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I'm a 34 year old woman (and a smoker, I know it's bad and I am trying to quit) and there's a history of heart disease in my family (my maternal grandmother had her first heart attack at age 28). About 5 days ago I started getting alot of heartburn, 2 days after the heartburn I started experiencing a sudden severe throbbing pain in my left jaw. It wasn't tooth pain and it was deep, not surface pain. Shortly after the jaw pain started, within about 30min, the pain started to spread up behind my left ear, down the left side of my neck, and into the top of my left shoulder. I then recalled an article I read about common heart attack symptoms in women that are often overlooked (jaw, neck, shoulder, arm, and back pain). After recalling this information I started feeling jittery and short of breath, but I couldn't be sure if it was a symptom or an anxiety reaction to the possiblity that I could be having a heart attack. I had my husband take me straight to the hospital just in case. The emergency room doctor never ordered an EKG or even a blood draw before diagnosing me with nerve pain. He said that it was unlikely to be a heart attack due to my age. He sent me home with predisone and gabapentin for inflammation and pain (I'm allergic to NSAIDs). As I was looking over my discharge paperwork I noticed that in the explaination of my diagnosis (Trigeminal Neuralgia) that it is nearly unheard of for a woman under 50yrs to have this and even then it is extremely rare. The description of the pain experienced with it didn't match what I was feeling at all. I'm confused because he thought a heart attack was unlikely due to my age, but then he diagnosed me with something even more unlikely. I just moved so I don't yet have a primary care physician. The pain keeps coming and going, sometimes I even get some mild chest pressure that comes and goes as well. Should I visit another hospital for a second opinion, or am I just bringing this upon myself because I'm overthinking this?
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