What causes left-sided chest pain, tightness and blockage in heart?
Normal Heart / Muscle pain only
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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 description of pain has nothing to do with heart
TMT (Treadmill Exercise ECG) is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle. Normal TMT has ruled out functional problem..
Chest X-ray is non-invasive study ANAOMY (structure) – not only of heart, but also the lungs, bony cage etc. Normal X-ray along with ECHO have ruled out any structural heart problem
Your symptoms do not suggest Coronary Artery Disease (CAD).
This is pain from chest wall muscles / spasm from stress, posture and so on – called Psycho-somatic. Over The Counter (OTC) Non-Steroidal Anti Inflammatory Drug (NSAID) like Ibuprofen will help / Muscle relaxants help. Relaxation helps. If necessary psychological assessment and assistance will help
God bless you
US may not help - yet useful to exclude & reassure
There are no clues to suggest further investigations…
They are term pain equivalents / and need the same approach
Ultrasound not likely to give any direct diagnostic clue. Generally, it is done to exclude problems of gall bladder and liver (on the right side). It can rule out problems of pancreas, spleen and kidneys. It is useful for reassurance – to exclude, not entertain several such issues.
Endoscopy from above can evaluate the food pipe and the stomach / from below – the colon
Again, the purpose is to exclude - if your symptoms continue to persist in spite of treatment - for 2 or 3 months
Relaxation exercises and biofeedback / follow up with your general practioner will all go a long way to help
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