Discussions By Condition: I cannot get a diagnosis.

What could this chest pain be..?

Posted In: I cannot get a diagnosis. 15 Replies
  • Posted By: Anonymous
  • January 3, 2008
  • 00:08 AM

Any suggestions would be appreciated with this chronic and now rather annoying issue... Here are the details -
40yr male, 6ft, 170 lbs. I reside in Denver (just moved from NJ).
Blood Pressure ave: 120/70
Heart Rate: 65-70
Pain Location: nipple area
Pain Type: Dull, stabbing (pain level of 1, if that)
Frequency - Intermittent, Chronic
Cholesterol: HDL 40, LDL 196, Total 255, triglycerides 140
Homocysteine, LP(a) - both under range and no sign of inflammation
WBC count - normal
Urine - slight blood found
Stools - 2 per day, very light/fluffy, brown color. Sometimes slight undigested food if lots of fiber consumed. Taking enzymes now to see if this improves.
GI/DNA series and tests - nothing found except achromobacter.
chest X-Ray results - nothing found
Diet - high fiber, no soda, takeout foods, etc. Eat dark chocolate daily. Eat whole grains, fruit/veggies daily. Take niacin, C, various 3/6/9 oils, multi vitamin, red yeast rice, COQ10, hawthorn and a few others.
Exercise - walking only 2-3 times per week. Little cardio exercise. No pain when running (feels almost relieved after exercise).
Cardiologist appointment last week: EKG, physical, prodding, listening, etc, nothing found. Stress test (echo) scheduled for 2 weeks. Allowed me to continue mild running/exercise.
Other - very slight numbness sometimes left side of face
Had chiropractic work done 6 weeks ago for right shoulder pain
History - used to be marathon runner 10+ years ago. Stopped due to knee issues. I have average fitness level and am not overweight.
Mother at 65 has mild MI/stents, etc. Father (72) runs daily - no ailments.
2 years ago I had nuclear stress test due to chest pains - results were negative. Chest pain then due to anxiety.

Pain started 5 weeks ago and lasted 2 weeks. Went away. A week after that I ended up in hospital with what was thought to be appendicitis. Had multitude of tests, but nothing found. Pain went away after a week. Was only painful when pressing the belly button.
Chest pain came back a week ago. Started at 3am and woke me up. Pain was very slight, throbbing, but enough to wake me up. Went back to sleep. Pain still there when I finally woke up in the morning. Comes and goes through the day. I don't look forward to sleeping as waking up at 3 or 4am is rather frustrating. The pain is slight and feels between a throb and a stab. I may get a few stabs and then it goes away, it may throb for 5 minutes and then go away for half an hour before it comes back. Rarely I feel the pain in my back and side. Sometimes I feel like I'm conscious of my breathing and sometimes I feel slightly light headed. Pain does not increase when taking a deep breath.

Cardo could not see anything and approved for continued exercise. Ordered a stress/echo in 2 weeks. I'm hoping the pain will go away by then or I can at least find out what it could be. Cardo suggested is could be inflammation of rib cavity area.

In have scoured the internet looking for possible solutions. can't really find anything with my symptoms. If anyone could say what this could be, it would be appreciated.
Thanks
Quentin

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15 Replies:

  • Further update -Although I slept right through last night, I woke up this morning with some pains now in my right side chest (just off center). Pains are still very slight and feel like a throb or light stab. Some will come on for 3-5 seconds then fade away. I am feeling slightly light headed today and not really myself.ThanksQuentin
    quentin68 8 Replies
    • January 4, 2008
    • 05:06 PM
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  • More update -I woke up yesterday morning at 5am and felt really terrible. Numb left arm and sweaty. Something felt really wrong, so I drove myself to the hospital. Afetr 2 minutes of arriving, I was hooked up onto EKG and had blood taken for about 42 types of markers. The results/EKG, etc came back normal and they put it down to stress and discharged me. I was kinda hoping they would find something to put an end to this ongoing nightmare...Last night I went to bed early and had a good night's sleep. Awoke normal time (6am) still with slight numbness in my left face and arm and the usual slight stabbing chest pain.
    quentin68 8 Replies
    • January 6, 2008
    • 02:23 PM
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  • I'd like to suggest that you get a script for: Electron Beam Tomography Angiographyhttp://www.coloradoheart.com/our.htmlYou'll have to pay for it yourself, but it should be able to detect what the problem is (hopefully)...if it is coming from the heart..you should be able to get it in Denver....start with that...what about your dental health??? Lots of mercury or undetected absesses?????
    Monsterlove 2921 Replies
    • January 6, 2008
    • 07:41 PM
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  • I have chest pains too and the same intermittant pain between my shoulder blades....and numbness and tingling in arms, hands, feet. I have been having muscle pain, joint pain and muscle spasms for 3 months now in back, arms and legs. I also have an abdominal hernia. I have no diagnosis yet.I think I might have M.S....seeing a few specialists but I have a bad PCP.Good luck and keep in touch if helpful to you.
    Anonymous 42789 Replies
    • January 7, 2008
    • 11:00 AM
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  • Monsterlove - thanks for your response. I will check them out. Seems this is my option for now...Dental health is great. Had annual full series xrays last month - all was good. I had my two metals fillings replaced with porcelain 6 years ago.Today pains are less (barely noticable, but enough to be aware of them). regardsQuentin
    quentin68 8 Replies
    • January 8, 2008
    • 10:23 PM
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  • geekbride. Thanks for your reply. They checked me out for hernia and MS.My next best bet is to go with monsterlove's suggestion and have the scan.Last night I did some nordic running and got my BPM up to 150 for about 20 minutes. No pain. I actually felt great afterwards. BMP dropped to 90-ish within 2 minutes of stopping, so I think I am fit and don't have any angina issues, but will leave that for the cardio to decide...:)I just have this gut feeling that everything is really okay, I just have a lot going on in my life and I'm just stressed out and my body has been looking for me to get off my **m and exercise...
    quentin68 8 Replies
    • January 8, 2008
    • 10:31 PM
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  • I get similar symptoms, very mild brief stabbing pains near my sternum on the left side. Since the pain is felt between my ribs, it may be some kind of intercostal muscle inflammation. It is never very serious and disappears after 3-5 days, only to reappear every few months or so.Tests were all negative. One doctor suggested it could be "referred pain" from my irritable bowel syndrome.Precordial catch syndrome is another possibility. There is an active discussion of this over on the Respiratory Symptoms forum.
    Anonymous 42789 Replies
    • January 9, 2008
    • 02:04 AM
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  • Monsterlove,I contacted the link you suggested regarding the EBTA. They said that the test is really a calcium scan. I had a calcium CT test done 4 weeks ago and the results showed a calcium scan of 4 (low).I am hoping to get an echo stress test done this week which will hopefully provide more info.Quentin
    quentin68 8 Replies
    • January 9, 2008
    • 05:46 AM
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  • My doctor friend in California says this test will show things about the heart that other tests don't...we just had a friend have a major heart attack and he had been after him for two years to get this done...he said it would have showed the damage and he could have treated him preventing his heart attack..... "Electron Beam Tomography Angiography"http://humc.com/heartcenters/ctscanning/calendar.shtml#question3 http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1767672 http://www.springerlink.com/content/t504225378254044/ I just know this is the best test out there and it will find whatever it is..what other tests don't find. How much was it??
    Monsterlove 2921 Replies
    • January 9, 2008
    • 09:32 AM
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  • Don't ignore the belly button pain. I had this for weeks before it became unbearable then I was diagnosed with appendicitis. Never had right lower quadrant pain. And it was very intermittent. I had no fever until the day before the appendectomy. I was 57 at the time.
    rad-skw 1605 Replies
    • January 9, 2008
    • 10:51 AM
    • 0
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  • Monsterlove,EBTA was not offered by Colorado Heart and Body Imaging. They only offer the CT Calcium and not the CT Angiography (as they advertise). Anyway, I have found a hospital (Porter Adventist) that does the CT Agiography - Coronary Computed Tomography Angiogram (Coronary CTA or 64-slice CT).I have an appointment scheduled for Friday at sparrow's ***t. The cost is close to $2,000 and is not covered by insurance. The hospital does, however, submit the claim to the insurance (i'm with Aetna) and there has been part payment back. The unbelievable part is the the Cardio Catheter (the horrible evasive procedure) is double the cost and there is a higher risk. That IS covered by insurance... just doesn't make sense...The link for the test is: http://www.porterhospital.org/index.php?s=optional_4I am dissapointed I have to spread out $2,000, but at least I will know if I have any pre-calcified blockages which the Calcium CT would not have picked up. One thing I have noticed today is that when I meditate, the pain completely goes away... when I start working on my computer, the pain comes back. If I think "aaaah, the pain has gone", the pain comed back. Perhaps it is psychosomatic pain..:)Quentin
    quentin68 8 Replies
    • January 9, 2008
    • 08:04 PM
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  • Here's another update -Tonight I went for another hard walk. Pushed HR up to 160 for 25 minutes. No symptoms. HR returned to 90 in 2 minutes after stopping. Numbness in my hand stopped sometime in the walk - perhaps because my attention was off it. I feel great now. Have been doing some EFT tapping also and more meditating. I'm wondering if I should have the stress echo done first before I lay out $2,000 for the CTA 64 scan. Choices, choices....Quentin
    quentin68 8 Replies
    • January 10, 2008
    • 04:31 AM
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  • Dude, do whatever is free first to see if they can find it, as long as it's not very evasive...no way with the evasive test...well, funny, that one company is advertising the ebta. If I was going to pay out of pocket, I would look around for the ebta...check around...I just googled and came up with that one..maybe you'll have to go to Colorado Springs...so, check this out:http://en.wikipedia.org/wiki/Precordial_catch_syndrome
    Monsterlove 2921 Replies
    • January 10, 2008
    • 07:24 AM
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  • Could you be having some altitude sickness in the mile-high city? I hate to say I've skiied with a lot of chest and headache pain.
    rad-skw 1605 Replies
    • January 11, 2008
    • 00:52 PM
    • 0
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  • here's an update...I went to the cardio today and had a echocardiogram. Pushed me up to 185bmp for 2 minutes (took 15 minutes to get there). No symptoms and doc said that there was a almost a zero chance of any heart-related illness.The chest pain had ceased a week ago. Just stopped. I guess this was all down to stress. I have been doing EFT (emotional freedom techniques) for the stress and I have been feeling a whole lot better.Tomorrow i'm back out running again.Best to all of you and thank you for your comments.Wishing you all well for 2008.Quentin.
    quentin68 8 Replies
    • January 18, 2008
    • 09:21 PM
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