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I am suffering from left chest heaviness/discomfort for the
last 10 months since February 2018 on a daily basis lasting almost all hours of
the day. I am a male, 42 years old, smoking many years, not known health issues
– only cystitis on the bladder removed through cystoscopy last year.
This left chest discomfort is mostly below the left nipple
and sometimes move to the left (on the armpit) or to the right (close to center
of chest). This feeling/pain makes be miserable and prevent me from every day
activities including work. When happens sometimes I feel like to faint and seek
emergency advise as soon as possible. Not much stress at work. AT times I do
not have that feeling heavy headaches are coming.
When initially started (February 2018) I went to the
emergency and made all related exams (ECG, blood testing, X ray) which came
back fine. After for a period of three months I went another 4 times to the emergency
doing the same with same results. In addition, I have been to various
professions (cardiac, gastro, pulmonologist, neurologist, neurosurgeon, rheumatologist,
physical therapy). All related tests including ECGs, echo, Trend mill, CT heart
with dye (cardiac), CT thoracic, fluoroscopy, endoscopy, colonoscopy (gastro),
various blood tests including prostate, thyroid etc., CT chest, various X rays
at numerous directions, X ray neck, and physical examination by neurologist
were found ok. In addition, I did physical therapy including TENS, magnetic
fields, laser, and massage. However, although the results of all tests were ok
I was having the same chest discomfort on a daily basis which was a bit relieved
only by placing hot plaster at chest.
At early June 2018, the gastro doctor has prescribed
amitriptyline (at 10mg daily before sleep which later on increased to 20mg).
After some time (2 weeks) chest heaviness/discomfort was reduced in frequency to
the half (instead of daily it was every two to three days). However, at mid-September
I realize that amitriptyline was not adding any value and thus I stopped it. A
week after the chest heaviness/discomfort came back more intense every day
lasting the whole day and did not go away with ibuprofen, paracetamol, etc. The
only thing which a bit produce a relief was capsicum plasters placed either on
the back or chest side (due to the heat the discomfort was felt taken off).
I went the last three weeks again to the emergency and GP and
prescribed with baclofen which I took for almost two weeks with no results at
all. Then, last week, the gastro doctor advise to start again the amitriptyline
(initially to 10mg).
As a conclusion, after having all these exams and pills
nothing has been improved and the chest heaviness/discomfort is still here all
day every day. Doctors told me that is something muscular/neuro, however, when
I asked them whether it is costochondritis, fibromyalgia, or rheumatic polymyalgia
they told me that they do not believe. As such the matter was left open with
diagnosis of atypical chest pain.
Can you please help me???????
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