Brief Answer:
I would explain as follows:

Detailed Answer:
Hello Robin!

Thank you for asking on HCM!

I understand your concern, and would explain that your symptoms don't seem to be cardiac related.

So don't panic about it!

Have you checked your blood pressure?

What about your body temperature? Have you had any fevers? This could explain the body sweatening. A viral infection could be the cause.

Do you have heart burn coupled with burping, especially when lying down? Esophagitis and gastro esophageal reflux could be the cause of this symptomatology.

Is your pain modulated by respiration or body movements? These characteristics (a prolonged chest pain, modulated by palpation) are typical of extra cardiac pain (musculo-skeletic, pleural inflammation, esophageal spasm, etc.).

A back bone disorder, causing irradiating pain could explain the back pain too.

I would recommend consulting with your GP for a careful physical examination, a resting ECG, cardiac enzymes, a chest x ray study, an abdominal ultrasound and some blood lab tests:

- complete blood count
- inflammation tests (PCR, sedimentation rate)
- fasting glucose
-kidney and liver function tests,
-amylaze plasma levels (possible pancreatitis)
-electrolytes plasma levels etc.

If suspicions are raised for a GERD (gastro-esophageal reflux,), esophageal spasms or a hiatal hernia, a GI endoscopy should be performed.

After all the above tests result normal, a thoracic spine x ray study, followed by a spine CT scan should be performed to rule in/out a back bone disorder (like a disk displacement), if suspicions are raised during the physical examination.

You need to consult with your doctor about the above mentioned issues.

Meanwhile, I would recommend trying PPIs like omeprazole, pantoprazole. If these drugs relieve your symptoms, it would be another argument in favor of a gastro esophageal disorder.

Hope to have been of help!

I am at your disposal for any other questions, whenever you need!

Best regards,


Dr. Iliri

---