Thank you for asking at HCM.
I went through your history and would like to make suggestions for you as follows: (I will reply to you in a step-by-step manner)
1. I should clarify that I should not suggest you any test for cardiac evaluation. These can be best suggested by cardiologists only. From your detailed workup, I can assume that at least two cardiologists believe that you are not having any significant heart disease
2. I would like to know especially more about your allergies and asthma. This is because asthma can cause chest pains, an acute episode can cause even chest tightness
. Not only that, an entity called "GERD" (gastroesophageal reflux disease
) may be associated with asthma and it can cause burning type of chest pains.
3. Hence, I would not interfere with your cardiac workup, but I would like to know -
a. Since what age do you have asthma? What are the symptoms? What is the frequency of your symptoms? How you manage it? How was your asthma diagnosed?
b. What are your nose/sinus symptoms? Do you have running nose, sneezing
, nose obstruction, headache, facial heaviness, repeated throat clearing, etc?
c. Do you have any symptoms like - regurgitation of sour fluids/foods after taking meals, especially after heavy/spicy meals or after lying down? Do you have sensation of nausea
or vomit frequently?
d. What are the medications that you frequently use or have used so far for allergies and asthma? What are any other medications that you use frequently/regularly?
e. Is stress
an important factor in your life?
f. How is your digestion in general? DO you have repeated abdomen pains, constipation
4. Above things are very important as - some of the asthma medications can cause palpitations, some of the asthma medications can worsen GERD. I would like to know whether you can correlate your symptoms with any particular drug/food intake.
Hope above suggestions will be helpful to you.
Should you have any further query, please feel free to ask at HCM.
Wish you the best of the health ahead.
Thank you & Regards.