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Dr. Andrew Rynne

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Exp 50 years

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Recurrent Chest Sensation/Pain

I m a 23 year old male, non smoker, fit and active, never used drugs and i have the occasioanal drink. Since January of this year i ve had chest pain that has come and gone. The first time i visted the ER and they did an ECG and everything came up fine and i went home. They felt it was anxiety and after that the pain went away for a few months. It returned mid February and in that time i visited the ER 5 times and had an ECG each time that came up normal. I had an x-ray that showed my chest was normal. My GP sent me to a cardiologist where i had an echocardiogram done that was normal and a stress test that was normal. My METS from the stress test was 16 and i reached 93% of the predicted age related maximal heart rate. Peak BPM was 184. I have never experienced the pain while exercising. It is mostly at night but it does happen during the day. The sensation is almost like a pinch near my left breast. I m under no stress yet doctors feel it may be anxiety. I do not. Any ideas ?
Mon, 14 Dec 2009
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Idigestion may be the cause. Try to correlate what you had to eat and how long before you went to bed. Eating food that is too greasy or too late can cause acid reflux when you lay down. Try eating a little less, i.e. stop before you feel FULL. Adjust your posture, sit up straight and push shoulders back, slouching especially over a keyboard for long periods will also give you these symptoms. I've had angina and a heart bypass about 8 yrs ago so it worries me when I get similar pains but I can usually get rid of them by straightening up, having a good belch, taking an antacid, etc. Hope this helps.
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