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What Causes Excruciating Pain In Centre Of Chest And Back Along With Hot Sweats?

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Posted on Mon, 2 Feb 2015
Question: I get excruciating pain in the center of my chest and back, random hot sweats, pounding/fluttery sensation in chest (racing heart beat), pain in left arm (sometimes in right arm), pain in jaw (mostly on left side), shortness of breath, on and off. I've had these similar but milder symptoms inconsistently for the past year, but it has gotten very severe only recently (past week and a half). Whats new now is that I also get mild and excruciating headaches before or after along with random mild left thigh pain. I had the excruciating headaches with trouble comprehending speech and speaking on and off before the severity of the above symptoms started happening. I was checked out for this by two doctors and they said neurologically there was nothing wrong that it could be stress. I have to tendency to want to cough at times as well. I would say a few days before. I feel like I cant catch my breath when I stand up and my chest feels heavy. Chest pain, jaw pain, and arm pain wake me up sometimes at night or morning. I also wake up randomly with shortness of breath and like I'm grasping for air sometimes.

I am a 27 year old female, obese (BMI: 40.21--5'6" 249 lbs), with normal blood pressure when checked by doctor, sedentary lifestyle. Non-smoker, non-drinker. Cholesterol- LDL 111, HDI 49, Trig 61, Total: 172 (checked Sept. 2013). I have gone to the ER numerous times throughout the year because of the severity and intensity of my symptoms. They keep diagnosing me with GERD, they used to help a lot, now they don't help at all. I have seen a PA-C two times already and she keeps reassuring me that its not my heart, that I am too young to have heart disease. She recommended a 48 hour holter monitor (2013) for my palpitations, came out normal. Only yesterday did she let me have a stress ekg (because of the severity and consistency of my symptoms and the fact that I went to the ER numerous times) it came out normal. Every time I go to the ER (within the past few weeks, I've been there a total of 5 times), all EKG's were normal, Troponin I: <0.02 (reference range: 0.00-0.05).

I passed out at the hospital when waiting for the doctor during my recent visit, and he said my heart rhythm determined that my blood pressure lowered, when the monitor said it went really high, my heart rate went up to 130bpm. I don't know what to think or what to do, I am scheduled to see my doctor 1/7/2015 @ 10am, but I am VERY concerned about my symptoms. Thank you!
doctor
Answered by Dr. Prasanna Heijebu (4 hours later)
Brief Answer:
Symptoms strongly related to anxiety

Detailed Answer:
Hi Mam.

I understand your query and concern.

As per your clinical and drug summary,you seem to probably have generalized anxiety disorder/GAD.

This GAD is all such notorious to produce symptoms resembling heart and brain disease.

You seem to be receiving the right kind of treatment for your symptoms.

Since you have been ruled out of heart and lung disease,after extensive work up,you need not now worry much.

All you need is extensive Psycho dynamic and behavioral therapy,which can help to improve your way of thinking by minimizing the stress associated with it.Adding drugs to treat it will only further cause more side effects.

Such therapy when taken on long term can even substitute the medicines which you are currently taking.

It will offer excellent results on long term.

Consult your Psychiatrist for expert management with regards to above.

Post your doubts if any.
Thank you.
Note: For further follow-up it is advisable to consult an emergency medicine specialist. Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Prasanna Heijebu

General & Family Physician

Practicing since :2010

Answered : 1422 Questions

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What Causes Excruciating Pain In Centre Of Chest And Back Along With Hot Sweats?

Brief Answer: Symptoms strongly related to anxiety Detailed Answer: Hi Mam. I understand your query and concern. As per your clinical and drug summary,you seem to probably have generalized anxiety disorder/GAD. This GAD is all such notorious to produce symptoms resembling heart and brain disease. You seem to be receiving the right kind of treatment for your symptoms. Since you have been ruled out of heart and lung disease,after extensive work up,you need not now worry much. All you need is extensive Psycho dynamic and behavioral therapy,which can help to improve your way of thinking by minimizing the stress associated with it.Adding drugs to treat it will only further cause more side effects. Such therapy when taken on long term can even substitute the medicines which you are currently taking. It will offer excellent results on long term. Consult your Psychiatrist for expert management with regards to above. Post your doubts if any. Thank you.