Chest pains but normal test results?

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Lynobe
New Member


Date Joined Feb 2014
Total Posts : 16
   Posted 4/1/2014 6:47 PM (GMT -7)   
First of all I would like to let you all know that I am a 30 year old Female. Well I have never had issues with my heart in my life. I have had some chest pains before but usually they were from asthma attacks, or anxiety attacks, or pneumonia. However heart issues run very highly in my family. Not sure if this matters but I had a molar removed (not wisdom tooth) at the beginning of this month and have been running a low grade fever (between 99.0-100.5) since. The tooth area no longer hurts or swells and there are no signs of infection during the whole time. However, I believe I did have Dry socket. I doubt this matters but I know the mouth can cause tons of other issues in the body. So i thought I would offer the info. Also there is only other time I have had severe weakness in my body like this. The last time i was this weak for a long time ago. My kidneys had shut down and I was on the transplant list. after 2 years they started to work again and I have been fine. But when that happened I had horrible pain in my kidneys prior to the weakness.

On Sunday March 30, 2014 at a few minutes after 8am I woke to severe pain in my upper stomach under my ribs that quickly moved to my chest and through my back. It was very hard to breath like someone was sitting on my chest. My right arm was extremely weak and tingling to the point of hurting. I could feel my pulse heavily pounding in my artery in my neck and it was racing quite fast (confirmed by my husband). I was very dizzy and lightheaded which I assume was from lack of oxygen.

These symptoms lasted for about 15 minutes or so and then calmed down and even though It still felt like a labor to breath it wasn't as bad and the pain was minimal. I really thought it was over. So I relaxed in my recliner and told my husband what was going on. Unfortunately I only had a 10 minute break before the next wave of excruciating pain started again but worse this time. This wave lasted another 15-20 minutes and relaxed again. Knowing now that hope for it to be over was probably not wise I looked up symptoms of a heart attack in women. Seeing that I had pretty much every symptom I told my husband that if the pain started back up I wanted to go to the Emergency room. Well once again the pain started back up fiercely and he took me to the ER. I arrived at the ER at about 10am.

The moment I waddled into the ER barely to walk they rushed me to a room to triage me. I never saw what my pulse or O2 levels were but my blood pressure was 106/79 As they were getting a few details about my medication and family history they called the doctor who said to start a full cardiac work up immediately. They gave me some kind of chewable orange flavored pills and then had me place a different dissolvable pill under my tongue. I asked what they game me and they said Nitro pills. They put me on oxygen through a nasal cannula so i guess my oxygen might have been low. They started an IV port on one arm as another nurse drew blood from the other arm. I am quite scared of needles and stressed myself out further during this process and lost all strength in my body and most of the feeling. I couldn't even hold my arm on the side bar of the bed without it falling to my side. After a few burst veins and plenty of my blood spilled on the floor, they were able to get the IV port started and the blood drawn.

From this point I was too weak to move and barely able to open my eyes. They did an EKG which came back perfectly normal. They did 2 chest x-rays one from the front and one from the side. During the x-rays I was told to hold my breath while the x-ray was taken. This only took about 5-10 seconds yet felt like I was suffocating and passed out each time. The x-rays came back normal as well. I spoke with the doctor when all tests had come back and he said that even though they came back normal he didn't want to rule out heart attack and was going to keep me over night for observation. And he said I looked very tired. I let him know that I was sleeping when the pain woke me up so I was tired but much more than I was when I first woke up. So he told me he was going to give me sedatives to help me sleep.

After I was in my room they hooked me up to a small machine that was carried in my gown's pocket and was hooked to pads all over my torso. They said it would monitor my heart activity over the rest of the day and night and report to the nurses' station. I became very nauseous and threw up a small bit and they gave me Medication through my IV to stop the nausea. And they gave me Ativan (supposedly to help me rest) which the doctor had prescribed for every 12 hours while I was there. They let me rest with often visits to take my vitals. My blood pressure had to be taken twice most of the time because the numbers were far too low for them to consider accurate so they made me sit up and take several deep breaths and take it again. The lowest it went was 88/49 the highest it ever reached was 103/49. My blood pressure often does run low but usually not this low. My normal blood pressure is around 110-115/45-55. In the middle of the night they redid the EKG and blood work. I didn't have any chest pains again but the labored breathing persisted.

Around noon the next day the doctor came in to speak to me. He let me know that all of the tests came back normal but he was not counting heart attack or heart issues out of possibilities of what was going on. He told me that even though the test came back normal right now doesn't mean anything because it could take anywhere from hours to days for the tests to really show anything. He didn't prescribe me anything for home but said that he wanted to do a follow up visit in 1 week to repeat testing. He told me that if the symptoms returned to come to the clinic if it is open or the ER after hours.

I went home and rested for several hours before I got up to get online to talk to some friends and play a game. I didn't realize I was still pretty drugged up and made a very embarrassing mistake and stressed myself out about it and the chest pains returned for about 30 minutes but no where near as bad as they were before. It went away slowly and hasn't returned. However I still have the feeling like I am working harder to breath than normal and I am still very lightheaded and slightly dizzy. Today was the first day I tried to go to the grocery store and after walking around, even slowly, I almost passed out several times.

So I guess what I am wondering is, has anyone else had this kind of things happen? and what was your outcome? Also does anyone know what else may be causing these symptoms?

JungRulz
Regular Member


Date Joined Jan 2014
Total Posts : 394
   Posted 4/2/2014 8:48 AM (GMT -7)   
Since you haven't been fully diagnosed, I would be especially cautious about accepting advise on any forum.

When you went to the E.R, they probably gave you chewable aspirin and you received Nitro, did the pain change with the Nitro? Did you mention to the doctor about the dental work? Did they realize you had a low grade fever, or wasn't that the case at the time?

Do you have heartburn, reflux, GERD, or other digestive problems? I looked at your posting history, I believe you said you have Fibromyalgia, is that correct?

Did the Ativan help relieve your symptoms at all?

I'd continue to consult with the Doctor, perhaps a stress test can be arranged. Keep us filled in on your progress.

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 4/2/2014 2:36 PM (GMT -7)   
Lyn,
 
You have a very interesting history.  Can you share a bit more about, "My kidneys had shut down and I was on the transplant list. after 2 years they started to work again and I have been fine. But when that happened I had horrible pain in my kidneys prior to the weakness." ? Were you on dialysis?
 
As JR mentioned,  look to the Drs. to decide what is going on with you and until you see your Dr. you may want to keep a diary of how you are feeling.  Also return to the clinic or ER if you experience any more episodes you suspect may be cardiac related.
 
You mentioned you waddled into the ER - just checking - are you pregnant?  Pregnant women refer to themselves as waddling.............. :-)
 
Any gallbladder disease in your past? What was your discharge dx on the paper work you received on discharge from your inpatient stay?
 
Do let us hear from you after you see your Dr.
 
Kindly,
Kitt
~~Kitt~~
Moderator: Anxiety/Panic
and Heart/Cardiovascular Disease.



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

Lynobe
New Member


Date Joined Feb 2014
Total Posts : 16
   Posted 4/2/2014 5:28 PM (GMT -7)   
JunhRulez- The pain slowly faded after the nitro and then stopped. I was so out of it I did not mention the dental work until later that night when I was already admitted and they just blew it off. And I did mention the low grade fever which was 100.2 when they took my temperature. They didn't really say anything about it. I just assumed it wasn't important to them but I don't know if they chose to do other test because of it either.
I do have digestive history of ulcers and acid reflux which are being treated with Nexium 40mg. I also have issues with bile from my intestines backing up into my stomach since my gall bladder was removed. I forget what they call it.
Also they have diagnosed me with fibromyalgia because of neck, shoulder, and back pain.
They gave me the avitan a couple hours after the pain had stopped so I didn't see a difference other than being very tired from it. I am sure that some might assume this may have been a panic/anxiety attack but I have had those before and some very severe but this pain was completely different and I was asleep when it started so fully relaxed.

stkitt- the kidney issues were when I was 15-17 years old. I still don't really get what happened nor do the doctors. After tons of tests they told me and my mom that my kidneys were not functioning at all. However somehow my body was regulating itself without my kidneys? They told me and my mom that I didn't need dialysis at the moment but they wanted to check me often to keep up with it. They told us that a transplant was needed because eventually my body would stop regulating itself and Dialysis would be necessary. So they went on from there with my mom signing paperwork and discussing the process. I was on the list for 2 years and continued tests every 2 weeks unless I felt worse. Eventually they said tests were abundantly better and my kidneys seemed to be functioning properly again. They continued to test me for a few months and then agreed everything was fine now. They said they have never seen anything like it. But then again that isn;t the only thing that fixed itself in my body so I am just a freak of nature.
You also asked if I was pregnant cuz of the waddled into the er. I am not pregnant and I probably should have used shuffled not waddled. lol oh well.
And you asked about gall bladder disease in the past. I actually had my gall bladder removed Sept. 11, 2012 for also not working. And the gall attacks were extremely painful but a totally different pain than this.
As for the discharge papers. I was pretty out of it when I got out of the hospital and I remember folding the up and putting them in my cup holder in my car when I got in and my husband drove me home, but I don't remember what happened to them after that. I asked my husband and he told me I took them in the house but he doesn't know where I put them.


Follow up-I thought I was feeling ok enough to go grocery shopping yesterday, but I was wrong. I walked at a slow pace so that I didn't overdo it. My husband was with me the whole time and drove because I am not quite able to yet. While we were there (maybe 20 minutes) I almost passed out about 7 times. When we came home I rested for a little bit and then attempted to cut up fruit for a fruit salad but had to sit down multiple times during because I was too lightheaded and dizzy. My feet and hands are still swelling a bit (enough to feel and slightly see but not enough to be worrisome).
The nurse from the hospital called this morning to check on me and see how I am progressing and I told her how I still feel like I am working harder than normal to breath and I am still dizzy and lightheaded all the time and weak all over. She told me that isn't normal and that I need to go back to see the dr as soon as possible. I was asleep when she called. So I was too tired to get up and go to the dr and I slept for a long time. I made myself get up finally but it was too later to even call the dr office. I will attempt to call tomorrow but I am so out of it today that this post has already taken me 45 minutes to write because everything is typos and grammar errors. I'll keep you guys posted.

Lynobe
New Member


Date Joined Feb 2014
Total Posts : 16
   Posted 4/9/2014 12:16 PM (GMT -7)   
I am still having swelling in my feet, ankles, and hands. I am also having numbness and tingling in the extremities as well along with pain walking in my feet. When I stand for more than 10 minutes or so I still practically pass out.

I just went for my follow up visit the the dr. He said my pulse was high 115 and my blood pressure was 129/62 which he said is extremely high for me. And I saw my O2 level was 94%. He is putting me on HTCZ 25 mg 1 per day for 1 week then as needed for swelling after that. And he is going to have me fit for a heart monitor (I forget what he called it) that will monitor my heart for 24 hours to see if anything weird is going on in my normal day to day life since the hospital I was resting the whole time.

I went to the pharmacy right after and stood for a good 15 minutes holding onto a counter and my feet actually turned purple and went completely numb. When i started walking I still couldn't feel then. when I finally sat in my recliner with them elevated they now hurt really bad with pins and needles. We will see how the meds help and what the monitor shows.

I'll keep you guys posted.

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 4/9/2014 12:25 PM (GMT -7)   
Hello Lynobe!

…wondering if you have a Treadmill and or Heart-Cath done yet? I too had been having hard chest pains, which led to a treadmill test, and then on to a Heart -Cath, which turned into three stints being added.

…What a difference that has made in my life and energy level! Wahoo! yeah yeah turn

Take care!

SE
Moderator Chronic Pain Forum

Weekly Quote!

Most of us, swimming against the tides of trouble the world knows nothing about, need only a bit of praise or encouragement - and we will make the goal. ~Jerome Fleishman

Lynobe
New Member


Date Joined Feb 2014
Total Posts : 16
   Posted 4/9/2014 12:28 PM (GMT -7)   
I have no not had either of those done. But the treadmill one wouldn't work right now since I can barely walk I would assume. If these don't work who knows what they will try next. the heart cath I really hope you were asleep for that. just sounds too scary to me.

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 4/9/2014 12:34 PM (GMT -7)   
…yes, I was asleep, and would not have it any other way. shocked I think some can get by with a local, but not me. I told the Nurse injecting me with "Versed" to not stop pushing it in, untill I saw "Angel Wings" smilewinkgrin tongue

I encourage you to keep searching for the cause of your symptoms, as the Heart is the core of Life to a person. We want it as health as can be!

Good Luck!

SE
Moderator Chronic Pain Forum

Weekly Quote!

Most of us, swimming against the tides of trouble the world knows nothing about, need only a bit of praise or encouragement - and we will make the goal. ~Jerome Fleishman

Lynobe
New Member


Date Joined Feb 2014
Total Posts : 16
   Posted 4/9/2014 12:57 PM (GMT -7)   
Thank you. I absolutely agree that I want it healthy. And until I feel better I am not giving up. And it is a very big relief to know you were asleep. I am a major pansy when it comes to needles and stuff. I will keep you posted.

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 4/9/2014 9:26 PM (GMT -7)   
….just another thought for you! There is a test where they inject the patient with something that simulates stress on the heart as if you were on the treadmill if I remember correctly. I had this done after I had my heart attack back in 2002.

I will tell everyone up front that I'm not the most knowledgeable on heart stuff, so you will have to help me out if you all know what I'm trying to say here. rolleyes

Anyways, it may be an option for you since you cannot physically handle the treadmill at the moment.

I go in tomorrow to visit with my surgeon to see what happened, and made them decide to fill me with stints. I hope the news is not too bad, ...but I'm one to push myself to the brink, and have it coming to me I suppose. I have been a workaholic all my life….many times 16hr days, especially back when I worked two jobs. Smoking, and filling my belly with mash potatoes and gravy! …and they want me to give that up?? smilewinkgrin Yummy! tongue

Have a great evening, and hope to visit with you again soon.

SE wink
Moderator Chronic Pain Forum

Weekly Quote!

Most of us, swimming against the tides of trouble the world knows nothing about, need only a bit of praise or encouragement - and we will make the goal. ~Jerome Fleishman

Post Edited (Screaming Eagle) : 4/10/2014 6:20:21 AM (GMT-6)


Melzmoda
Regular Member


Date Joined Jan 2014
Total Posts : 65
   Posted 4/10/2014 6:00 PM (GMT -7)   
So I'm not trying to scare you at all BUT they should have done an echo on your heart while you were there. You have symptoms of a lot of things and most of those require intervention right away! I'm very surprised they sent you home. The swelling in your hands and feet suggests that your heart is not working properly it sounds to me like heart failure for some reason. I hope you put your foot down and make them get to the bottom of this!

Melzmoda
Regular Member


Date Joined Jan 2014
Total Posts : 65
   Posted 4/11/2014 7:54 PM (GMT -7)   
Have you found anything out yet??

Lynobe
New Member


Date Joined Feb 2014
Total Posts : 16
   Posted 4/12/2014 10:33 PM (GMT -7)   
Mel- I have not found anything out yet. They were supposed to fit me for a heart monitor this week but I never got a call to schedule it. So I will call on monday to find out what is going on.

Update- the symptoms continue as before. Today I woke up feeling a lot better with minimal pain in my feet and practically no swelling at all. I was able to walk but felt like my legs were jelly. I guess that is from lack of use lately. I went out and picked up dinner for my family and then was very out of breath and just extremely tired. So I guess I over did it. I can't seem to get myself to wake up now. I took a 3 hour nap thinking that would help and it did not. So back to just sitting here again.

Lynobe
New Member


Date Joined Feb 2014
Total Posts : 16
   Posted 4/14/2014 4:42 PM (GMT -7)   
Update- I called my dr's office today and spoke with his nurse to find out when they plan to fit me for the heart monitor. She told me that since they don't do it in the office they have to schedule with another facility and she is not sure when it will be and that it may take awhile. Then she let me know she will call me when she gets it scheduled. Guess I just have to wait.

Lynobe
New Member


Date Joined Feb 2014
Total Posts : 16
   Posted 4/28/2014 4:36 PM (GMT -7)   
Update: The dr's finally got me set up for a Holter Monitor. I got hooked up today and I am trying to be active so the monitor can show what my heart does when I do little stuff like walk out of the hospital, walk to the kitchen, stand at all. I have a log to write symptoms in and I am.
My symptoms have persisted this whole time. and the swelling in my feet has gotten worse and spread to my legs up to my knees. The swelling gets so bad that I have tons of red dots from broken blood vessels all over my ankles and feet. My hands still swell but less than before. The pain in my legs and feet are worse to the point that it hurts to take showers and wash below my knees. I also still have to continually keep sitting down in showers so I don't fall. I have told the dr all of this and he just says we need to wait for the holter test results.
I am still getting random bouts of nausea, chest pains, Random tightness in my chest, breathing troubles, numbness and tingling in my extremities, severe cough (white flem), muscle aches, Low grade fever (constant 99.5-100.5), Severe fatigue, Muscle weakness. But I have also gained random heart pounding, pulsing in my body, decreased movement and strength in my lower body, and I cannot keep my ankles and feet warm, and my skin has become more dry than ever over my entire body and somewhat scaly looking on my legs and feet.
I am still avoiding all stress, excitement, scary events, and over exertion if possible. I am still taking my HCTZ 25mg as prescribed, though the dr said I should only need to take it for 1 week straight and then only as needed up to once a day for swelling. the swelling hasn't stopped, so it is still daily.
My depression about the situation has grown worse, to the point that I have arranged plans for my children, cats, and hubby in the event that I don't last much longer. I have made my wishes known to my hubby and dad for any event. My hubby and dad think I should also make a will just in case but I just haven't yet. I also want to pay for my cremation plans but I don't have the money at this time so I haven't yet. Though I have made plans I am not giving up because I just can't for too many people. I am not suicidal or a harm to myself in anyway. My depression about other things is almost non existent oddly.
Well i guess that is everything. I go in tomorrow to have the monitor removed and the cardiologist will read the results wednesday and send them to my dr. I will keep you all posted. Sorry it has been such a delay in posting.

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 4/29/2014 9:36 AM (GMT -7)   
Lyn,
 
I am sorry to read that you are feeling so down; hopefully your Holter monitor will identify something that may be the root of your cause for the chest pain and swelling.
 
I am going to toss out a few questions - are you on a low sodium diet? Do you drink plenty of liquids?
 
Noncardiac chest pain is defined as recurrent chest pain that is indistinguishable from ischemic heart pain after a reasonable workup has excluded a cardiac cause.However, despite its chronic nature, noncardiac chest pain has no impact on patients' mortality. The main underlying mechanisms include gastroesophageal reflux, esophageal dysmotility and esophageal hypersensitivity. Gastroesophageal reflux disease is likely the most common cause of noncardiac chest pain. Esophageal dysmotility affects only the minority of noncardiac chest pain patients. Esophageal hypersensitivity may be present in non-GERD-related noncardiac chest pain patients regardless if esophageal dysmotility is present or absent. Psychological co-morbidities such as panic disorder, anxiety, and depression are also common in noncardiac chest pain patients. Reference: Ronnie Fass, MD. Professor of Medicine, University of Arizona
 
Have you been seen by a GI specialist?  If you have not considered doing so, you may want to make an appointment at one of the top hospitals in the country to receive a complete medical screening.
 
What coping skills are you using to help with your anxiety and depression?
 
Remember in no way does HW take the place of your physician - what is posted here is simply peer support.
 
Kindly,
Kitt
 
 
~~Kitt~~
Moderator: Anxiety/Panic
and Heart/Cardiovascular Disease.



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

Lynobe
New Member


Date Joined Feb 2014
Total Posts : 16
   Posted 4/29/2014 12:46 PM (GMT -7)   
stkitt- I have not adjusted my diet because I have always stayed away from sodium for the most part.

And I have been drinking far more liquids than I normally would because I can't seem to stop the thirst. I am not dehydrated though because the skin pinch test is immediate.

As for the GI specialist, I had an endoscopy and colonoscopy in august on 2012 (right before I had my gall bladder removed). The dr's have told me that everything was perfectly healthy (other than my gall bladder) and I have pics to prove it. lol. However they did say I create too much acid and they put me on Nexium 40mg. Later another dr said that I have Epstein Barrs, not sure if that matters. But they said they didn't need to do another scope because the last one was so recent. I am still on the Nexium 40mg.

For anxiety and depression, I am on Prozac 40mg, Seroquel 100-200mg, and xanax 0.5 twice a day. However the only thing I have a poor outlook on is my current health issues, not life itself. I have not pulled away from any relationships, actually I have gotten closer. I do not sleep more often, actually I sleep less bringing me to an average adult sleeping amount. I still continue with all the things in my life that I enjoy, nothing has changed. My psychiatrist knows all that is going on and how I feel, and he says I am not depressed at this time I just lack hope of recovering. He tells me as my health gets better so will my outlook on the health issues. This is coming from the same psychiatrist that gets concerned over every little thing that happens to my mental state.

Lynobe
New Member


Date Joined Feb 2014
Total Posts : 16
   Posted 11/6/2014 5:41 PM (GMT -7)   
Well guys I know it has been several months since I have posted. My life is practically back to normal before these issues. But I went to a new dr yesterday for other reasons and after he had listened to my heart I asked how it sounded to him. He told me I had a Systolic Heart Murmur and was just about to ask me about it. My heart rate was also 101 and I am still running a low fever (99.9f). My blood pressure was 123/71 which is very high still for me. I told him about what happened earlier this year and he was very worried and said he wanted to do some tests on my heart.
I let him know they did a holter monitor and he was disappointed that is all they did because he explained the holter monitor rarely finds anything since it is only for a 24 hour period and the heart may not do anything out of the normal during that period. I also let him know everything they did in the hospital and after. He ordered an EKG, ECG, Blood work, and some circulation test that they take your blood pressure on both arms and legs (?).
I go back Tuesday for allergy testing, to address my head and neck pain. Hopefully they will also give me my results from the tests then. But I will be waiting to see what they say. It isn't much but at least this dr is taking it seriously and it determined to find out what is going on with my heart.
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