Question: Hi, I've had this stabbing/prickling sensation around the middle of upper chest - sternum over the past 4 days (once/twice per day). It usually lasts 2-3 seconds and goes away. The pain does not radiate anywhere. No other "heart" related symptoms - i.e. shortness of breath, nausea , dizziness, etc... Ran 4 miles today without symptoms.

I do have some Gastro issues however. So not sure what is causing the symptoms.

My Health Profile -

- Excellent Physical Condition - run 4miles per day 6 1/2 minutes per mile.
- Feel Pretty Good in general with the strict diet. Protein and Vegetables. No sugar, breads, dairy.
- Not a Smoker / Drinker.
- Bad Chewing habits - eat very fast without fully chewing the food. Trying to do better.
- Height 5'6". Weight 140.

Ran today for 4 miles without symptoms (no chest pain / nausea / dizziness, etcc...) symptom free.

All blood work up tests are within normal ranges except the following:

Issues:
1. B12 - low. Started taking b complex supplements. Originally level was 290 mg. Do not understand why. I am not a vegetarian. Which leads me to believe some type of mal absorption issue? After taking B12 complex, level went up to 452 and began feeling better

2. Kidney Function - a bit compromised. Depending on when you take the test. Creatinine level has been measured - on occasion - at 1.5. Normally (most of the time) it is 1.2-1.3. Very tiny kidney stones. No pain.

3. Cholesterol - High HDL = 95 LDL = 150, Triglycerides = 45

5. Heart - had a "million" tests. Other then the "Gold Standard". Everything negative. Passed the treadmill with way above normal results - athlete level. Echocardiogram, Calcium, etc... all negative. Do have a family history of heart issues.

Thanks for the reply.

I can't pin point it to anything. After I eat - anything, it feels like there is some flem and kind of "food stuck" feeling (but very mild) near the esophagus(top of throat). On rare occasions there is regurgitation - again very mild. But considering my diet, I should not have any of these symptoms. Again excessive belching/flutulance, etc...

This is my diet over the past 7 weeks:
- 4 cups of water with some lemon in the morning
- run 4 miles
- Brown Rice Organic - 1/4 dry
- Salad (rudabagas) and some organic protein at night
- Almond Butter + Green Apples for desert :).

No sugar (in any form even fruit), dairy or processed foods (i.e. bread) of any kind. Everything is organic.

I am wondering if I have some type of Candida overgrowth - the breath is kind of stinky and I brush teeth several times per day.

Do you think a Comprehensive Stool Analysis is appropriate to identify the root cause. I am willing to pay out of pocket.
OR
Scope It?

Could it be "Pernicious anemia". For some reason my b12 was really low 290 mg. for someone who is not vegetarian. I started taking b-complex supplements and got it to 450 mg within 1 month (and felt significantly better).