I 'm 25 and need answers

[sam1919]

Hi
I’m 25 year old and weight 169 and I’m 5 10. My blood type is A and I consume a lot of red meat. I’m slightly active; I play soccer once a week and go for walking 3 days a week. I would like to give you a brief history of my medical issues within the past 6 years and get some advice. Back when I was 19, I got a very bad flu that I never experienced in my life before. I was sick for two weeks and even after I got better, I felt my hands and legs were numb and I felt general weakness. Since then, I started experiencing pressure and pain on the left side of my chest. This was something new to me. A few months later, I went for a doctor check up and I was told that my blood pressure was in pre hypertension range. Since then, every time that I went to doctor, my BP was in pre hypertension and my doctor recommended me to be physically active.
  
Within the last 6 years, I was just not feeling right. I was confused (cloudy mind), experiencing lightheadedness, and dizziness, I felt pain on the left side of my chest radiating to my left shoulder and left hand all the time. Starting in 2009, I have been seeing my doctor regularly and he has tried different BP medication on me.  Currently, I’m on two medications, one is Amlodipine Besylate 7.5 MG (Norvasc) and the other medication is Paroxetine HCL 20 MG. I take them daily. Every time I saw my doctor my BP was still high (150s / 90s) and he was surprised and suggested I try the 24 hour BP monitor. I did that and the result was interesting, 98% of time, my BP was under 140/90 and only 4 readings were high. The overall average was 122/74 and during the awake time, it was 125/77 and during the sleep time, it was 109/60. So he recommended me to continue taking my medications.

I have also done two EKGs, Chest X-ray, different Blood tests, and chest MRI and the results for all are normal. The only thing that was slightly elevated was my cholesterol and doctor recommended me to exercise and do diet change. I was also referred to a cardiologist and after doing an EKG, I was told that my heart is perfectly fine and there is nothing wrong with it.
So I’m still taking my two medications but however, I still have the pain on my left chest and left shoulder and hand. One thing I have realized recently is that I’ve been running more and I’ve been feeling a little better. It seems that my pain reduced during my running and a few hours after I run.

Could you tell me what is the cause of this pain?  Can blood pressure cause this pain?  Do I have to go for more Heart-related tests?   What else do I need to do in order to get ride of the pain? Is it something else that causes this pain? I would appreciate your help and please let me know if you need further info.

[monique336125]

My blood type is o positive. Iam 29 years old with a heart disease. My mother has died with cardvasular diseases as well may be it in my genes.

[monique336125]

You could have mitral valve reguritation or tricuspid reguritation I have both of those with Acute Coronary Syndrome. My ejection fraction is 60 now. I see my cardiologist every three months. Chest pains come with these conditions that is listed above. You may show symtoms of either. You may want to see another cardiologist for a second opinion because it may be something that the cardiologist is overlooking or not telling you.

[kenkeith]

You're welcome, take care

[sam1919]

Thank you so much Kenkeith for your message. I will see my doctor again at the end of this month to see if we can do other tests to evaluate the cause behind chest pain.

Thanks for your time, I really appreciate it.

[kenkeith]

The chest pain appears to be unrelated to the heart, and high blood pressure would not be the cause of chest pain at least not directly.  A respiratory system disorder or clots would cause the pain you experience, but exercise should exacerbate. There could be a variant angina (spasms of the coronary vessels).  

Digestive causes:

■Heartburn. Stomach acid that washes up from your stomach into the tube (esophagus) that runs from your throat to your stomach can cause heartburn — a painful, burning sensation behind your breastbone (sternum).
■Esophageal spasm. Disorders of the esophagus, the tube that runs from your throat to your stomach, can make swallowing difficult and even painful. One type is esophageal spasm, a condition that affects a small group of people with chest pain. When people with this condition swallow, the muscles that normally move food down the esophagus are uncoordinated. This results in painful muscle spasms.
■Hiatal hernia. In this condition, part of the stomach slides up above the diaphragm into the chest. This can cause chest pressure or pain, particularly after eating, as well as heartburn
■Gallbladder or pancreas problems. Gallstones or inflammation of your gallbladder (cholecystitis) or pancreas can cause acute abdominal pain that radiates to your chest.