(Note: apologies for such a LONG response)
Hi LynnieW,
Just joined Bella a few minutes ago and chose a couple of the forums.
This is where I came 1st and Your question is the 1st one I saw and I wanted to add my 2cents worth in the hope that maybe something I experienced is something your doctor may not have considered.
I also suffer Chest pain... caused by several conditions. I'll start with the 'easiest' one.
I have arthritis in my ribcage, and when that acts up, it can really hurt to breath, with aching all around my chest, front and back. I often get a sensation like I can't take a full breath of air or get enough oxygen. Sometimes I feel like my chest is being crushed, with my ribs squeezing my lungs making it hard to breath.
My Doctor diagnosed this by a combination of known symptoms & Chest X-rays showing the arthritis, particularly where the ribs connect to the Breast Bone.
Also...
10 years ago I had an extensive Upper GI work-up (multiple tests) for severe reflux & swallowing difficulty. With a barium swallow they discovered that I was suffering from "Esophageal Spasms" also know as "Corkscrew Esophagus". With the Barium contrast you could actually see the "twist", it really looked like a Corkscrew or Ribbon Candy.
Esophageal Spasms are well known (to those that are knowledgeable about the condition) to cause severe pain that MIMICs Heart Attack. That's what I was experiencing on a daily basis and strong Narcotic pain meds barely touched the pain.
The Primary trigger for my spasms are eating. I had to modify my diet to very soft foods and remember to eat small bites. Meat was the biggest problem as it is hard to masticate it enough that it actually gets soft. Chicken and Fish were easier to eat and Beef the worst, even ground beef.
Once the spasms are triggered, they tend to last 3 to 5 hours, or about as long as it takes all the food to leave the stomach.
There are various medications that can help with the sypmtoms of Corkscrew Esophagus. It can take several tries to find the right one for you. It turns out that meds that help with heart pain or angina can work for some patients, either stopping or decreasing the severity of the problem. The first thing we tried was Nitroglycerin Tabs, but I had multiple problem side effects. Then we tried Nitro in a cream. (A dab was applied to the skin over the esophagus just before eating, then wiped off after I finished eating.) Yah, I know, it sounds really weird, but it did work, very quickly and efficiently. Only problem... I suffer from Migraines and even this small amount was sufficient to trigger some real doozies, with pain so severe that if I was eating out, I couldn't drive home.
The next thing we tried was a Calcium Channel Blocker called Diltia XT ER (namebrand)and it took several months to gradually get control of the spasms. I've now taken this med. for 8 years. I had good control the 1st 6 years until our insurance company denied coverage of the name brand. I've been changed to 3 different Generics over the last 2 years, and the spasms are no longer under good control.
These are just 2 POSSIBLE causes of chest pain & remember this is just MY experience.
Good luck with your search for the cause of your chest pain.
Karen aka DesertGator
"Like many FibroMites, I have a number of medical conditions that I call 'The CAKE'. Then on top of that, I have Fibromyalgia.... What I call 'The ICING on the CAKE'."
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Oops, forgot to mention... I also had an extensive checkup with an EKG and a Stress Test by my Internist.
I neglected to mention the other tests they did in trying to determine the cause(s) of my chest pain. As I'm sure you know, many folks who have experienced a heart attack, mistakenly believed that they were experiencing 'heart-burn'.
So that's why my doctors did such a complete set of Upper-GI tests. It does make sense, if a heart attack can mimic heart-burn, then heart-burn might mimic heart attack.
They Endoscoped my Stomach, I also had a 24-hour acid production test with a naso-gastric tube in my stomach attached to a computer that measured acid production. Then a manomotry(sp) again with a naso-gastric tube that measured how high up the esophagus acid was going.
Last edited by DesertGator; 04/14/10 05:28 PM.