same varied chest pain that radiates to shoulder and left hand. I've the problem of breathing too. It's not that I've to gasp but it feels like my lungs are not completely filled up. Late night out triggers the pain and I'm trying to go to bed early. I've no sleeping problem.Painkillers like Naproxen or Ibuprofen helped me only little. I've located some points on my ribs and rib joints that pains when I press them, but that's NOT severe pain and the pain on those points comes and goes too.So what's going wrong ? My PCP(splz. internal medicine) ruled out cardiac problem. Or do I have to consult a cardiologist ? can this be a case of Costochondritis or anything else?BTW I've a high uric acid detected since May,2009 and I'm also deficient in Vitamin D, for which I'm taking Vit. D supplements.Any suggestions or sharing of experiences is most welcomeHey! so I know that a vit D defficiency can result in bone pain (see Ricketts). It's possible that your pain is related to this. Also, I had an experience with costochondritis last year. My pain was centered at my manubrium (center of chest, give or take 1-2" south of nipples). I am a woman with very large breasts, and my doctor suggested that the weight of my breasts in my underwire bra was causing the pain. So maybe evaluate your lifestyle... do you have any relatively constant or repetetive motion that puts pressure or weight on the left side of your chest? I know you said painkillers only help a little, but maybe try taking an anti-inflammatory like ibuprofen for a few days on a regular basis (as directed on the bottle every few hours) and see if it helps? Inflammation is a main cause of costochondritis so taking it regularly for a few days might get rid of inflammation enough to make a significant impact. Also, i suffer from generalized anxiety disorder and i've had experiences with panic disorder. After MANYYYYY doctor visits for various aches and pains over the past few years, two different doctors have determined that most of my aches have been due to severe stress/anxiety. And what's more is that over the past 8 months i've gotten a good grip on handling my anxiety (through workout, prayer, coping mechanisms, etc) and LO AND BEHOLD!! I only hurt when i actually physically injur myself now like when i twisted my ankle or a nasty paper cut i got the other day. No more "causeless" pains! So anxiety can cause random terrible pains with no medical cause too...I hope some of this helps? And i wish you the very best of luck!!
    Anonymous 42789 Replies
    • January 14, 2011
    • 00:19 AM
    • 0
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  • Wow, your symptoms sound identical to mine. Lots of testing comes back normal, yet the same "come and go" pinching from my left heart/lung area to areas under my left arm, to various spots in my left leg . . . a little tightness in my chest, but I don't feel extremely constricted with breathing. I believe I have high uric acid levels and even gout, as I have burning sensations that come and go in my left foot . . . occasional swelling and then the swelling is completely gone, but I have not been tested for that. Lots of water flushing the extra acid out of your body would not be a bad idea. That's my only remedy at this time.
    Anonymous 42789 Replies
    • February 24, 2011
    • 04:02 AM
    • 0
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