Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
141 Doctors are Online

What could be the cause for Chest pain when all tests normal?

Apr 2014
User rating for this question
Very Good
Answered by

Practicing since : 2004
Answered : 6301 Questions
I'm a 40 year old nonsmoking white male. Genetic history is a father with RA since his mid thirties. Mother was adopted. Last two years I have had steadily increasing pain in central chest area. No cough, no sharpness or increase corresponding to breathing. More of a constant ache. I notice it more at night, and it's bad enough it does at times wake me up. PCP says lung sounds are normal. Did a cardio consult and got ECG. Everything normal there. Heart is not the problem. Chest x-rays one year ago and again recently, both normal. H pylori negative (I assume, haven't heard from them). I am an x-ray tech and no expert but one rad dictated "enhanced perihilar markings" and my bronchioles do seem to be rather pronounced. I also took it upon myself to check for reflux on an admittedly limited barium swallow. Negative. Recent history: I noticed it about the same time as I started bicycle commuting to work, about 20 miles round trip, average 2-3 times a week. I have laid off at times and taken breaks for the winter time. It seems to hurt more after cardio exercise but lately I am feeling it almost all the time. I swept ceiling tile dust (not asbestos but mineral wool and some fiberglass) for almost ten years in my twenties. This is an area that worries me. Did my increase in physical actively later in life lead to some chronic irritation now? ILD? I haven't been to a pulmonologist yet but am thinking this is my next step. Some guidance please!
Posted Fri, 3 Jan 2014 in General Health
Answered by Dr. Indu Kumar 2 hours later
Brief Answer: Central chest pain may be due to reflux disease Detailed Answer: Hello XXXXXXX vanzant Thanks for writing to XXXXXXX According to me central chest pain may be due to reflux disease.It can be confirmed by Upper GI endoscopy.Barium swallow is not sensitive test for reflux disease. I don't think you have ILD. Chest X-ray and auscultatory findings are normal in your case.Crackles are typically found in ILD. Also chest X-ray is characteristic in ILD. Enhanced perihilar markings and pronounced bronchioles may be due to infection. Increased physical activity is not related to your symptoms. You are thinking right to consult pulmonologist.Investigations like Pulmonary function test should also be done.Other investigations can be done if needed. Proper treatment can be done after clinical examination and investigation reports. Get well soon. Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Lab Tests

The user accepted the expert's answer

Ask a Doctor Now

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor