Suggest treatment for consistent chest pain and dizziness
I am male, 35 years of age, work as a management consultant. I am having consistent chest pains, mostly on the left side, for last 4 months now. These pains are sporadic, usually of very short duration (ranging from 1/2 mins). The pains mostly come on a few points on the front side of the chest, below arm pit, left upper back. Occasionally (almost 30%) of the times, it comes on the right side as well. Plus i experience dizziness in the morning, sometimes a wheezing sound in my ear (mostly left).
I have done
- Numerous ECGs
- 24 hours Holter
- 2D Echo
- Stress Test
- CT Coronary Angiography
- MRI Brain
All of these are normal. NUmerous blood test came normal like
- Lipid Profile
- Blood Sugar
Only thing is my Vit B12 came very high. That may be because i took an Vit B12 injection a week back before testing.
My question is can this still be a cardiac pain?
Cannot be cardiac / normal heart
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This pain CANNOT be cardiac.
History of the pain is not in favour. Pain from the heart is oppressing, in central chest (and left), worse on effort, relieved by rest, may radiate to shoulders and arms, associated with sweating and so on. Your symptoms do not suggest Coronary Artery Disease (CAD).
Function wise, the pain is not cardiac. Stress test (treadmill Exercise EKG - TMT) is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle.
Structure wise, the pain is not cardiac. CT angiography is non-invasive study for the anatomy – to see the ANATOMY (structure) – the way to directly ‘see’ the block, if any – and its location, extent, severity and so on.
Holter has excluded silent ischemia and arrhythmia
ECHO has excluded issues of the valves, chamber walls and established good function
In summary, the pain has nothing to do with heart. It is muscular – from chest wall muscles. This is often due to spasm from posture or stress (Anxiety – Psychosomatic)
You will benefit from seeing an ENT (Ear Nose Throat) specialist - for tinnitus (ringing in the ears). The body's balancing mechanism is in the inner ear.
God bless you
- Can it be due to any blockage else where, like any blood vessel going into any muscles or other parts?
- Can it be due to heart spasms?
No heart spasm
Heart muscle cannot go into spasm….
There is no blockage elsewhere / MRI has excluded any block in the brain vessels
Ordinary pain relievers and/or muscle relaxants will help, as and when needed.
Forget and enjoy the life / Have hobbies, go out to park or beach / Spend time with friends and family - that will relax....
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