Discussions By Condition: I cannot get a diagnosis.

Pain during last three months

Posted In: I cannot get a diagnosis. 5 Replies
  • Posted By: amazing ronaldo
  • July 19, 2007
  • 03:51 PM

Hi all, My doctor has tried several tests so far and has come up with nothing except to tell me to take prilosec because it is probably reflux. What I feel just doesn't seem like it so I am asking your opinions and things I should ask to check for.

Almost daily I have pressure or pain in my sternum. I awake feeling fine and the pain comes and goes. I am a little tender to my touch there but really nowhere else is tender. I ate lunch yesterday and felt bloated and while driving back was feeling a little light headed and my breathing was a little off. I have had over the last few months at different times, pain between my shoulder blades and pain in a line even with my sternum but to the sides about where the bottom of my ribs are. Last week was right side, and today is left side. Both shoulders seemed to ache for a few days and my neck during that time too. I seem to fall asleep earlier and awake at my normal time but don't feel so awake. Last week I also felt like I had bile and such backing up my throat, no burning just felt like everything I had in my stomach was backing up, and I was burping a lot. I am taking nothing except I started multivitamins in case I am missing any. I have yet to start the prilosec but will. I could accept that all my worry the last few weeks about what the heck my pains are may be causing me to have lots of reflux because of the stress, but as far as it being the only thing wrong with me, I just don't feel that it is only that.

My doc has taken chest x-rays of my lungs, x-ray of my spine, CT of my chest and two days ago took blood (first time through all this) to check for gallbladder problems. All but the latter have come back with nothing abnormal found. So I am at a loss as to where else to ask him to check and what I could have. He gives me a look like I am nuts but this doesn't feel like just nothing. I am not a hypochondriac, I used to avoid the doctor, and now go every year to keep checked up etc, and am only going because I don't feel well and would rather be busy thinking of other things.

I can't think of anything else to put down. But ask if you need more info or think I should pay attention to something I may have missed.

Thanks,
-Frank

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5 Replies:

  • What about a stress test or a cardiologist???
    Monsterlove 2921 Replies Flag this Response
  • Oh yes, sorry ... took a stress test and all appeared normal. Well other than I need to get back in shape.
    amazing ronaldo 1 Replies Flag this Response
  • Do you snore?You mentioned not feeling rested and having bile when awakening. Do you sometimes feel like you're choking during sleep?You could be suffering from sleep apnea or a sleep disorder. That can cause acid reflux and GERD too.You can read about at:http://www.talkaboutsleep.com/Or it could be stress or spicy foods or ?
    Anonymous 42789 Replies Flag this Response
  • Anyone know if angina would show up on those tests? Idiopathic angina?
    rad-skw 1605 Replies Flag this Response
  • Heartburn does sound like the culprit. That sour, bile taste sounds like stomach acid. Have you ever had any troubles with bulimia or binge-eating? The stomach acid can erode your esophagus and give you heartburn. Maybe try the Prilosec and see how it works. But if it doesn't, here's some alternatives I've found:Heartburn. Stomach acid that washes up from your stomach into the tube (esophagus) that runs from your mouth to your stomach can cause heartburn — a painful, burning sensation behind your breastbone (sternum). Often this feeling is accompanied by a sour taste and the sensation of food re-entering your mouth (regurgitation). Heartburn-related chest pain usually follows a meal and may last for hours. Signs and symptoms occur more frequently when you bend forward at the waist or lie down.Pleurisy. Sharp, localized chest pain that's made worse when you inhale or cough may be caused by pleurisy. This condition occurs when the membrane that lines your chest cavity and covers your lungs becomes inflamed. Pleurisy may result from a wide variety of underlying conditions, including pneumonia and, rarely, autoimmune conditions such as lupus. An autoimmune disease is one in which your body's immune system mistakenly attacks healthy tissue.Costochondritis. In this condition — also known as Tietze's syndrome — the cartilage of your rib cage, particularly the cartilage that joins your ribs to your breastbone, becomes inflamed. The pain from costochondritis (kos-toe-KHON-dri-tis) may occur suddenly and be intense, leading you to assume you're having a heart attack. Yet the location of the pain is different. Costochondritis causes your chest to hurt when you push on your sternum or on the ribs near your sternum. Heart attack pain is usually more widespread, and the chest wall usually isn't tender.Pulmonary embolism. This condition occurs when a blood clot becomes lodged in a lung artery, blocking blood flow to lung tissue. Symptoms of this life-threatening condition can include sudden, sharp chest pain that begins or worsens with a deep breath or cough. Other signs and symptoms can include shortness of breath, rapid heartbeat, anxiety and faintness. It's rare for pulmonary embolism to occur without preceding risk factors, such as recent surgery or immobilization.Other lung conditions. A collapsed lung (pneumothorax), high blood pressure in the arteries carrying blood to the lungs (pulmonary hypertension) and asthma also can produce chest pain.Sore muscles. Muscle-related chest pain tends to come on when you twist side to side or when you raise your arms. Chronic pain syndromes, such as fibromyalgia, can produce persistent muscle-related chest pain.Injured ribs or pinched nerves. A bruised or broken rib, as well as a pinched nerve, can cause chest pain that tends to be localized and sharp.Swallowing disorders. Several disorders of the esophagus, the tube that runs from your mouth to your stomach, can make swallowing difficult and even painful. One type is esophageal spasm, a condition that affects a small group of people with chest pain. When people with this condition swallow, the muscles that normally move food down the esophagus are uncoordinated. This results in painful muscle spasms. Because esophageal spasms can be calmed with the medication nitroglycerin — which also rapidly relieves some heart-related pain — this condition is sometimes mistaken for a heart problem. Another swallowing disorder, which also affects a small group of people with chest pain, is achalasia (ak-uh-LA-zhuh). In this condition, the valve in the lower esophagus doesn't open properly to allow food to enter your stomach. Instead, food backs up into the esophagus, causing pain. Pain with swallowing also can accompany heartburn.Shingles. This infection of nerves caused by the chickenpox virus can produce pain and a band of blisters on your back around to your chest wall. This sharp, burning pain may begin several hours to a day or so before blisters appear.Gallbladder or pancreas problems. Gallstones or inflammation of your gallbladder (cholecystitis) or pancreas can cause acute abdominal pain that radiates to your chest.Cancer. Rarely, cancer involving the chest or cancer that has spread from another part of the body can cause chest pain.Good Luck!
    Calvin_Hobbes11791 5 Replies Flag this Response
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