Strange Chest Pain

[johninlv]

Obviously I understand that online diagnosis is not realistic, but I wanted to describe what I am feeling and get some opinions.

I am a 29 year old male. 6'0", 215lbs. My diet is not all that great, but I do eat some veggies and take vitamins. I checked my blood pressure and it is normal.

I am also a little asthmatic, and I have recurring battles with stomach acid.

However, this new discomfort is unusual to me.

This has been happening just the last two days. When I run up the stairs at my work, I can feel a discomfort in my chest. The best way to describe it would be that there is a dull pain in the center of my chest, and in my throat it is cold and feels like something small is in my throat, a lump in my throat. I can breathe normally, there is no loss of air or lung capacity, just a lump in the throat.
The pain in the chest is dull, and it is noticable that my heart is beating.

All of this lasts only about 10 or 15 seconds, and then the pain and discomfort goes away completely. (until I run up the stairs again, or get my pulse going).

On the first day, I exercised on my Eliptical Machine. The first 45 seconds of the exercise, I could feel the dull ache, but for the rest of the 4 minutes that I was on the machine I really didnt feel anything.

I would hope that nothing is wrong with my heart. Any ideas what this is?

[ireneo]

I've also heard people describe multiple PVC's (premature ventricular beats) as giving them some chest discomfort and that lump in the throat feeling. Many folks will notice their palpitations at the beginning of their exercise routine only to have it disappear if they keep going. In fact, that's how some folks ease their PVC runs. They feel better when they exercise.

You should mention this to your doctor. If you're having this daily or you know how to trigger it, then you may be able to wear a simple Holter monitor that will record all your heart beats for 24-48 hours. Then your doctor can see if anything is going on there.

[ed34]

You are describing the exact symptoms of the onset of angina. However, this can be
often misdiagnosed as a stomach disorder. I was prescribed anti acid drugs for a year
before I finally had 5 heart attacks over three days which I assumed were stomach cramps. It COULD be the stomach but this is the stage where you need to make sure.
You should have tests because if it is your heart and things get worse, you could end
up with heart tissue damage. If you act now, it is likely you can prevent damage.
The throat discomfort is a common symptom with angina. You can usually test this.
I don't know what your weather is like but when breathing cold air it usually worsens.
I had a friend breathe cold air by putting his face into the freezer and his throat discomfort
immediately worsened. It turned out he needed a stent and is fine now.