I had pains when swallowing, tired when exerting with unbearable pain. On and off?

i am currently having dull pains worse when swallowing but it’s lower down and not in my throat. It is not on my left aside. I was having some heart problems before for 4-5 years, but they come and go. Currently they have gone. I am even climbing to the 2nd and 3rd floor without a problem. When I have it -has been few months at a time- I feel too tired to walk much, and exertion makes me unwell. In those periods I have severe chest pains which come only from exertion, with details as attached. They are unbearable but only last 1-5 minutes.Once it improves I feel like all is well.

Currently I am not having them. I have attached 1 picture of my answers to the webmd website symptom checker, which is for the earlier problem , and 1 word file also from the webmd website symptom checker about my difficulty swallowing. I am a female, 58, around 62 Kg and 5’3″

What do you think?

AREA>STERNUM>21 POSSIBLE SYMPTOMSBLEEDING
NO
BROKEN BONE NO
DISCOLORATION NO
COUGH NO
DIFFICULTY SWALLOWING YES 1
DRAINAGE PUS NO
FOOD GETTING STUCK(SWALLOWING) YES 2
HEARTBURN NO
IRREGULAR HEARTBEAT YES 3
LUMP BULGE NO
BRUISES OF DIFFERENT AGES NO
1
NUMBNESS TINGLING NO
PAIN DISCOMFORT YES 4
1 DIFFICULTY SWALLOWING ALONG WITH
LONG TERM USE TOBACCO ALCOHOL NO
NONE OFTHE ABOVE YES
ALONG WITH
SWALLOWING IRRITATING CHEMICALS OR POISONING NO
NONE OF THE ABOVE YES
2 FOOD GETTING STUCK ALONG WITH
SWALLOWING IRRITATING CHEMICALS OR POISONING NO
NONE OF THE ABOVE YES
3. IRREGULAR HEARTBEAT
4 PAIN DISCOMFORT
RADIATES TO LEFT ARM JAW NO
NONE OF THE ABOVE YES
THE PAIN IS SHARP STABBING NO
DULL ACHY YES
BURNING STINGING NO
PRESSURE HEAVINESS NO
TEARING NO
PAIN HOW SEVERE MILD YES
2
MODERATE NO
SEVERE NO
DON;T KNOW NO
PAIN ON WHICH SIDE LEFT NO
NONE OF THE ABOVE YES
PAIN MADE WORSE BY
BENDING OVER NO
EATING BEFORE BED NO
LYING DOWN NO
SWALLOWING IRRITATING CHEMICALS OR POISONING NO
CAFFEINE ALCOHOL USE NO
EATING DRINKING YES
PHYSICAL ACTIVITY NO
DEEP BREATH NO
CERTAIN FOODS NO
PRESSING DOWN ON CHEST NO
NONE OF THE ABOVE NO
PAIN BETTER WITH ANTACIDS NO
NONE OF THE ABOVE YES
RECENT INJURY TRAUMA NO
NONE OF THE ABOVE YES
3
PAIN DISCOMFORT ONSET
SUDDEN YES
GRADUAL YES
DON’T KNOW YES
4



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Masr Fawzy
5:01 pm

My advice is that u need to do urgent ECG and EChO, beside barium swallow x ray…

Ayman Darrag
7:45 pm

In my opinion it is heart related..
Do an ECG and echo ..
Exertion and pain are signs of cardiothoracic problems..

Ahmed Fawzy
9:53 pm

Hi
In my opinion you have esophageal spasm , so do a barium swallow x ray
Also you need to do ecg and heart Echo , cardiac tamponade can cause your symptoms
Good Luck

MAHAVEER PATIL
6:24 am

hi,
it seems to be more of a heart related problem.
Get a EKG,stress test with angiography done.
to be on a safer side,get a endoscopy done.
thanks

ninamachado
6:37 pm

Thank you doctors all. I am not familiar with all the medical terms you have all mentioned here. I however have had ongoing problems 4-5 years and have been to A&E with these symptoms. In all but one occasion they told me I was normal on a troponin test. That one time they did the troponin test after 12 hours them discharged me, presumably it had becomeok by then. Anyhow due to the extent of agony I could not accept the theory “NoRMAL” as something must the hell be wrong if it goes on and on like that. You see… Read more »