For approximately three months, I have been having sharp, stabbing chest pains on the right side. They occur behind my breast, towards my back and only when lying down. Sometimes I have a tightness when not lying down. I have kept a food journal and have not identified any correlations. I have had a chest x ray and and ultrasound and both showed nothing. I have had bloodwork done for celiac, my pancrease and just general work ups and all my levels are find. I have an endoscopy next week. A round of prilosec did not help nor do anti-inflammatories. My PCP does not appear super concerned and is not best at outreaching me when results come in. I did see a GI specialist, who thinks this is not GI related. What other directions should I go in
Symptoms detail:
I have passed out 8 times since November of last year. I also have had an unexplained weight loss of 20lbs. I was in the hospital for 2 nights this week, they did an ECHO a stress test, an electrolyte workup, and a urinary analysis. I have also had an MRI, countless EKGs, an EEG, and had a ZIO patch. All have come back negative. I have seen a neurologist and a cardiologist. I have continued working with my therapist but she doesn’t think that these are related to psychological problems. It’s frustrating because this has significantly impacted my functioning as I lost a scholarship and can’t attend school without it.
Directly after the stress test I fainted. They were able to get my blood pressure which was normal and my heart rate, a bit accelerated but returning to normal. It was rather easy for me to get my pulse up to 199. I feel like it’s almost TOO easy to get my heart rate to accelerate… when I stand up my pulse will race to 120-130. The nurse made a note that I had stiff muscles during the faint which lasted 4 minutes. This time, when I passed out I was aware of everything happening around me but was too weak/unable to respond. I had a headache directly after coming too, which was sensitive to sound and light.
On Monday I passed out twice and felt VERY fatigued. Upon regaining consciousness the second time I felt as if an elephant was sitting in the middle of my chest, 7/10 and taking deep breaths exacerbated the problem . I typically feel a bit disorientated and as if the room is spinning but not in any pain after I pass out. My left leg felt tingly and 10ish minutes after passing out as the paramedics evaluated me my left shoulder felt like I had pulled it, and was in pain 8.75/10. The chest pain dulled out and was no longer noticeable 10 hours later when I was admitted to the hospital. also upon arousing my vision remained cloudy and dark, as well as being sensitive to light.
The night after I pass out I typically experience lower back pain and pain in the right side of the neck, but this might be related to the stress of fainting.
Case Summary:
Ethnic background: Pacific Islander
Current medications:
flintstones complete 1 time daily for multi-vitamin
levothyroxine 50mcg 1 time daily for Hypothrodism
Sertraline 200mg 1 time daily for depression / anxiety
thorne 5-MTHF 1 mg 1 time daily
Body systems affected:
Whole body (Primary Body Area Affected)
Eyes or vision
Head or neck
Breathing
Heart or cardiovascular
Neurological
Current medications:
flintstones complete 1 time daily for multi-vitamin
levothyroxine 50mcg 1 time daily for Hypothrodism
Sertraline 200mg 1 time daily for depression / anxiety
thorne 5-MTHF 1 mg 1 time daily
Problems with specific body parts or systems:
Whole body (Primary Body Area Affected)
Eyes or vision
blurred vision after coming too
tunnel vision 3 seconds before passing out
light sensitivity
occasionally see double
Head or neck
my right side of the neck hurts night after passing out
light and sound sensitivity after coming to
Breathing
chest pain worsened by deep breathing
Heart or cardiovascular
easy to raise heart rate
Neurological
syncope
spinning room
Personal medical history:
I was born with congenital hypotonia. I am diagnosed with Aspergers syndrome. I also have hypothyroidism. This was my first time being hospitalized.
I had a turbinate reduction surgery in may 2016. And when i was little ear tubes were placed in 2000.
i have an allergy to latex and had a bad reaction to steroids.
Family medical history:
My family is relatively healthy with 2 of my great-grandmothers living past 90, all of my grandparents and their siblings are still living. my grandfather has some heart problems but I am unaware of what it is exactly. no sudden or cardiac related deaths.
Personal lifestyle:
I used to be a student at the University of Portland but lost my scholarship due to this illness. I had attended a very prestigious and rigorous high school and never had any problems, even while taking classes for college credit (VIA. the AP program). I never smoked or drank alcohol. There is absolutely no chance that I am pregnant as I abstain from sex. I am as innocent as they come with no bad habits. I exercise regularly on the treadmill walking a mile every day for 15 minutes and walk all over campus, but would definitely not call myself athletic. I eat a normal diet, though will not be the first to admit that I could eat better, with the occasional doughnut, ice cream and cupcake thrown in.
Diagnostic or imaging test abnormalities:
Innumerable tests have been performed without any abnormalities being found. Had countless EKGs without any abnormalities, standard blood and urine workup with nothing, every time I went to the ER (7 times now). Wore a Zio patch for 2 weeks and did not experience an episode during that time. Have had an ECHO and stress test done, with nothing abnormal being found (aside from fainting directly after the stress test was performed). Had an EEG done and 2 MRIs one with contrast for the blood vessels.
Secondary or partial diagnoses:
palpitations
syncope
Personal struggle:
I have lost my scholarship because I went to the ER every week for 3 weeks. I can’t attend my school without it and until I feel confident in a solution to the problem, I don’t feel like I can productively return to my studies. Without my return to school insight, I have lost numerous friendships and my first boyfriend. I used to be a strong believer in God but with all that is happening I truly doubt that he would do this to someone who has been nothing but faithful to him.
I was diagnosed with fibromyalgia 18 months ago. I was diagnosed by a rheumatologist. I had numerous blood test and chest x rays before being diagnosed.
I was just wondering if I should have had a mri as well to rule out anything else. Especially as I had a fall down the stairs around the time I became unwell.
Should I ask my gp about a mri.
Hi. I am feeling an occasional numb sensation at my right abdomen. It just comes and goes without anything special done. Both my appetite and bowel movement is normal and the numbness does not obstruct with my daily routine or exercise. There’s no pain upon pressure or contact and no redness or bumps or anything strange about that area. What is going on?
I just overdosed on 100mg setraline, 120mg chlorpheniramin, 100mg cetirizine, 1000mg ibuprofen and 20mg metachlorpramide. Will i need medical attention or is it not fatal.
Hi! Would you be able to take a look at this? I am currently a nursing student. I saw this video on facebook and thought it might be Stiff Person Syndrome. But his body seems to be too stiff and it was said on the description that his body feels hard and that the boy is also blind. They are looking for help and I wanted to help them with finding out what is happening to the child. I’ve done a bit or research but nothing came up that suits the description of this young boy. Thank you in advance!
In 2009, I had a surgery of a tethered spinal cord, with a lipoma of the filum terminalle.
A few months ago, I started having strong back pain again, headaches (diagnosed as tension headaches), muscle spams in my legs. More recently, i started having a very strong pain in my legs. It is stronger closer to my hips and it extends through my legs.
I haven’t taken an MRI in around 3 years.
Should I go to a neurosurgeon? Do you think my spinal cord has rethered, since i have grown quite a lot since the surgery?
i! I am a 56-year-old female who is a chef in a very busy restaurant in NY. I get a full physical annually. Hey, at my age it is all about maintenance and early detection. I am 5’8″ tall and small-boned. I am half Dominican/West Indian and half German. Up until last year, my bloodwork and colonoscopy results showed no alarming signs. I was perimenopausal with 2 very juicy fibroids that caused me to be temporarily anemic due to months of near hemorrhaging which was relieved through laparoscopic hysterectomy. I recovered quickly and returned to work, but thought that I had sciatica and arthritic knees. This was due to a significant weight gain. I was weighing in at 220 pounds, the heaviest I’ve ever been. No wonder my knees hurt, right?
Anyway, enough background info. Here is the present issue. My most recent bloodwork resulted in a diagnosis of being prediabetic. Many Americans are getting this news from their primary physicians these days, but I was apparently dangerously there. I was sent to a nutritionist and have been following instructions religiously. I lost 40 pounds fairly rapidly and lowered my numbers to my physician’s satisfaction and delight. HERE IS THE PRESENT PROBLEM. I have lost an additional 13 pounds and have been told by those who I trust that it is time to stop losing weight. My father and boyfriend are a bit concerned that this is getting out of hand and worry that I may develop an eating disorder. After a lifetime of being a voluptuous gal, I can NOT believe that this is happening. However, I am educated, well-read and am well-aware of what this problem can become and am desperately in need of sound medical advice.
How do I maintain the necessary, carb-conscious eating habit which has now become second nature, yet stop losing weight? Is it about an occasional slice of pizza or bowl of rice? Should I be terrified of regaining weight? Because I am but I know that I must address this issue before a problem develops.
The weight loss has to stop without a weight gain taking place. How do I do this? HELP!!!
Hello sir or mam. My name is (…) age 19. I have very small chest frame size and very very small hand bone size looks like a stick and also poor muscles.If you talk about diet.I take a good healthy diet and fruit also.I have tried everything sir every single thing like a good diet, workout, and every type of supplements like proteinex, mass gainer,enduramass.But I did not gained a single kg. My height is normal 5 feet 2 inches.I look so thin and despite my age I look like a 12 year old child.I feel ashamed.Is this a growth hormone deficiency problem? Can hgh injections cure me. Please help.
I don’t get sick very often because I don’t go out my house much. But whenever I’m around someone who is sick, I almost always get it. Once I’m sick, I can’t leave my bed, the weakness and sore throats are crippling. Also every time I get sick I get horrible post nasal drip and chest congestion at night that leave me miserable. I see people who are sick all the time who go to work, and are out and about. They may not feel the greatest but they have the ability to get up. It feels like I’m completely debilitated when I’m sick. Why is this? Does it has something to do with the strength of my immune system.
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