Young, Chest Pain, yet Tests Normal – Heart Problems?

Posted by jimangeles @jimangeles, Mon, Feb 18 9:46pm

Hello. I dont want to give out to much personal information as I am unaware of who will be seeing this message. My name is Jim Angeles. I am a 16 year old that lives in Arkansas. I am in the 11th grade. I have been struggling with my health for a while now and I am unsure of what to do. Let me start at the beginning…

Back when I was in 8th grade, I began to run regularly. Before this I had never really had an active life. That was back in 2016 if I recall correctly. I dont exactly remember when but towards the end of the year going into 2017, I began to experience these palpitations. Nothing would hurt during these episodes, my heart would just beat really fast and I could feel it and so could my mother when she put her hand on my chest. We went to see a doctor for this and I was referred to a cardiologist where he did this thing where he put some gel on my chest and used this device that could see into my chest or something. Then I wore a holter monitor for 48 hours to monitor my heart. Everything came back to be normal and the palpitations stopped about a month after they started.

Fast forward a bit to August (still in 2017). At this point I’m in 10th grade. I dont know if what I am going to say in this part matters but I want to give as many details on my previous health problems as possible. So towards the end of August going into september. I began to feel really sick. It turned out that I was allergic to milk and wheat. It took me a bit to adjust my diet and I struggled to eat right, as my choices were very limited. (Now I have a healthy diet and I dont struggle with these problems anymore). I am also allergic to egg but I have also adjusted my diet for this. I dont struggle with my diet and I eat well.

Now lets fast forward to the end of 2018. Im in 11th grade now and this happened just at the end of last year.

At the beginning of November last year, I was in class one day. We were watching a movie and I was falling asleep (yes these details are important because I want you to note that I was in a non-stressful situation). All of a sudden I get a sharp jab in my chest. And then another and another. The pain kept growing and growing. I got up and I walked out into the hall. My heart was pounding. It was beating so fast, it felt like it was going to pop out of my chest. I told my teacher and he went to get the nurse. They took me to their office but by then everything had stopped and I felt fine again. It was about a 5 minute timeframe before I got to the nurses office. They took my blood pressure and pulse and temperature and everything was normal expect that my heart rate was elevated a bit. 98 beats per minute if I recall correctly (and this was after it had calmed down). I went home and the rest of the evening I felt “okay”. My chest ached a bit and my body felt like it had been beat up.

A couple weeks later, I was on Thanksgiving break. I had been relaxing all week and there was nothing on my mind that I was worrying about (again note how I am not in a stressful situation). It was a Wednesday evening, I was relaxing on my bed watching a video, when all of a sudden my heart starts pounding. I noticed this right away and I got up. I walked around a bit and I was trying to breath deeply to calm myself. My chest had started hurting. Again it was those sharp jabs of pain. This episode lasted for about an hour. I became disoriented and It felt as if I was going to pass out. After everything passed, I remember my body felt so depleted of energy. I went to sleep thinking I would feel better the next day. The next day I woke up with chest pain. My veins would hurt and I remember I got another episode where my heart started racing. Then the next day after that was the same story. I remember that Friday I went to an Urgent Care clinic because the main clinic that I go to was closed. The doctor checked me and listened to my heart. Everything sounded normal. He said maybe there was some inflamed muscle that was pushing on the heart and causing the chest pain. Everyday after this just got worse and worse. I was experiencing all kinds of things. Sharp Jabs in my chest, needle sensations in my hands that would also spread to other parts of my body, pain in my left upper back and left part of my neck, pain in my veins, disorientation, dizziness, and every now and then it would feel like my heart was racing. I went to go see my doctor and she referred me to a Cardiologist. When I went to go see the Cardiologist, he said that It would be best if I wore a cardiac event monitor for 30 days that would record any abnormal rhythms in my heart to see if there was a problem they could detect. Though out the 30 days that I wore the monitor, it automatically recorded things on multiple occasions. I remember one time my friends and I went to a jumping place and while we were there I started to feel kind of bad and the monitor automatically recorded something on 3 separate times while we were there. Fast forward a bit, after the 30 days the results came back and everything was normal. I was shocked and so was my mother. I did have a couple times where my heart rate elevated slightly, but nothing out of the ordinary according the cardiologist. So I went to go see my doctor and again she explained the results of the monitor and she told me she was confused. She was unsure of what to do. She told me that she would refer me to a social worker that they have at the clinic so I could see her and we would treat it as if it were “anxiety”. She also gave me Propanolol so that it could treat the elevated heart rate and if it is anxiety, it could also help with that.

Now fast forward to present day. This is where I stand right now. I have constant sensations all over my body. It feels like tiny needles pricking me. I will also get jabs in my chest. I havent had palpitations and I think the Propanolol is helping with that. But I still do get this feeling where it feels like my heart has a hic up or a “skipped beat”. I tried to get back into exercising by going out for a very light jog, but that triggered a lot of bad things. I started having very bad headaches after I went for a jog and they have been going on since last week Tuesday. I will become disoriented and I have had noticeable memory problems. My veins will also hurt sometimes and I will get pain on the left side of my neck. This is really interfering with my daily life. All these symptoms happen everyday and it feels like a battle trying to get to the end of the day because my energy levels are always low even though I sleep 10 to 12 hours everyday.

I would like to say one thing. I do not believe this is due to anxiety. My doctor is also not totally convinced that it is anxiety, she just wants us to go ahead and treat this as it were, For Now. She was very confused as she does not know what we could test next. I have had blood drawn and everything is normal. My vitamin D was low a couple weeks ago but I have been taking prescribed supplements for that. I have had multiple EKGs done and they were all normal. I would also like to add on that I have passed out twice due to these symptoms (this was last year). I have gone to the ER three times and everything was normal. Other than that I cant really think of anything else. I hope I am not leaving anything out. I

Again like I said I strongly do not believe that this is anxiety or panic attacks. There has to be a trigger to panic attacks and I have done everything to eliminate any kind of stress-triggering activity in my daily life. I am always relaxing and I do deep breathing exercises. Note that most of the episodes I have experienced have happened when I am relaxing or falling asleep and towards the end of the day.

Now this is where I need your help and input. For whoever reads this. I need help. I cant keep going like this. This is starting to affect my emotional health. I want to know what is wrong with me, but I dont really want to go to the doctor anymore because I dont know if my doctor can do anything for me.

Any thoughts?

@unforgiven213

Hello, i am a 20 year old male and for the past two months i’ve had a pain located in the center of the chest. I feel it like a pressure, my blood vessels are more visible than they used to be, i feel fatigued all the time, my joints and muscles hurt from time to time. Also i have hives that i keep under control with xyzal, but the rash still comes and goes, my skin became very easily irritable. Is it a heart problem? Thank you. Also i had two ecg’s done and they were both good, and my blood pressure is fine.

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@unforgiven213 See a cardiologist for his imput

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@unforgiven213

Hello, i am a 20 year old male and for the past two months i’ve had a pain located in the center of the chest. I feel it like a pressure, my blood vessels are more visible than they used to be, i feel fatigued all the time, my joints and muscles hurt from time to time. Also i have hives that i keep under control with xyzal, but the rash still comes and goes, my skin became very easily irritable. Is it a heart problem? Thank you. Also i had two ecg’s done and they were both good, and my blood pressure is fine.

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@unforgiven213 If i were you i would definitely get it checked out. Dana

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@jimangeles You have a lot of things going on with you . When you said about the needles and pins in your hands and elsewhere that sounds like nerves . One suggestion I would have is to go to a neurologist and see what they say . I wish you the best . Your to young to have these feelings

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@jimangeles well i have experience d many of the symptoms you have but also i truly believe that i could bring on a artithmya (fast heart beat) when i would be thinking about it. It kind of like PTSD. You have experienced something once and your thinking your having another episode. But the difference with me is the drs could see it on my pacemaker. So the fact that they have monitored you with a 30 day device i would think they would have seen something. I really can't give advice on how to solve this except to trust your doctors.

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Hello
My name is Martin, I may not know exactly what your experiencing but I can tell you my story.
A couple of years ago I had pericarditis not sure if I spelled it right but it means fluid fills the sac that your heart is in.
This causes pressure on your heart and you can't breathe. If you ever get vomiting or you can't walk far before passing out you need to go to the ER immediately.
They should use that gel and press the machine over your chest to get an x-ray where they could see fluid. This is sometimes difficult to do and really have to press hard onto your chest to see in the x-ray.
If there is fluid you go to surgery to cut a opening in your pericardiam so it drains and they can vacuum the fluid out.
From there the Dr's say it should drain automatically if it happens again.
Some signs to look out for are sharp pains in your back or shoulders especially if you lie down crouching normally breaks the episodes. Also and very important is if your jugular vein in your next hardens and is protruding and prominent then that also a strong sign.
I'd be very cautious if you start vomiting and can't walk as these are the final signs. It took me approx a week for my aching and sharp pains to develop a full blown attack. I'm not sure but maybe your experiencing this at a slower rate.
I'd keep getting your Dr to x Ray your heart to check for this and check yourself for these symptoms. You'll now if it gets really bad because basically your heart stops under the pressure.
This obviously isn't the best news to have but I can only tell you the symptoms I had. Have a plan and with most of these events you have a few hours to get to the ER.
Good luck and hopefully your Dr can diagnose this or find what is happening to your heart soon.

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Hi, I am sorry you are dealing with this at your age. It is very scary. Since you have already had an ultrasound done on your heart, the only other test is a heart catherterization. Based on all your tests so far, I don't think that will give you any answers.

My oldest son was born with a heart defect and until he could have a heart cath done doctors could only guess at what was wrong. He was presenting with a heart murmur which the cardiologists thought indicated that the hole between the chambers of his heart didn't close at birth. We were given signs to look for that indicated he was in trouble and needed immediate air flight to the hospital. One of these was dropping to a squat for no apparent reason. This action reduces the pressure on the heart and in young children is an automatic response. The heart cath showed that his problem was actually a problem with the pulmonary artery, he had a narrowing of the artery below the pulmonary valve which meant blood flow from the valve was slowed down. He is now 41 years old and does anything he wants to do.

I commend you for eating well and adhering to your restrictions. As for exercise, instead of trying to jog, start off slow with a walk at a normal pace. When you feel discomfort beginning, stop and rest then return home. Gradually work up to longer distances without discomfort before you try jogging or running. Please see a therapist to help with the emotional issues. This has been going on for such a long time that you may be inadvertently experiencing anxiety because you are on alert 24/7 for something to happen. Therapy can help with this. I hope you find the answers soon. Don't give up, keep asking questions. If you are not already doing so, you might want to consider keeping a journal of your symptoms recording the time of day and what your were doing when it happens and how long it took to stop. Also record anything that you do that helps relieve the symptoms.

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Hi @jimangeles,

You’ve come to the right place to talk with people who have similar experiences, and to get support from members who understand what you are going through – Welcome! I can imagine how worried you and your family must be, but I really like your attitude of not letting your fear stop you from figuring things out.

Here’s some information from Mayo Clinic about chronic chest pain: https://www.mayoclinic.org/diseases-conditions/chest-pain/symptoms-causes/syc-20370838.
I’m tagging @bren85044 @lonewolf85 @crystal06 @hiko @gfysp @jemrich @predictable @russellbeard @moosoon10 @mayo33 @brrn @srodriguez @hokiefan @xmush1620x @grtw @juangarcia90 @hopeful33250 @thankful – I’m confident they will join in with their insights.

I also encourage you to go through these discussions on Connect:
– Ongoing Chest Pain with normal tests https://connect.mayoclinic.org/discussion/ongoing-chest-pain-with-normal-tests/
– Months of Chest Pain – Please help https://connect.mayoclinic.org/discussion/months-of-chest-pain-please-help/

@jimangeles, another factor to note is that a few other conditions can also cause this kind of pain – GERD, gastrointestinal problems such as ulcers, muscle spasms in the esophagus, a gallbladder attack, can cause chest pain and symptoms that mimic those of a heart attack or angina:
– Heartburn or heart attack: When to worry https://www.mayoclinic.org/diseases-conditions/heartburn/in-depth/heartburn-gerd/art-20046483
Have you considered getting a second opinion?

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Hello, i am a 20 year old male and for the past two months i’ve had a pain located in the center of the chest. I feel it like a pressure, my blood vessels are more visible than they used to be, i feel fatigued all the time, my joints and muscles hurt from time to time. Also i have hives that i keep under control with xyzal, but the rash still comes and goes, my skin became very easily irritable. Is it a heart problem? Thank you. Also i had two ecg’s done and they were both good, and my blood pressure is fine.

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Welcome to Connect, @unforgiven213. I moved your discussion and combined it with this existing discussion as I thought it would be beneficial for you to connect with other members who are discussing much of what you are experiencing.
If you click on VIEW & REPLY in your email notification, you will see the whole discussion and can join in, meet, and participate with other members talking about their or their loved ones' experiences.

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Thanks for posting your concerns on Connect, @jimangeles

I can understand your concerns. These types of symptoms: pain, high heart rate and passing out are certainly not typical. I can understand that if your doctor has not found any cardiac problems that he/she might assume anxiety or nerves. Have you ever had a cardiac stress test? That is where they have you walk on a treadmill and then monitor your heart functioning. Requesting this test from a cardiologist also might be helpful.

One more suggestion, that comes from your comment, "I will become disoriented and I have had noticeable memory problems" (as well as the headaches you mentioned) might also indicate a neurological problem. Perhaps a neurology consult might also be a good idea.

Endocrinology problems should also be ruled out. I mention this because of the low Vit D level. Seeing a very good endocrinologist might be helpful.

As Kanaaz said there are numerous gastrointestinal problems, like GERD and spasms of the esophagus that can mimic chest pains and heart problems. So seeing a gastroenterologist might be a good next step.

I agree with @kanaazpereira, that you should seek a second opinion. It is important that you continue your search for an answer so that you and your family can have peace of mind.

Will you post again and let us know how you are doing?

Liked by lioness

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@hopeful33250

Thanks for posting your concerns on Connect, @jimangeles

I can understand your concerns. These types of symptoms: pain, high heart rate and passing out are certainly not typical. I can understand that if your doctor has not found any cardiac problems that he/she might assume anxiety or nerves. Have you ever had a cardiac stress test? That is where they have you walk on a treadmill and then monitor your heart functioning. Requesting this test from a cardiologist also might be helpful.

One more suggestion, that comes from your comment, "I will become disoriented and I have had noticeable memory problems" (as well as the headaches you mentioned) might also indicate a neurological problem. Perhaps a neurology consult might also be a good idea.

Endocrinology problems should also be ruled out. I mention this because of the low Vit D level. Seeing a very good endocrinologist might be helpful.

As Kanaaz said there are numerous gastrointestinal problems, like GERD and spasms of the esophagus that can mimic chest pains and heart problems. So seeing a gastroenterologist might be a good next step.

I agree with @kanaazpereira, that you should seek a second opinion. It is important that you continue your search for an answer so that you and your family can have peace of mind.

Will you post again and let us know how you are doing?

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Yes I will keep you guys informed on how I am doing. I have a doctors appointment coming up soon and we are going to keep discussing these problems.

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@tommyshafer

I am a 20 year old male weighing at 145 pounds. I had chest pains last year so I got my heart checked out. I had several EKG’s done, one echocardiogram test done, and I wore a heart monitor for two weeks. The results came back as normal but again, ’ve been having minor chest pains and I am scared to go workout at the gym. My question is can I develop a heart issue at 20 years old even when last year my heart test results came back as normal? I have not gained any weight since then and I don’t smoke

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@tommyshafer Welcome Tommy ,we here at connect aren't,t Drs but can help with what helps us. Since your only 20 it's very unlikely it's your heart although it maybe something affecting your heart But it could be muscle also I suggest you go talk to your Dr ,there are so many different possibilities bI can't say only your Dr can Have him do a complete physical if you haven't had one tell him where it hurts We are here to talk to but best thing is see your Dr Good luck and I hope you post again to let us know how your doing

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@lioness

@tommyshafer Welcome Tommy ,we here at connect aren't,t Drs but can help with what helps us. Since your only 20 it's very unlikely it's your heart although it maybe something affecting your heart But it could be muscle also I suggest you go talk to your Dr ,there are so many different possibilities bI can't say only your Dr can Have him do a complete physical if you haven't had one tell him where it hurts We are here to talk to but best thing is see your Dr Good luck and I hope you post again to let us know how your doing

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Thank you very much! I appreciate it

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@tommyshafer

I am a 20 year old male weighing at 145 pounds. I had chest pains last year so I got my heart checked out. I had several EKG’s done, one echocardiogram test done, and I wore a heart monitor for two weeks. The results came back as normal but again, ’ve been having minor chest pains and I am scared to go workout at the gym. My question is can I develop a heart issue at 20 years old even when last year my heart test results came back as normal? I have not gained any weight since then and I don’t smoke

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@tommyshafer Your welcome good luck

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@tommyshafer

I am a 20 year old male weighing at 145 pounds. I had chest pains last year so I got my heart checked out. I had several EKG’s done, one echocardiogram test done, and I wore a heart monitor for two weeks. The results came back as normal but again, ’ve been having minor chest pains and I am scared to go workout at the gym. My question is can I develop a heart issue at 20 years old even when last year my heart test results came back as normal? I have not gained any weight since then and I don’t smoke

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I am here for heart issues of course but I noticed your post. This may sound a little wacky, but I have had a three or four bouts over the years of an unusual stinging type pain all across my upper chest. I think the first time was when I was around 35 (I'm 69 now), and the second was around age 50. The pain just never seemed to go away, day and night up to 4 or 5 months. Uncomfortable, but I tolerated during work and play. Was never checked for heart issues with it and was told it may be some kind of a skeletal arthritis type of thing. Nothing serious of course, but I don't think that's what it was. I do have a hiatal hernia but it has never really bothered me. Whether it was related to that, I don't know. All I can say is maybe have it checked out a little more with a specialist of some sort. It could just be a wacky thing like I have had with nothing to worry about except for a little discomfort now and then.

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