I have been struggling with a chronic pain condition for almost 2 yrs. My most persistent symptoms are pain(aches, cramps, tightening & sharp pains) in chest , breast, arm, tongue & jaw area. My newest symptom is a definate spasm in the middle left chest area. I don't feel physically capable of doing alot anymore. I don't have tender or trigger points.My right nipple seems sore & may trigger pain,but thats it. I take ativan, protonix, vitamin e, b12, folic acid, multi vitamin, occasionally tamazapan and I have darvocet n100, but the one time I took it i think it made my blood pressure go up. Tests: 2 yrs ago I had an upper GI & ultrasound of abdomen. Showed a scared kidney. Blood work showed vitamin b12 low normal. 1 1/2 yrs ago I had a stress test with scans and was told it was fine. Last june I had an ultrasound of my heart and wore a 24 hour holter monitor. Was told I had benign pvc's & pacs. In december I had a cat scan of chest repeated ofter taking prednisone because it showed swollen lymph nodes(they're considering sarcoidosis, but after prednisone didn't affect lymph nodes or decrease pain its kind of been dropped) I took prednisone for 1 month and had a bad all over burning spell where my blood pressure was up that was blamed on the prednisone. Last spring I also has a lymph node under my ear removed because it wouldn't go away and it turned ou to be a granuloma. February 18th I had a left heart cath done and was told my heart was clean. I am a 37 year old female with a family history of heart disease in fairly young members (father passed away at 54) and Lupus which my blood checked negative for. Although its been 2 yrs my doctor doesn't see any need to re do blood work. I apologize for the length of this and greatly appreciate your service. I wanted to ask if in general I have had enough testing to rule out my heart especially with the spasm I've recently had on left middle chest? If not what conditions could be possible and are they serious? Its been a long road and you begin to doubt yourself, but the pain is real!!Do you have any suggestions on possible causes or treatments to alleviate some of this? Do you know of another avenue I might take to get a diagnosis or should I just try to accept and live like this? Any suggestions will be greatly appreciated. Oh yeah, cat scan also showed scattered calcifications in spleen etc. and I had an MRI of neck that showed some minor arthritic changes(bone spurs) which they didn't seem to think would cause all my symptoms. Thank you, briane.