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What Causes Pain On My Chest And Back For The Past Several Months?
Question: Hi I have pain on my chest and back for the past several months. I have gone to Dr and had EKG; Stress test; Echardogram, MRI and everything comes back normal. The pain has been intermittent and is not better if I do nothing and comes at random times. I have no history of heart diseae in my family and I am relatively XXXXXXX person. My age is 43. I don't smoke, not overweight, or have any other underlining medical conditons. I am asking this question because the doctor says i may be under stresss and nothing else is wrong. My brother just visited a muscle specialist and this person mentioned that my pericardiocophrenic nerve is the problem. I have never heard of that, but as i have just mentioned i have tried everything else.What do you think?
Brief Answer:
Seems to be a difficult task to resolve
Detailed Answer:
Hello! Thank you for your question on HCM! It seems that your chest pain etiology is a difficult task to resolve. All the performed exams have excluded a cardiac cause. But what is it ?!! How could we find the right answer?!
If I were your doctor I would pay attention to the chest pain nature, as it can give us frequently much more informations than many specialised techniques. There is an ever growing list of chest pain causes and pain nature is the best guide for addressing the right choice.
From one side there is the group of major chest pain syndromes (acute coronary syndromes, acute aortic syndromes, pulmonary embolism) having tremendously immense growing pain.
There is also the group of chest pain modulated from respiration, movement, cough, etc caused by inflammation of visceral lining surfaces (pericardial and pleural layers), articular and muscle - ribs interface.
But there is also a third group of chest pain with a random nature, where no modulating factors can be found, no exam results can track the right cause. This seems to be your case. What to do?!! Seems a difficult task. Probably we should search at a micro-environmental background. Probably an inflammation of nerve endings, probably shingles (reactivation of a hidden chickenpox infection without cutaneous lesions at a certain period), probably any nerve entrapment, etc.
To conclude there are many extra-thoracic disorders which reflect with chest pain (abdominal, metabolic, systemic, etc).
And when nothing is found by the exams and no brilliant idea has found the solution we remember for a forgotten reason: hypochondria. A specialist in the field is necessary at that point (psychiatrist)
So you have to talk to your doctor (preferably a pasionated internist) about the possibilities.
Hope to have been helpful to you.
Feel free to ask me whenever you need. Greetings from Dr. Iliri
Seems to be a difficult task to resolve
Detailed Answer:
Hello! Thank you for your question on HCM! It seems that your chest pain etiology is a difficult task to resolve. All the performed exams have excluded a cardiac cause. But what is it ?!! How could we find the right answer?!
If I were your doctor I would pay attention to the chest pain nature, as it can give us frequently much more informations than many specialised techniques. There is an ever growing list of chest pain causes and pain nature is the best guide for addressing the right choice.
From one side there is the group of major chest pain syndromes (acute coronary syndromes, acute aortic syndromes, pulmonary embolism) having tremendously immense growing pain.
There is also the group of chest pain modulated from respiration, movement, cough, etc caused by inflammation of visceral lining surfaces (pericardial and pleural layers), articular and muscle - ribs interface.
But there is also a third group of chest pain with a random nature, where no modulating factors can be found, no exam results can track the right cause. This seems to be your case. What to do?!! Seems a difficult task. Probably we should search at a micro-environmental background. Probably an inflammation of nerve endings, probably shingles (reactivation of a hidden chickenpox infection without cutaneous lesions at a certain period), probably any nerve entrapment, etc.
To conclude there are many extra-thoracic disorders which reflect with chest pain (abdominal, metabolic, systemic, etc).
And when nothing is found by the exams and no brilliant idea has found the solution we remember for a forgotten reason: hypochondria. A specialist in the field is necessary at that point (psychiatrist)
So you have to talk to your doctor (preferably a pasionated internist) about the possibilities.
Hope to have been helpful to you.
Feel free to ask me whenever you need. Greetings from Dr. Iliri
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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