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Months of Chest Pain - Please help

Digestive Health | Last Active: Oct 24, 2022 | Replies (296)

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@ak999

Hello everyone, my name is Ayan and I'm 28 years old. I have been going through the ongoing chest pain which moves around and goes to the back(sometimes) for the last 10 months. I went to ER 3 times, they did chest X-ray, EKG(probably 4 times) and found nothing suspicious. They relieved me asking to find a primary care doctor for proper diagnosis. So, I booked an appointment with primary care and he did a LIPID PANEL test (the results looked good) and asked me to put ICY HOT (pain relieving) cream on the chest areas that hurt. I used it for a while and found out that it gives temporary relief but the the pain doesn't go away. Also, if the pain is like 7 or 8 out of 10 it doesn't really help. Then, he did a bunch of tests like MAGNESIUM, HIV-1/2 AG/AB INITIAL SCREENING, HEMOGLOBIN A1C, COMPREHENSIVE METABOLIC PANEL, CBC, HELICOBACTER PYLORI ANTIGEN and the results looked good for each of those tests. He also asked me to take FAMOTIDINE but it didn't really work. He is sure that it is non cardiac given my symptons and sent to Gastroenterology dept. So, the doctor from Gastroenterolog dept asked to take Omeprazole (40 mg) for 2 or 3 weeks. I thought initially the pain was a little less but to my surprise I was was experiencing the same pain I used to have. Then he asked me to take Iberogest(purchased from Amazon) 20 drops with water 3 times a day but I couldn't take it for more than 3 days because I felt heaviness, pressure on my chest/stomach and more pain. He then changed it to FD-gard (over the counter medicine) but again didn't help much. In the mean time, I did an endoscopy So, during Endoscopy they found a small lesion in my gastric antrum and they have sent it out for biopsy and the result was benign. They also recommended to do an Ultrasound Endoscopy to get better pictures of the lesion. I did that too and they said it is too small now (like 1.5 cm) and they won't cut it until it shows growth. They advised me to repeat the procedure in next 6 months. They also said that this MIGHT NOT be the reason for your chest pain. So, now the doctor thinks that the nerves around the esophagus and the stomach might cause the pain and I'm taking despiramine (10 mg) daily for the last 5 days He said he will increase the dose every 3 weeks and it takes time to kick in. As of today, I am not sure if it is helping or not because last night only I had severe chest pain which got relieved this morning (not completely though but moderately). I'm not sure what is causing it. I am still so young and it's been a while now. I'm looking for some good advice/recommendations/treatment. Thank you for reading my story out.

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Now, I'm on 50 mg Desipramine and FD-gard but nothing seems to help either. The doctor ordered CT scan for my chest and abdomen now. Waiting for it to get scheduled. He also did a few tests like CRP, SEDIMENTATION RATE AUTOMATED, ANA SCREEN and LIPASE. All the tests were normal except LIPASE (The standard range is 13 - 64 U/L) but for me it was 79 U/L. The doctor said that the pancreas marker is very mildly elevated and it's a little hard to say if this is truly the pancreas issue or not. He will follow up after CT scan. What do you people think? Am I in the right direction of treatment? It's been almost a year now.