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What does persistent chest pain and normal EKG results indicate?

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Posted on Mon, 11 May 2015
Question: I am experience chest pains that occur anywhere from 3:15 am to 5:00 am--doesn't happen all the time seem to have more problems in fall and spring time. Pain lasts about an hour and then passes. If it was a really bad episode I have residual effects throughout the day with slight chest pain (heaviness)
the pain is so severe it wakes me up, the pain in the chest is crushing--I have a difficult time moving to sit up or roll over to get out of bed. I've had EKG, stress stress and all things came back fine. My regular doctor can't find anything and sent to me a cardiologist who spent no time with me only did an EKG.
I've gone to the ER and nothing was diagnosed--did the whole prilosec thing to as suggested by dr. with no improvement
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Answered by Dr. Saumya Mittal (2 hours later)
Brief Answer:
Possibly Fibromyalgia

Detailed Answer:
Hi
I am Dr Mittal
I have read your query.
I feel the symptoms mentioned in the query with the negative tests are highly suggestive of a condition called fibromyalgia. Its very common in middle aged females who develop this as the hormonal changes reappear and affect teh nerve and muscles alike.
The issue is that no pain killer or muscle relaxant is going to help you. If anything, they will help to cause kidney damage.
The best therapy for this is yoga. It actually manages to drive this syndrome away within months of starting a proper yoga.
However, I understand that this is not always possible for everyone. I therefore suggest trying to get a prescription of amitryptiline and vitamin D supplementation. The former is to soothe the nerves and the latter for the muscles.
I hope that the information helps.
Please feel free to contact us for further information.
Best of luck.
Dr Mittal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Saumya Mittal

Diabetologist

Practicing since :2004

Answered : 2893 Questions

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What does persistent chest pain and normal EKG results indicate?

Brief Answer: Possibly Fibromyalgia Detailed Answer: Hi I am Dr Mittal I have read your query. I feel the symptoms mentioned in the query with the negative tests are highly suggestive of a condition called fibromyalgia. Its very common in middle aged females who develop this as the hormonal changes reappear and affect teh nerve and muscles alike. The issue is that no pain killer or muscle relaxant is going to help you. If anything, they will help to cause kidney damage. The best therapy for this is yoga. It actually manages to drive this syndrome away within months of starting a proper yoga. However, I understand that this is not always possible for everyone. I therefore suggest trying to get a prescription of amitryptiline and vitamin D supplementation. The former is to soothe the nerves and the latter for the muscles. I hope that the information helps. Please feel free to contact us for further information. Best of luck. Dr Mittal