What Causes Constant And Severe Chest Pain In A 26 Year Old Man?
We live in XXXXXXX VA and need some advice. This lad is suffering to the point of mental anguish and we're getting nowhere.
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and would explain that your symptoms and would explain that it is important performing a comprehensive differential diagnosis of different causes that may lead to this clinical scenario:
1- Inflammation. Costochondritis could be the cause of his symptoms. Is the chest pain exacerbated by body movements, respiration or coughing? This could indicate possible inflammation of the soft tissues (muscles, ligaments, etc). I would recommend performing inflammation tests to investigate for this disorder.
2- Gastro-esophageal reflux or esophageal spasms could also mimic this clinical scenario. A fibrogastroscopy is necessary to exclude these disorders, including hiatal hernia.
3- Possible acute pancreatitis. It can cause pain in the lower chest, with other symptoms like diarrhea, etc.. Does he have any other symptoms? Are his symptoms triggered by eating?
4- Possible gallbladder stones. I would recommend performing an abdominal ultrasound to investigate for this possible disorder.
Myocardial ischemia has been ruled out by your repeated ECG. So, considering his young age, I would not recommend performing further tests to investigate for this disorder.
You should discuss about the above issues with his doctor.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri