ER Visit for Ongoing Chest Pain. No clear diagnosis
Background: Female, non-smoker, occasional drinker, 33, 186lbs, 5'4, white: chest pain (on and off for a month) and shortness of breath
Existing medical issues: asthma (which I thought this was related to), fatty liver, hashimoto's, and hypothyroidism
Rx: levothyroxine, 150mg sertraline, and clonazepam as needed.
I have had a "bruised like" feeling in the center of my chest (best way I can describe it–not sharp or heavy) on and off for a month. I was Rx'd fluticasone propionate and salmeterol inhaler to take once in AM and PM. After a few days of that, I noticed that the aforementioned chest pain almost was completely gone, but not 100%.
Went to ER yesterday (Monday) for shortness of breath. Had chest pains Sunday night. Usually occur when taking deep breaths but the pains I experienced last night kind of felt like I swallowed a lot of air and couldn't get it out. After being in the ER for 9 hours the doctors had no explanation for my symptoms.
I will link my abnormal test results. CBC was good. Liver enzymes elevated but I already knew that. Chest X-Ray showed clear lungs. The only finding was "right cervical rib present" but I only found that out from MyChart, my doctor didn't mention it.
The only out of range blood result was D-Dimer, Quantitative which was 0.71 ug/mL. The doctors took me to get a CAT scan to check out my lungs for any sign of PE. ALL CLEAR! You have no idea how relieved my mom and I were. It was a long scary day.
I have to go to the cardiologist for an ECHO and stress test in a few weeks, but I am afraid of what's going to happen in the meantime. Is my chest pain due to the asthma or heart? That is my main worry. I'm hoping it's asthma but who knows. I did have rheumatic fever as a kid in 1997.