chest pains what causes this??

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lilitiger2
Regular Member


Date Joined Mar 2010
Total Posts : 89
   Posted 6/24/2010 6:19 AM (GMT -7)   
Ok, after researching food issues, I had a whole day yesterday of intermittent chest pains (on left side). These do NOT appear after exercise (have worked out very hard for past month and never, ever get any chest pains) and instead seem to come completely out of the blue,last about 30 seconds, then completely go away, then come back in about 15 minutes. Did not have any during the afternoon but sure did last night. I did not go to ER as otherwise I felt fine, no sweating/nausea/left arm/jaw pain and I figured they'd just hook me up and tell me I was fine again.

I have read about the vagus nerve getting irritated or something. Exactly how does this happen? Is this a food thing? An exercise (I was out working on fences during the afternoon previous) thing? A medication thing? does it mean my GERD meds aren't working?? How do I avoid this?? I had chest xrays, blood work, and a stress test (no echo). I would have thought a MVP would show up on at least on of those but maybe not?

I did call my GI doc, explained the situation to his nurse but did not hear back.

Up until yesterday, I had been feeling much better, not perfect but a ton better. Now I am frustrated again.

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 6/24/2010 6:37 AM (GMT -7)   
Good Morning. I am sorry your having issues with chest pain. I could write a book on all the things that cause chest pain which would include anxiety and GERD induced chest pain.



If you do not hear back from your GI Doctor please do call them again as you are your own best advocate.



Kindly,



Kitt

mick9
New Member


Date Joined Apr 2010
Total Posts : 9
   Posted 6/24/2010 7:47 AM (GMT -7)   
i had chest pains too. i called them "tugs" and they were scary. i went to a cardio and he dismissed it as anxiety. ativan helps.

lilitiger2
Regular Member


Date Joined Mar 2010
Total Posts : 89
   Posted 6/24/2010 8:41 AM (GMT -7)   
thanks Kitt and Mick! I did indeed call again! The nurse apparently has not heard back from the doc so not much I can there except wait...grrrr.

It's just odd, never had them before with gerd which I have had for ten years. they come totally out of nowhere (driving, sitting at my desk) am not aware of being especially anxious (I am now though!) as I had been thinking that I was feeling a lot better. I'd just like to know how to avoid this stuff. And of course to be reassured.

It doesn't seem to fit anything else-am not breathless, clammy, nauseous, etc. Feel just fine after wards but they are sharp, unpleasant pains, yes, like tugs, or something, then they just go away...am supposed to be going on vacation but hard to feel joyous and relaxed thinking "am I having a heart attack??" I will be in the boonies so not near a medical center anyway...

anyway, thanks for the feedback!
Lila

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 4937
   Posted 6/24/2010 10:04 AM (GMT -7)   
Lila - Do your chest pains come within a couple hours of eating? Do you happen to notice tachycardia with the "pains?" I get this when I eat something to which I am sensitive/allergic/trigger.

Try keeping a notebook of what you eat and when the symptoms appear, and describe the symptoms. Check your heart rate. Note how long the symptoms last.

Yesterday I had chest pain and rapid heart rate after eating an English muffin with butter and strawberry jam. I know I have a sulfite sensitivity and assume the jam had bottled lemon juice and/or cheap beet sugar, both of which are sulfited. I had to chew up an aspirin and a Beta Blocker to get the heart to slow down, and it took over three hours. I would have gone to the ER, but a tree had taken down high tension lnes across our lane. I did 4-wheel my truck across a field to my son's house and called my doctor. By the time I got there I felt good enough to stay.
Alcie
 
 


lilitiger2
Regular Member


Date Joined Mar 2010
Total Posts : 89
   Posted 6/24/2010 4:19 PM (GMT -7)   
Thanks Alcie!
Well several came in the am about 3 hours after eating, although i was eating something (raisin bran ) I have eaten every day for at least 5 years. Then seveal during the afternoon, not related to eating, then some at night which were after eating. I had noticed a "bad" reaction right after eating a piece of bread the day before (I typically stay away from bread), just felt "wrong"...oddly my heart rate does not feel like it increases...just really hurts. Then goes.
and today, called two more times to doc, who just suggested i switch PPIs

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 6/24/2010 5:13 PM (GMT -7)   
Is it like a cramping feeling? Like the food just stopped moving and started to swell up?
Did your eyes feel like it your vision was fading around the edges like you were going to black out as the pain increased, then suddenly it stopped?
If so, it's your HH getting food stuck for a little bit.

Joy

lilitiger2
Regular Member


Date Joined Mar 2010
Total Posts : 89
   Posted 6/24/2010 8:31 PM (GMT -7)   
Thanks Joy!
Nope, it feels like a short (18-30 sec) stabbing sort of pain, that seems to start out of nowhere and then goes away. Does not increase or decrease in intensity. I had not thought of my HH(I thankfully have not been as aware of it as I had been as I had been feeling better).

No problems with vision, don't feel like I am going to pass out, just the pain.

Was not real impressed with my doc, who (after I called three times) had his nurse tell me that "heart was not his thing" and that I should just switch PPIs.

So, back up to urgent care tomorrow I think to talk it over with them, not real eager to be in the wild blue yonder on vacation worried about this.

Thanks again for all the help!
Lila

speden
Regular Member


Date Joined Oct 2009
Total Posts : 175
   Posted 6/25/2010 6:01 AM (GMT -7)   
Sounds to me like you might be having esophageal spasms, triggered by reflux. The times you get the pain seem to correspond to times when your esophagus is being exposed to acid (i.e. after meals and at night).

It doesn't sound much like a heart problem to me, so that seems less likely to be the source of the pain.

lilitiger2
Regular Member


Date Joined Mar 2010
Total Posts : 89
   Posted 6/25/2010 6:50 AM (GMT -7)   
THanks speden!!
so, is there any way to control or moderate or avoid these spasms?
Not that they're not fun.....:)
But I sure would like to find out if this means change ppis? (to kapidex), change food? change exercise? something???
anyway, thankyou so much!!

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 6/25/2010 6:57 AM (GMT -7)   
Lila,

Good Morning and I am sorry all this is happening when your ready to go off on vacation.

Chest pain from esophageal disorders is usually precipitated by eating of food, or by lying down after eating, and it may be relieved by antacids. Often it is accompanied by heartburn and difficulty swallowing (dysphagia). Unlike angina pectoris, which typically radiates across the upper and mid chest, esophageal pain tends to be located at the lower end of the sternum (breastbone) and radiates to the epigastrium. Certain kinds of food more characteristically produce esophageal pain. These include alcohol, spicy food, Mexican food, and coffee. Unlike angina, which tends to last less than 5-10 minutes, esophageal pain may last for hours and fluctuate in intensity.
Chronic gallbladder disease may produce recurring lower chest and upper abdominal chest pain.

I am glad you are going to the clinic today. I do hope they have some insight into what may be the cause of your chest pains.

Gentle Hugs,

Kitt

lilitiger2
Regular Member


Date Joined Mar 2010
Total Posts : 89
   Posted 6/25/2010 7:23 AM (GMT -7)   
Thanks Kitt
it really doesn't radiate at all
and is mostly on my left side (kind of behind my left boob)
I have had pain under my rib cage but this is not that kind of pain,
and I eat the blandest food, no alcohol, caffeine, etc

And it doesn't really last hours, the pain comes, then goes..then may come back but doesn't remain constant (or maybe thats what you meant?)

Just a sharp pain. And yes, will be at clinic today although yesterday was a bit better

A friend explained to me that it is really hard to tell where radiated pain comes from so could lbe anywhere, obviously the GB is one possibility mad

Anyway, thanks again!!
Lila

Mike C
Regular Member


Date Joined Mar 2010
Total Posts : 45
   Posted 6/25/2010 7:37 PM (GMT -7)   
I had those for about 5 months it would stop for about a week and then start up again out of nowhere... It felt like radiating pain that would start on my right side and vibrate to my back,sort of felt like something was stuck like a golf ball maneuvering itself through an undersized hose..If I drank water it would stop for a minute or two then come back.I would take a prevacid and an hour later it would start to subside.i went and did all the test from a barium swallow,abdominal ultrasound,ECG...blood work...All they found was a HH and acid reflux..basically what I have been suffering from for 20 years,nothing new.IMO,it's a mixture of of anxiety and HH along with the acid reflux. Think about it... you're about to go on vacation and that would add up to the anxiety.Try some .05 Clonazepam...I did and it really helped.Take only when needed.

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 6/26/2010 10:14 AM (GMT -7)   
lilitiger2
How did you make out at the clinic yesterday? I having been watching for a post from you. Hope you are OK !

Kindly,
Kitt

lilitiger2
Regular Member


Date Joined Mar 2010
Total Posts : 89
   Posted 6/26/2010 12:03 PM (GMT -7)   
Hi Kitt
thanks!
went to the clinic, another ekg (normal)
urgent care doc thinks e spasms

no idea what is triggering them
suggested doubling up on prevacid (up to 30mg/day)
and a heart med called Cardezem or something

supposedly lowers my blood pressure and relaxes the esophagus
I have low BP anyway so not sure about that

But I do have plenty of anxiety (leaving my animals...HUGE anxiety, can't begin to tell you! turn

A friend suggested a take a slug of mylanta when they come on...haven't done that yet

But, am very scared about foods now...no more "research" for the moment

and am trying to arrange how to get back from the hinterlands where I'm going if I get an "attack"

my husband is not happy with that but I know I will not behappy if I get these things on vacation

thanks again for all the help!

hope you're doing ok!!
tongue

Lila

mick9
New Member


Date Joined Apr 2010
Total Posts : 9
   Posted 6/28/2010 6:04 AM (GMT -7)   
lilitiger2 ~

have you ever considered calm abiding meditation and/or gentle restorative yoga? in my experience mind-calming exercises have helped tremendously with my now nearly-forgotten chest pains, or "tugs". it's all anxiety, believe me. maybe you're taking on too much? try lightening up. As Thoreau said: "simplify, simplify, simplify". again, half a 0.5 mg ativan at bedtime i found was very healing. this will pass, lilitiger2, have faith.

Mick9

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 6/28/2010 6:29 AM (GMT -7)   
Lila,

I understand your anxieties and especially about leaving your animals. I am very fortunate that my daughter owns a dog boarding kennels so I know we can take our sweet dog over there whenever we need to. Our dog really is owned by my daughter but she gave him up to me for my own mental health therapy dog. :)

Cardizem is called a calcium channel blocker. It works by relaxing blood vessels in the body and heart so blood can flow more easily. This effect lowers blood pressure. Cardizem may also lower your heart rate.

Side effects according the the web site for this medicaiton state : Dizziness, lightheadedness, weakness, nausea, flushing, and headache may occur.

I like that you are making a plan for what to do if you find yourself in a position where you need to "get home".

I am sending you good vibes and hope all goes well for you.

As for me, I am pretty darn good right now and I take everything one day at a time.

Gentle Hugs,

Kitt

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 4937
   Posted 6/28/2010 4:11 PM (GMT -7)   
My cardiac arteries go into spasm when I eat certain foods, including cereal. I wasn't always sensitive to these foods. It's an acquired allergy/intolerance. My allergist had me keep a food log, along with symptoms. Then I did "challenge testing."

There are several reseach papers on coronary vasospasm, also known as cardio-esophageal reflex. A recent paper showed that these vasospasms can trigger plaque rupture, causing a heart attack.

My allergy is to sulfites (preservative, dough conditioner, bleaching agent), but there are others, including MSG.
Alcie
 
 

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