I just got my stress test results and they were normal on Bruce protocol 15 min 180 beats per min 180/66 on treadmill at 15 min, so my doctor does not want to do any further heart tests. Unfortunately I have still been having chest and mild back pain and some intermittent tight breathing sensations usually when I feel pain, although they are a bit improved from last week, especially when I lie down with a heating pad and work on breathing through my stomach.
My family doctor feels that the chest pain and mild back pain and breathless sensations are not from a serious cause given the fore-mentioned tests. He strongly feels that my depression, anxiety compounded by Hypochondria, along with acid reflux a rough gastroscope 3 weeks ago when i severely gagged and coughed perhaps caused some inflammation along with possible ouespohegal spasms and the chest muscle tightness from 5 weeks of extreme non stop anxiety and hypochondria are causing my chest/back pain
I started massage therapy today twice a week for a month to try and help with the moderate back pain i have had.
The diagnostic tests I have had to date in the past 5 weeks are:
1) Full Abdominal & Chest CT scan with contrast: unremarkable except for under 3mm benign nodule in right lung (Granuloma)
2) Chest x ray: negative/unremarkable
3) 4 ecg's over 3 weeks when I was having pain with the heart panel blood work were all normal/okay
4) Stress test (Bruce Protocol): Normal
5) Stomach Gastroscope normal except for a small hiatial hernia and the reflux I have had for 8+ years. The Biopsy was negative for Pylori.
6) Abdominal Ultrasound: Unremarkable
7) Numerous blood work including the following normal blood tests... calcium, PTH, glucose 2 hour plasma test (to rule out diabeits) , all Lytes urea creatinine, albumin, lipase, Amylase, magnesium, ferritin, tsh, ck, esr, ld, b12, cholesterol was ok (except for a slightly low HDL) ldl normal.
8) The only abnormal blood results as usual were slightly elevated alt ast and alk phos from a benign fatty liver, which were confirmed by a liver biopsy 5 years ago. Since I have lost weight from 220 to 190 last year those liver markers have actually steadily decreased
I do feel positive about these results, but the chest pain sharp to dull still worries me a bit. I don't think given the detailed tests that I have anymore tests to do and the fact my family doctor says anything serious has been ruled out and he won't order any other tests anyway. He is trying to get me set up in the next month with my old psychiatrist who after a year away is moving back to my area hospital in early June.
Lastly my family Dr.mentioned that overall, other than being a male 40 and the stress anxiety depression issues, which I have, that my overall risk for heart disease is relatively low given the tests to date and no family member has heart disease and I don't smoke or drink, no diabetis, good weight, relatively low carb diet, cholesterol ok (except hdl slightly low) and exercise when I resume it will help increase the hdl etc..
Until the chest pain goes away though I am kind of scared to continually exercise?
If any member or doctor has any further suggestions I would be happy to hear from you and thanks so much for the responses on my other post, much appreciated.