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Chest pain incredibly annoying!!

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alperchino | 04:13 Thu 16th Feb 2012 | Body & Soul
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Right guys I have written before complaining of chest pain and this was apparent to a hiatus hernia I have been and seen a specialist today and he has said it is my heart,it hurts when I breath in its not all day but when it's there it's horrible it's a deep feeling pain and it's a tightness, he's referred me to a cardiologist? As they have done an echo and found nothing, please anyone any ideas!! Thinking of going private as NHs is seeming to suck..:( thanks again al x
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\\first it may be heart attack, after significant testing come t the conclusion it is a hiatus hernia,\\

What did that "significant testing" include?

//seen a specialist today //

a "Specialist" in what?

\\when I breath in its not all day but when it's there it's horrible it's a deep feeling pain and it's a tightness,\\\

That doesn't sound typical of cardiac pain and I cannot see how an echo can help at this stage.

No ideas at all except...............why isn't it your hiatus hernia that is causing the trouble?
Hi Alperchino. I'm sure my experience was completely different to yours, but here goes.

Many years ago I owned a chauffuer and courier business. I worked almost 24 hours a day, seven days a week as that's what the business demanded. For the first six months I didn't sleep in a bed and I only catnapped in the car. On one occasion I drove for 60 hours continuously and I only got out to keep refilling the car. I never slept between Thursday morning and Sunday night every week. I never ate a meal at a table but would only grab a pasty and a pint of milk from the garage. I smoked between 80-100 Camel a day as that's what kept me awake and kept the hunger pains away.

After several years I started to get severe chest pains. It felt as if a knife had been thrust in my chest, I couldn't breathe and I couldn't move. All I could do was sit still and move my eyes! It would eventually ease off and then I could take very shallow breaths. In the end I went to the GP - who smirked and laughed when I said I thought I had had a heart attack! "How old are you? People of 32 don't have heart attacks" he scoffed. I had to insist on having an ECG and he huffed and puffed about that, but wired me up. When he saw the trace he stopped laughing and called in another GP and they gave me some worried looks. Then my GP asked me about my work patterns, smoking etc then told me I hadn't had a heart attack - but my body was warning me that I very soon would! He said my chest pains were caused by severe stress and if I didn't stop working the way I was, start eating properly and stop smoking, then I would never see 40!

I couldn't stop working at the time but in the end I sold my business when I was 36, paid off the mortgage, stopped smoking overnight when I was 39 and I put on seven stone in weight. I'm 50 this year so I did something right!

It might be that your chest pains are the result of something similar Alperchino. As I said, it might be something very different but I did have to insist that I have an ECG. The GP wasn't happy to do that and he scoffed and huffed and puffed but at least he changed his tune when he saw the result. Don't let your GP put you off as many will palm you off if they can. Insist that your GP give you an ECG and keep going back and insisting you have a problem if you don't have much joy at first. After all, many NHS staff seem to lose sight of the fact it's the patients' NHS - not the staff's! They are employed to be there for you!

Good luck.
This sounds more like a lung problem than a heart problem to me, although sometimes they go hand in hand.
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Andyvon thank you very much! And in answer to your questions sqad ( thanks for help!!) the testing was a tube down my throat with a camera I think endoscopy was the name, and then the echo, and blood testing a lot, they said I do have polycythaemia and pericarditis 4 months ago as well, and he was just a specialist of the stomach and gullet he said, and he was the one that said it is not the hiatus hernia causing problems because it is a small one nd would not emit such pain I don't know sqad I really don't had this pain for a while n and off the only time it went was when I went in hospital and they prescribed strong pain killers any more ideas? Cheers :)
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And it was meant to say is there mostly all day" breathing in makes worse, cheers again x
Al......thanks for your reply,but i just have the feeling that your problem is not going to be solved by "on-line" medical advice.......but a few comment anyway.

Your main problem is pain.......

The size of a hiatus hernia is a poor predictor of the amount of pain that you are likely to experience....a large hernia may have minimal pain and a small hernia, intense pain........the pain being generated by the degree of acid reflux rather than the size of the hernia.

Pericarditis may me painful but is usually secondary to a virus or ischaemic heart disease, but even so, it would not produce, over a four month period, the intense pain that you describe.

Polycythaemia is painless.

From the extensive investigations that you have described, nothing would indicate a reason for your pain.

I am sure that you have had an ECG and if not then you will certainly have one before you see your cardiologist, but even so ECG's do have their limitations in diagnosing chest pain.

Sorry that i cannot help further, but keep us informed.
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Cheers sqad really appreciate all your help, and I know it's just a strange but very very painful feeling, the consultant just pushes on my chest and says if it doesn't hurt it must be inside I will definitely keep you informed but thinking of steering away from NHS cheers again Al
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Sqad just been the doctors referred me to an rapid action chest pain clinic to see what they say got an appointment fo next Monday will let you know results..
OK alper.....i will be interested.
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Sqad, they have said its muscular skeletal? What's your reckoning to this diagnosis?
Alpert.......I thing that their diagnosis is "spot on."
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Bang on!! Please call me alex!! And I've just got to a real good point of where the pain is, it's a duller pain, I push in on my right bottom rib towards the middle and it's absolutely murdering me and usually it can be pushed in and it doesn't hurt. The nurse seemed to think it was the cartilage between my rib cage and my sternum, and that was "injured" probably by my work as I am a bouncer and have been fighting before Xmas, and it may have been hurt then,what's your thinking to this sqad? I'm just trying to like, put every possible bit of where I feel the pain, into this so you can help as I am very grateful! Cheers again:) alex

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