Hello, I m 27, male, non smoker, occasional drinker, very thin with no immediate family history of heart disease. There is a family history of depression , and I used to take SSRIs. I ve been without medication for 4 years and have felt pretty normal. My mother has high blood pressure and neuropathy . I m not currently on a regular exercise routine, but at my job I spend most of the day on my feet and do some lifting (40 pounds or so) and I often go into attics and climb ladders. About 2 months ago I started having dull pains in the left part of my chest, under the breast bone. They lasted under a minute and occurred a couple of times a day for about a week. A few weeks later I decided I would get back into a regular exercise routine, so I went to the GP for a checkup due to the previous chest pains. After talking to the very cynical and uninterested sounding doctor, they performed blood tests for glucose and lipids, chest x-ray, and an ECG. All tests were normal except for the ECG, which came back as borderline . Because of the borderline ECG, they referred me to the cardio where I underwent a stress test and echo, both of which turned out normal according to the doctor. He wrote me a scrip for acid reflux and said I could come back without a referral. I did not take the prilosec because I knew it wasn t acid reflux. And I knew this because I started having new symptoms including: pains in my arms, neck, jaw, and groin , palps, pvcs, and a strange sensation at the top of my chest that felt like I needed to cough. I ve also noticed some minor tingling in my hands and arms, but nothing that resembles the feeling of falling asleep . These symptoms occur seemingly at random times, but I m usually completely relaxed first thing in the morning. I decided to try a different GP for a second opinion due to the lack of care I felt I was receiving. The new GP talked with me for a while (she seemed genuinely concerned), checked my pulse and listened to my heart, and concluded that she couldn t find anything wrong and wouldn t be able to form a second opinion without my test results. She provided me with a sample for acid reflux as well. I tried it for a week just to say I tried it. I didn t notice anything different. The symptoms persisted on and off. I would have a day or two where I felt normal but then they would just come right back. I started having episodes of panic (hot flashes, sense of feeling unreal, extreme sense of fear, trembling). After a second visit to the new GP, I signed for a release of medical records from the previous GP and cardio, and she wrote me a scrip for xanax concluding, for now we re going to call it anxiety . It has been 3 business days and I haven t heard back from the new GP, although I don t really know what she could conclude from my test results. I was hoping she would order a different kind of test. So this is where I am: Still getting the pains in my neck jaw and arms, pvcs, and that sensation at the top of my chest like I need to cough (actually coughing doesn t do anything). I ve had some dull pains in the mid of my back and under my ribs on the side, which may occur a couple of times a day and disappear for a week. I m frustrated and in a constant state of worry because I don t have an answer. I can t relax and do anything that I like to do. I m constantly checking my pulse (which seems to be normal even during the symptoms). I tried taking half of a xanax and it just made me feel out of it and sleepy. It didn t do anything about the physical symptoms. I apologize for the long message, but I feel like all of this information is necessary. What else could be causing these symptoms? Should I keep nagging the doctors for further testing? I ve already spent so much money and I m starting to feel like it was a waste. I want to believe it s just my emotional state, but I just don t understand how that could cause these types of symptoms. I ve never had them before. One final question: I ve never had the best diet. I worked at a pizza place on and off for about 6 years and practically lived off of pizza, chicken wings, and bread. I ve altered my diet significantly over the last year though. I take a multivitamin now, I eat eggs or healthy cereal for breakfast with 2% milk, I eat turkey or chicken sandwiches for lunch, and I usually cook turkey or ground chuck for dinner. Could there be a clog somewhere, and if so, would it show up in a blood test? Thanks for your time.