Chest pressure from last couple of weeks

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worried32
New Member


Date Joined Dec 2011
Total Posts : 9
   Posted 12/14/2011 12:52 PM (GMT -6)   
Hello,

I have been experiencing chest pressure, burning sensation and sometime pain from last couple of weeks.
The first time I went to ER and they did EKG, chest-xray and blood test. They send me home with prevacid and to follow up with Primary Physician.
The prescription did not help me and I went again after 3 days to ER with same symptoms. They did similar tests and admitted me. Next morning Cardiologist ordered for stress echo test which was not negative.
My primary physician added cebebrex 200mg with prevacide.
I am on the prescription from last week and symptoms are not going away. I also feel burning sensation at epigastric region and sometime reflux.
One more thing I noticed chest pressure getting worse if I am going outside in cold weather. But If I run on treadmill 15-20 minutes (heart rate ~180) it did not hurt

My triglycerides are high ~ 350 and HDL: 32 LDL: 90


Please suggest.

zed

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 12/15/2011 5:45 PM (GMT -6)   
zed,
 
Welcome to HealingWell. A bit more info might help us see the whole picture.  If your Echo was abnormal what was the Drs. conclusion and why did he start you on the medications ?
 
Celebrex (celecoxib) is a nonsteroidal anti-inflammatory drug used to treat pain or inflammation and freqeuntly prescribed for people with arthritic pain.
 
I will be looking for a bit more info if you are willing to share.
 
Kindly,
Kitt
 
~~Kitt~~
Moderator: Anxiety, Osteoarthritis,
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"

worried32
New Member


Date Joined Dec 2011
Total Posts : 9
   Posted 12/15/2011 7:02 PM (GMT -6)   
Thanks Kitt,
Sorry, the stress echo test was negative and Cardiologist said everything is normal.
Since the symptoms are not going away, yesterday I had a followup appointment with Cardiologist and he recommended to go and see gastroenterologist, after that he would order a CTA. I have an appointment with gastroenterologist next week.

should I rule out any hearth related issue or angina? Is this issue could be related to allergy?

zed

susan1
Regular Member


Date Joined Dec 2009
Total Posts : 80
   Posted 12/26/2011 5:40 PM (GMT -6)   
Hello Worried32,

Your symptoms really do sound like mine. I've had a bunch of different symptoms for the last 2+ years and they do come and go.

But I know the one in particular in which you are talking about. I get burning down my esophageous (sometimes without burning), chest tightness or pressure, and my chest cavity even in my back seems inflammed. Often times when the tightness occurs, I do end up burping, so I do think it might be air bubbles. I also suffer from anxiety, but it is hard to think I create these problems??

I did go to the ER twice. I even had palpiations (PVC's) that came and went for over a year after starting prilosec, so I went off of that.

The ER also told me it was acid reflux. I followed up with a gastroenterologist one year ago and he did an EKG and a Stress Echo. He told me my heart was healthy and that it was probably either acid reflux OR muscular skeletal pain.

I then went to a gastroenterologist and he performed an upper endoscopy and took a biopsy in the lining of my stomac to see if I was celiac. I did have mild gastroitis and I do have a history of IBS (irritable bowel syndrome).

I tried prilosec, but it really messed up my symptoms and trigged heart palpitations. I now take Gaviscon (OTC) in cherry flavor as needed per my Gastroenterologist.

It is frustrating. I am really trying to clean up my diet to see if there is a change. I wish you the best that you can find a diagnosis that you are comfortable with. Acid Reflux (GERD) can cause sooooooooooooo many strange and odd symptoms as can anxiety. And since I have them both (as well as questionable fibromyalgia) it is hard to determine which one.

Hugs,

Sue

shopgirl1971
New Member


Date Joined Dec 2011
Total Posts : 11
   Posted 12/27/2011 9:31 AM (GMT -6)   
This sounds so familiar. Since going on Bystolic (a beta blocker) several weeks ago, I started having a sort of burning ache at my breastbone sometimes. At times it is a little higher on my chest and from time to time it will be at the inner corner of either breast- but never radiating or "pain". I have had 4 EKGs, blood work, 24 hour monitor, chest X ray and all are normal.

On Monday I am going for a cardiac evaluation to see if they will move forward with a stress test. My doctor feels it is the medicine but wants to make sure - which is comforting to me! I have noticed that when this happens I tend to burp or have gurgles. I know that a side effect of Bystolic is gastronomical issues like acid reflux, gas, diarrhea, etc. I have had issues with acid reflux due to stress in the past.

My pain is not effected by what I am doing. I can do my 2.5 mile walk and not have it, but wake up in the morning with it or while staring off into space. I am hoping that it is not heart related.

I also changed my diet a few months ago to lose weight. I am going to go over it with my doctor to see if anything there could be the culprit.

worried32
New Member


Date Joined Dec 2011
Total Posts : 9
   Posted 12/27/2011 4:24 PM (GMT -6)   
shopgirl1971/susan1,
I appreciate you reply.
The chest pressure appears to be gone most of the times. But I still feel discomfort at epigastric region although its not that severe as it was couple of weeks ago. The stomach ultrasound test report is negative.
Right now I am taking prilosec 40mg once a day. The doctor would like to do a upper endoscopy now.

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 12/27/2011 5:26 PM (GMT -6)   
 
I would go ahead and get the endoscopy scheduled as that should give you the info you are looking for as far as GERD versus anything else.
 
Happy Holidays,
Kitt

~~Kitt~~
Moderator: Anxiety, Osteoarthritis,
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"

shopgirl1971
New Member


Date Joined Dec 2011
Total Posts : 11
   Posted 12/29/2011 10:38 AM (GMT -6)   
Hi worried32! Please keep us updated on how you are doing.

I have an update to my earlier post. Starting on Tuesday, my chest discomfort started around noon and would not let up. Before it would only last a few seconds to a few minutes. It was an ache centered around the breastbone mostly but would at times move up or slightly below that area. Yesterday at noon, I became very concerned and decided to go to the ER. They performed an EKG (normal) and heart enzyme tests to check my heart further. This came back good - so no heart attack or impending heart attack. When I asked what could be causing the problem, the Dr said it could be many things, but it was not my heart. This was comforting, but the ache was still there. It is on and off happening today. Also, the Dr. told me because of my exercise routine of doing 2-2.5 miles with hills included that I would breeze through a basic stress test using just leads and a treadmill/bike. He said to make sure that the cardiologist was aware of my exercise routine on Monday because a basic stress test would be a waste. In other words, to use something that tracks the flow of blood instead to get the best and most accurate results. Good to know.

As I wrote before, Bystolic can cause chest ache and gastronomical problems. I believe this with the stress of the last few months of cycling through various BP meds has led to the problem.

worried32
New Member


Date Joined Dec 2011
Total Posts : 9
   Posted 1/3/2012 5:11 PM (GMT -6)   
hi shopgirl/Kitt,

Just to update on CT angiogram result which is normal. The calcium score is 0 and arteries are clear.
The endoscopy biopsy results came this morning. The doctor office told me the report is normal but I have Chronic gastritis and they want me to followup with my primary physician.
I am taking prilosec (20mg) each day from last one month and its not making any difference.

Any suggestion.

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 1/3/2012 7:14 PM (GMT -6)   
worried32,
 
Glad to hear all test were in the normal range.  Antibiotics are used to treat chronic gastritis caused by infection with Helicobacter pylori. Have you been tested for H-pylori ? For most people gastritis isn't serious and improves quickly with treatment.
 
Antibiotic regimens are different throughout the world. In the United States, antibiotics prescribed for treatment of H. pylori include amoxicillin, clarithromycin (Biaxin), metronidazole (Flagyl) and tetracycline.
 
Proton pump inhibitors reduce acid by blocking the action of the parts of cells that produce acid.  Perhaps you would do better on a different PPI ?
 
Histamine (H-2) blockers — reduce the amount of acid released into your digestive tract, which relieves gastritis pain and encourages healing. Available by prescription or over-the-counter, acid blockers include ranitidine (Zantac), famotidine (Pepcid), cimetidine (Tagamet) and nizatidine (Axid).
 
I am sure your family Dr. will make the right decision on how to treat you, however, remember to be your own best advocate.
 
Kindly,
Kitt
 
~~Kitt~~
Moderator: Anxiety, Osteoarthritis,
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"

worried32
New Member


Date Joined Dec 2011
Total Posts : 9
   Posted 1/3/2012 9:24 PM (GMT -6)   
Thanks Kitt,
The H-pylori test was negative.
I asked gastroenterologist office to suggest some other medicine since prilosec does not seem to be working.
Is that okay to take proton-pumb inhibitors and h-2 blockers in same day? How many days these medicine generally take before you see some major improvement.

worried

worried32
New Member


Date Joined Dec 2011
Total Posts : 9
   Posted 1/13/2012 7:00 PM (GMT -6)   
Hello,
Just to update as Dr prescribed carafate three time a day now.

My endoscopy results rule out "reflux". Does it mean I dont have GERD?
Now a new symptoms appears to be affecting me. I feel like something is stuck in my throat. :(

Any help or suggestion...

worried..

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 1/13/2012 7:52 PM (GMT -6)   
worried,

Traditionally, esophageal acid testing, or "pH monitoring," has been considered the gold standard for diagnosing gastrointestinal reflux disorder (GERD). If you have not had this test I would recommend you talk with your GI specialist about having the test done.

Let us know how you make out as well as take a look at our GERD Forum.  There is a ton of info in that forum and the members can answer just about any question.

Kindly,

Kitt

 


~~Kitt~~
Moderator: Anxiety, Osteoarthritis,
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"

pixie333
New Member


Date Joined Jan 2012
Total Posts : 8
   Posted 1/17/2012 11:18 AM (GMT -6)   
they sound just like mine also
it was Anginya they gave me some nitro
to spray under my tounge
was wiating for a heart valve
sounds like you need some more tests
its scarry and you just do not no what to do
I found resting was helpfull

pixie333
New Member


Date Joined Jan 2012
Total Posts : 8
   Posted 1/17/2012 11:18 AM (GMT -6)   
they sound just like mine also
it was Anginya they gave me some nitro
to spray under my tounge
was wiating for a heart valve
sounds like you need some more tests
its scarry and you just do not no what to do
I found resting was helpfull

Annoyed123
New Member


Date Joined Sep 2013
Total Posts : 2
   Posted 9/13/2013 9:20 PM (GMT -6)   
Worried 32 help! Past 13 days have had this constant burning in chest or blockage feeling in throat! It's one or other been to ER 3 times and they admitted me on 3 rd trip. Not heart sent time to gastro did endoscopy today and its normal! Ugh still burning! Don't know what to do! ;(
 
I see you have found the GERD Forum..................I hope we are able to help you in that forum. - Kitt

Post Edited By Moderator (stkitt) : 9/14/2013 10:04:17 AM (GMT-6)


stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 9/14/2013 11:02 AM (GMT -6)   
Annoyed,
 
Welcome to HealingWell, however Worried 32 was last seen online in May of 2012.
 
After reading your post I feel you may want to look at the GERD Forum as you may find members with closer to the kind of sx you have been experiencing than here in the cardiac forum.
 
Just click on this link and you will find the GERD Forum:
 
 
I am going to lock down this thread as it is from 2011.
 
Kindly,
Kitt
~~Kitt~~
Moderator: Anxiety, Osteoarthritis,
GERD/Heartburn and Heart/Cardiovascular Disease.



"She Stood in the Storm & When the Wind Did Not Blow Her Away, She Adjusted Her Sails."
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