need advice: chest pain & shortness of breath

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1282
New Member


Date Joined Oct 2011
Total Posts : 2
   Posted 10/11/2011 7:16 PM (GMT -7)   
A little background info..., I'm a 29 year old male, 6', 190lbs., have exercised induced(maybe some allergy induced too) asthma, and slight high blood pressure. I'm currently taking an albuterol inhaler for the asthma, and amlodipine for the high blood pressure. Also, about 3 years ago I was diagnosed with PAC's(premature atrial contractions) which the Doc's said were a non-issue, and would never cause me any problems. I had a cardio-cath done at that time to rule anything else out, and they said everything looked perfect.

Now the problem, about 1 1/2 months ago, I started having intermittent pains in my chest, just to the left of my sternum, and shortness of breath. Neither of which appeared to be attributed to anything, and would happen at random. The pains only lasted for seconds at a time, but would happen numerous times a day when sitting, standing, walking, laying down, whenever. I went to the ER, and they did EKG, and chest x-ray, and said everything looked fine. So, I went home, and made an appointment to see my regular Doc. He said it sounded like a breathing issue, and made me an appt. for a pulmonolgist. Pulmonary Doc. prescribed me Symbicort(for the asthma), and Omeprazole(in case it was a gastric issue, which I'm still taking), and ordered a CT scan w/ contrast to check for a pulmonary embolism. The CT scan came back fine, and two different Doc's stated that everything on the CT looked kosher. Then I started having anxiety attacks which put me back in the ER two more times(both times I had another EKG, which was fine). I attributed the attacks to the Symbicort, stopped taking it, and haven't had a panic attack since. In the midst of all this, I got bronchitis which has basically cleared up now, however, the chest pain, and shortness of breath remain. I also went to see a cardiologist on my own. He did an ekg, ecg, and a stress test. All of which looked fine according to him.

After all this I'm still having the chest pain and shortness of breath, and don't know why. I can't seem to convince myself that it isn't cardiac related despite all the tests which is probably only making the issues worse.

Anyone have any problems simlar to this, or any advice?!? It's really starting to interfere with my life, as I fell nervous, and fatigued from worrying about it all the time.

Please Help!!

Gawd
New Member


Date Joined Oct 2011
Total Posts : 4
   Posted 10/12/2011 6:16 AM (GMT -7)   
I'm in the same boat.

Tests, examinations, scans, etc. all say nothing out of the ordinary. But the constant (conscious and unconcious) worry about chest pain and possible heart/breathing problem drives the anxiety, which in turns drives the chest pain and heart/breathing problem. Vicious cycle, it is.

I calm myself with a breathing exercise: breathe in and hold for about 10 secs, exhale and hold for 10 secs, repeat until the discomfort subsides, works for me.

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 10/12/2011 6:25 AM (GMT -7)   
Hello and welcome to HealingWell.  I am glad to hear you have had good reports from your Doctors.  Have you discussed anxiety with your PCP? Anxiety   may be at least part of the problem causing the disturbing sensations in your chest.
 
However, there is something else to consider with that, and that is that anxious people tend to breathe in faulty ways as well, which can often cause chest discomfort, because it not only strains the accessory muscles (those between the ribs and at the top of the ribcage, between the shoulders and the neck), but also can irritate the cartilage between the ribs.
 
The next time you start to feel anxious you may want to try the following:
 

Three-Part Breath

Find a place where it's quiet.

Sit in a straight back chair with both feet on the floor or lie on the floor with a straight spine.

Begin inhaling by expanding the abdomen (let it inflate like a balloon), then move the breath into your rib cage and, finally, all the way into your upper chest.

Exhale by reversing this action; begin at your collarbones and exhale down through your rib cage and into your abdomen. Contract your abdominal muscles as you finish exhaling.

You might find it helpful to lightly place your right hand on your abdomen and your left hand on your rib cage to help direct the breath on its journey.

Begin by practicing for one minute and then gradually lengthen the practice to five minutes.

This technique helps to eliminate shallow chest breathing and encourages full exhalation and inhalation.

Once again, there's no need to push yourself or judge yourself for being anxious. The idea is simply to be quiet for a short time and notice your breath.

HealingWell is neither intended nor implied to be a substitute for professional medical advice. I wish you the best and do keep talking with us.

 

 


~~Kitt~~
Moderator: GERD/Heartburn and Heart/Cardiovascular Disease.
www.healingwell.com

"only as high as I reach can I grow, only as far as I seek can I go, only as deep as I look can I see, only as much as I dream can I be"

1282
New Member


Date Joined Oct 2011
Total Posts : 2
   Posted 10/13/2011 1:01 PM (GMT -7)   
We did discuss anxiety, and I think that's what he believes this is. But, it lasts all day, and is not just something that comes and goes as I would think anxiety would. I could be wrong, but I'm having a hard time accepting that is all this is. I've had no history of anxiety, and consider myself to be a fairly laid back person(except maybe when it comes to possible cardiac issues). Is anxiety something that can last all day, for weeks at a time?? It never leaves totally, just some times it's worse that others, and there's nothing in particular that seems to trigger it. I don't know, I'm really confused about it all, and I think it's only making the situation worse.

Xmj78x
New Member


Date Joined Oct 2011
Total Posts : 2
   Posted 10/13/2011 8:42 PM (GMT -7)   
Hey guys I am a 32 yr old male and have just recently been having strange sharp to dull or achey chest pains between my sternum and left nipple. I thought it could be heart related. However after undergoing EKG, chest x-ray, blood tests, and breathing tests I have not received a consice diagnosis. I don't normally and have not lately experienced heart burn. I don't smoke or drink. I am slightly over weight but I am active in mixed martial arts and weight lifting. I take only vitamins. I am hesitant to see a specialist because I don't want to waste anyoes time especially my one lol. Anyone with these symptoms received a diagnosis besides Gerd or stress?

Xmj78x
New Member


Date Joined Oct 2011
Total Posts : 2
   Posted 10/13/2011 8:45 PM (GMT -7)   
Btw the pains come and go and last only seconds and cause a dul ache behind my left shoulder blade as well...

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 10/15/2011 8:05 AM (GMT -7)   
 
Welcome to HealingWell.  Please do not feel you are wasting any Drs. time when you are having health issues that need to be addressed by a professional.  Make an appointment for a medical screening exam with your Dr. 
 
We are not able to dx here in the forums but we are here to support and share ideas.
 
Kindly,
 
Kitt

~~Kitt~~
Moderator: GERD/Heartburn and Heart/Cardiovascular Disease.
www.healingwell.com

"only as high as I reach can I grow, only as far as I seek can I go, only as deep as I look can I see, only as much as I dream can I be"

pmedic
Veteran Member


Date Joined Nov 2009
Total Posts : 1680
   Posted 10/16/2011 3:55 PM (GMT -7)   
Did they send you home on a Holter monitor for 24 hrs? If they didn't, ask your cardiologist for this test and document the exact second you get the pain so the Dr. can check if you are throwing a PVC during that sharp pain. I get PVC's and I have a pressure pain that lasts a second or so but I feel every one of them. If they suspect PVC's, and if they are benign as most single PVC's are, ask for a trial of xanax. It helps me with the aggravating pain. If I notice I get more than a couple PVC's in a short time, I take 1/4  xanax and they either stop or are not noticeable after that.
Good luck!

PNJB
New Member


Date Joined Oct 2011
Total Posts : 1
   Posted 10/17/2011 12:45 PM (GMT -7)   
Hi, I'm a 20 year old female and I too have the same problems, for the last 12 months I have been under investigation for weight loss (3 stone in 6 months) I suffer from very bad fatique, leg arm hand foot back and abdominal pains, I have had lots of blood tests done and all seem to come bk normal, I have recently been diagnosed with a vit D dificientcy, however around a month ago I randomly had a funny turn, I felt very disorientated and the top of my arms became numb, and my heart was beating unbelivably fast, I sat on the sofa and by this time I couldn't move my neck or my arms I had cold sweats felt sick and cudnt breath properly, my mom called an ambulance and they came and hooked me up to an ECG wich showed my heart was too fast, but every thing else was fine (blood sugar) after around hf an hour I came bk roundn and the abulance left, however since that day my heart beats around 20 beats more per minute faster and does not beat normaly. Skipping beats and fsstening up, also when sitting I become very breathlessn also when standing my feet turn purple and I feel dizzy all day, my blood pressure is a little low also I get burning in the throat chest pain and a lot of mucus in throat , however when I finaly plukked up the courage to go bk to the doctors they said that they don't think it could be anythink to do with my heart wich baffled me, he said it probly just anxiety, witch I dnt believe, he cudnt explain the numness of arms or the pruple feet or the dizzyness, I asked for an ECG and he said no, I'm at my wits end and I can't deal with It any more I can't even go to the docs anymore cuz it seems they realy dnt care , does any 1 have advise at all, I no its all a bit confusing but for me to tay sane I need to know what's rong with me x

mema1960
New Member


Date Joined Oct 2011
Total Posts : 1
   Posted 10/17/2011 5:30 PM (GMT -7)   
 
     Hello.  I was wondering if anyone would be able to help me.  A couple of times a week I get a stabbing pain in my upper back between my shoulder blades.  At the same time I have a sharp stabbing pain in the back of my throat.  It hurts quite bad.  I usually have a faster heart rate at the time but I'm guessing it has to do with my fear that I am having a heart attack.  I am someone could tell me what causes this.  I have to wait for it to go away on its own, usually about 30 mins, but I alse take my anti anxiety meds when it starts.

pmedic
Veteran Member


Date Joined Nov 2009
Total Posts : 1680
   Posted 10/18/2011 7:08 AM (GMT -7)   
PNJB and mema1960- I think both of you should make an appointment with a cardiologist. They will perform the necessary tests to check for any possible problems. Don't ignore it, keep seeking answers if you are still having problems!
Good luck!
Dx:Ulcerative Colitis March 2008
Dx: Crohns May 2008

No surgeries yet but I am desperately trying to keep my colon.
8 blood transfusions, SVT due to low H&H, Anxiety during new medication injections due to past reactions.
Been through MANY medications with mixed results
Currently on Lialda, Ambien (prn), xanax(prn) Bee Propolis 500mg twice per day. Rowasa
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