i dont know what to think?

[radtec01]

ok i have high blood pressure and i take atenolol 25 mg /baby asprin. i have mild pain in center of chest. i have reflux i believe because i have the lump in throat feeling/regurgetated food etc and i just started nexium.  in Jan of this year i have had stress test/ecg/ekg all were normal. my docs feel its anxiety. but the pain is in mid chest and back sometimes in left shoulder when i move.sometime it feels muscular cause when i flex i feel it in chest and back. all i know is i want to be 100 percent sure nothing major. how can u tell. symptoms for heart attack/anxiety/gerd are all the same. and eventhough my blood work is normal and exams thus far have been ok they are not 100 percent.what the hell can i do i am frustrated?

[Bhupinder Kaur, MD]

Hello,

Causes of chest pain are many. It can be due to hypertension,Gastroesophageal reflux disease, disorders involving the lung like Pneumonia, pulmonary embolism, pneumothorax, Mediastinal emphysema etc;cardiac diseases, lung cancer, thoracic outlet syndrome,pancreatitis,gall bladder disease and muscle pain.

Does your chest ache along the edges of your breastbone, and does your pain get worse when you cough or take a deep breath? It can be COSTOCHONDRITIS, an inflammation of the joints in your chest. Costochondritis usually goes away on its own. Try an anti-inflammatory medicine to relieve the pain. Heat compresses may also help.

Do you have fullness and pain in the upper right side of your abdomen after eating a greasy or fatty meal, then it maybe a GALLBLADDER problem. If the discomfort is in your upper stomach, and gets worse when you lean forward or lie down, you may have a HIATAL HERNIA. This is a common problem in which the top of the stomach is pushed into the lower chest after eating. Eat smaller meals, and avoid fatty foods. Try an antacid or OTC medicines like prilosec or Zantac. Sleeping on 2 or 3 pillows or a foam wedge, or raising the head of your bed, may also help.

Sometimes smoking also produces chest pain.

Pls check these out when you consult a gastroenterologist/physician.

Take care and pls do keep posting on how you are doing.

[radtec01]

thanks for responding. i am 5 1 195 sedentary lifestyle. quit smoking cold turkey for going on 5 months. i havent been tested for gallbladder but i am scheduled for a endoscopy in sept. had consult with gi doc thinks that she has esophagitis but all will be confirmed soon. its just driving me crazy the not knowing. it just increases my anxiety.

i am still feeling lightheaded and cardiologist is concinced not heart related all tests were fine.i am going to nuerologist next what do u think

[medicmommy]

Just wondering..Have you been evaluated for a hiatal hernia or gall bladder problems? Both of these can cause the symptoms you describe...I don't know what your age, weight and physical condition are, but if, at any time you should experience profound fatigue, shortness of breath, cold sweats, and/ or dizziness with the chest tightness or pains, you should be seen immediately...Usually, if the patient feels there's "something wrong", they're usually correct...heart-related chest pain usually can't be reproduced by muscle flexing...Have you seen a GI Dr and had an endoscopy or swallowing studies done? This may give you more answers...Good luck...sometimes the not knowing is worse than the actual problem itself...                                                  ~MM