Suggest Treatment For Recurring Chest Pain
Seems that your chest pain is becoming a rebus.
Detailed Answer:
Hello! Thank you for asking on HCM! Regarding your concern I would like to explain that not rarely chest pain becomes a rebus to resolve.
Firstly, I would like to explain that your chest pain characteristics besides location and irradiation, have almost atypical nature to be ischemic heart problem (positional modulation, time of trigger, etc). Sure that doctors have judged right to investigate in several directions. I would like to emphasise at least three points:
(1) What is the implication of that innocent - appearing coronary stenosis? Could you send me please the coronarography report? Sometimes small lesions result important when functional testing is performed (fractional flow reserve measurement).
(2) What are the implications of digestive tract involvements? Is it GERD really evident? Does PPI therapy really alleviate your complains? Follow up endoscopies may be needed.
(3) Judging you pain characteristics, your weight, etc I think we have to exclude backbone degenerative findings sometime responsible for that kind of complain. X ray study comprising CTscan study may be needed.
(4) At the end, when nothing concludes a whole chest or chest - abdomen imagine studies should be performed (aorta, chest wall structures, etc).
Hope to have been helpful to you! Feel free to ask me whenever you need! Greetings from Dr. Iliri