possible chest wall pain

[fatigue714]

I am 31 years old, i have been having chest pain and severe lightheaded episodes with severe fatigue that last anywhere from 20 minutes to 5 hours.     When I have these episodes it feels like the life is draining out of me,  it feels like I'm having a continuious head rush or a low surge of electricity thru my head.     I am incapacitated and the slightest disturbance makes it worse.       I have also noticed that my chest pain, which feels like a squeezing or throbbing in the center of my chest and below the left shoulder,   it now feels like i have deep chest wall pain in the when I move my arms in certain directions such as hold them directly in front of me   I can literally feel tenderness in my chest wall without touching it,    but when you press on my chest wall it isn't really tender.     I am confused to the source of my symptoms,    why if it's just chest wall pain  then why the other symptoms that started the same time?  Please help>  I had a normal chest xray and echo

[vangellis]

Well seeing as you have had an x-ray and echo, that sort of rules out the heart.
However if you are still feeling anxious over this I would suggest a return to see your doctor, if only to put your mind at rest.
wish you well
vangellis

[Cleveland Clinic]

I am not really sure how to put both of these findings together. As for the lightheadedness maybe a tilt table test could be useful, but more likely this is neurological in nature such as an atypical form of a migraine. The chest pain/pressure characteristic is very atypical for heart pain, since it is superficial, positional and non exertional. It may be secondary to lung disease, such as bronchitis or pleurisy, but it is unlikely to represent significant valvular disease or obstructive coronary atherosclerosis.