Discussions By Condition: I cannot get a diagnosis.

Multiple Chest Symptoms

Posted In: I cannot get a diagnosis. 1 Replies
  • Posted By: Anonymous
  • March 5, 2007
  • 11:23 PM

I have previously visited with a doctor to discuss some mild issues that began approximately 6 to 9 months ago, including occasional chest pressure, fatigue, and general feelings of "unwellness". I recently took a trip to Germany, and during the trip and since (for approximately one month), my symptoms seem to have multiplied and worsened. Generally, I feel tired in the morning, and the onset of symptoms seems to increase in the afternoon. Here is a checklist of what I have been experiencing:

- Mild irritation to right of scapula (right side) - this has increased to a dull, but inflamed pain in the space between the first set of ribs that can be felt below the point of the right scapula. Also, there is a sour feeling in my stomach. My throat feels full, as if I am getting ready to burp, and also feels mildly irritated (scratchy).
- Occasional wheezing in right lung (seems to have developed in last month) - Feeling of pressure on chest (persistent); feel as though can't draw full breath - the pressure seems to increase when I lay down at night, and is most noticeable when I am lying on my stomach.
- Sweating at night
- Feeling of increased temperature (fever) beginning in middle of night (past couple weeks)
- Alternate feeling of hot/cold, especially towards the end of the day.
- Recurring sore throat; seems to go away, then return (past couple weeks)
- Pinpoint dull pressure (just to the right of the sternum); haven't noticed this as much lately, possibly because of the development of the other systems.
- Related to first bullet item, there is a mild pressure on the right side of my neck. The past couple days, there seems to be a slight pressure, or popping in my ears.
- I am also experiencing some lower back discomfort/pain.

I had comprehensive blood work about 6 months ago (blood sugar, cholesterol {rather high at 260 - common for my family}, enzymes, etc.), but nothing out of the ordinary. I had a general check-up recently, with an EKG and a chest x-ray which both showed normal. I am 28, generally fit (5'7", 135 lbs.), but a bit more sedentary of late because of work (which involves lots of driving, or sitting at a desk). I've tried analgesics, acid controllers (famotidine), but nothing seems to relieve the majority of symptoms. Any ideas?

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  • have you talked to your doctor about costochondritis? this is a condition where the cartilage in between your ribs gets infected, causing chest pain that may be on both sides or just one side and gets worse when you take deep breaths, difficulty breathing, coughing, and sometimes worsens acid reflux, which are similar to symptoms you have described. the systemic ones like sore throat and feeling fatigued may also be related because of the body's natural immune reaction when there is an infection in the body. you didnt mention whether you have external soreness when pressing gently on your ribcage - if this doesn't happen then it might be something else. have you tried taking an NSAID such as aspirin, advil or motrin? usually this condition goes away on its own and is not too serious, but if it's been happening for several months your doctor may have a better idea of how to treat it.
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