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Hi everyone. My name is Jake, I'm a 27 year old male. I have chest pains daily. They last for seconds, minutes, hours, or throughout the day. Sometimes I get them as soon as I wake up and almost always after eating. They’re usually localized to one small area. They feel sharp and stabbing, sometimes dull, usually on the front left chest but sometimes it happens on the front right chest, middle of my chest, or on the sides under my arms. I have had 3 EKGs, two chest x-rays, an echo, a stress echo, all came back negative for heart disease. I also get palpitations like my heart is pounding when I lie down flat. It feels like my whole chest, back and abdomen are throbbing. It sometimes happens after eating too. Sometimes it feels like a lot of pressure in my upper chest and neck too when the palpitations happen. I was also having tachycardia when all of these symptoms started last summer. My heart rate was 100-120 at rest. My primary Dr. prescribed propranolol for chest pains, palpitations, and tachycardia. My HR is now 60-70 at rest. I’m still having chest pains and palpitations.
I’m also experiencing tightness, soreness, and pain in my throat and jaw like something is stuck in my throat. It’s worse when lying down or sitting up and putting pressure on my upper back, sides, or chest (pretty much my whole ribcage). It makes me cough and it feels like I can’t breathe fully, but I have no trouble breathing. It feels like something is in my chest, putting pressure on my throat and upper back between my shoulder blades and at the base of my neck. I have no relief with allergy medication or my rescue inhaler.
I have acid reflux and indigestion daily and regurgitation 2-3 times a week. It has gotten worse over the past 2 weeks. I had been taking Prilosec OTC for about a year before my GI doctor started prescribing it to me. She had me on Rx Prilosec for 3 months then she switched me to ranitidine for 3 months and Prilosec again for 3 months. I’m due to go back to her again soon and she said she wants to have me do one more 3 month round of ranitidine. I had an upper endoscopy done at the end of November last year and it revealed a hiatal hernia. I also had a barium swallow under fluoroscopy which also confirmed reflux, indigestion, regurge, and the hiatal hernia. After the last 3 months of ranitidine, my GI doctor said that’s when we’ll discuss surgery for the hernia repair if my symptoms don’t get better. The Prilosec isn’t working as well as it used to. I have eliminated all trigger foods from my diet, no citrus, chocolate, caffeine, tomato, pineapple, spicy foods, fried foods, garlic, bananas, alcohol, etc. I reduced sugar and carbs as well and I’m eating smaller meals throughout the day. I have nausea everyday. I almost always get nauseous after eating anything and stomach/abdominal cramps and pains.
I’m always fatigued despite a full night of sleep. I’m also getting headaches and upper back pains in between my shoulder blades and upper back. I’m just not feeling well overall, especially when all symptoms occur together. It’s difficult to function throughout the day some days. I’m just feeling miserable. I know all of these symptoms are caused by the hiatal hernia but they’re unbearable sometimes. My primary doctor said the hiatal hernia is most likely irritating my vagus nerve which controls heart rate, digestion, some muscles in the neck, throat, chest, and abdomen, which explains a lot. I just get panicked sometimes especially when I have chest pains and abdominal pains even though it's unlikely it's my heart or some other life-threatening condition.
Does anyone else have a hiatal hernia with symptoms as severe? Do you have anything you do for relief? What about the hernia repair surgery, has anyone had a nisson done or the linx? Any advice or anything would really help.
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