Please help me 24 y Male with really bad chest pains and stomach cramps

[garyco]

hi, when i was 18 i started to get imense stomach cramps and pains that could not be explained, they tested everything, i had 2 endoscapys, 2 colonoscapys, cat scans, Barium meals,etc they removed 2 polips (non cancer) and diagnosed that at one point i had hepititas (from contaminated water i cant remeber letter) but that has now gone, and irritable bowl syndrome. I get really bad acid reflux and take ranatadin 2x150mg each day/when i need to.  Ive learnt to live with this until recently when i have started to have really bad chest pains, these are wierd pains and appear in a couple of key areas. The first is in the center of my chest, up about two inches, just on the center side of  my right nipple so pretty much straight in the middle slightly right.
It keeps coming and going  but it feels deep, sharp, throbby and stabbing  its isolated pain in key areas when it comes it feels really almost inbetween the rip cage under the bone.

Applying pressure helps to slightly releave the pain.
Tonight the pain is really bad coming intermitantly every 5 minute or so the pain almost feels hot.

The other place i get the pain is the top left chest area diagnaly below my shoulder and above my left breast.

I saw the doctor about 14 months ago about this he believed it was muscular but sent me for a PE test (pulmonary embolism) and ecg both were clear.

I do smoke cannabis regularly, this is something im trying to give up but i work for my self and have a lot of time on my hands find i smoke quite a bit.

These pains are really wierd very sharp almost burny, ive lived with acid for a long time and do not belive this is what it is, i am mostly concerned because of how suddenly and servearly the
pain comes on.

Thanks for your help
Kind regards

[Kevin Pho, MD]

You have had a pretty thorough evaluation, including multiple endoscopies - both upper and lower.  The next test I would consider would be a 24-hr pH study.  This would be the definitive test for GERD, and if there continues to be acid reflux despite medication, surgical options can then be considered.  

If you haven't tried taking a proton-pump inhibitor (PPIs), then you may want to consider these class of medications with your personal physician.

Other considerations would be a gastric emptying scan (looking for gastroparesis), as well as an abdominal ultrasound (looking at the gallbladder), each which could cause your symptoms.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
Medical Weblog:
kevinmd_b

[garyco]

hi thanks for this will this be the cause of the chest pains?
thanks
gary

[garyco]

my god this is very on the ball could it be?
Biliary Colic - For patients who do have symptoms, gallbladder symptoms can be variable. Classic gallbladder attacks consist of right upper quadrant abdominal pain which is pain just under the rib cage on the right side.) The pain often radiates around the abdomen to the back and is associated with nausea and sometimes vomiting. The pain is severe and lasts from 30 minutes to several hours. Often this is followed by less intense soreness in the area that lasts for a day or so. Attacks are often instigated by a fatty meal. Gallbladder disease can also cause chronic nausea.