I'm 39 years old, male, and for past 3 years been having chest pain, the cause of which goes undiagnosed. I'm 5'10", 187 lbs., active and otherwise healthy. Have been following SouthBeach diet for 3 months and have lost approx. 20 pounds. Strenuous manual labor for 25 years (forestry, landscaping). have used chewing tobacco for 20 years. Occasional drinker (beer).
Symptoms: Pain & severe stinging left ribs, tightness in left chest area. Feels like it "pulls down" heavily while tightening. Sometimes accompanied by sweats/hot flash. Feels like a "shock." Other times, stinging or "inflamed" sensation on left breast (under skin). Yet other times, it feels like the muscle squeezes, feels like heart. The whole muscle clamps up/moves (wave-like contraction) and it simply feels "weird." Heartbeat seems to stay regular before, during, after these episodes. Breathing is not painful or problematic. Other times, general pressure all over left side, may come and go for seconds at a time for hours, and some days nothing happens. Under left armpit, muscle tightens with "rolling" sensation - radiating right across chest then down around breast area. Sometimes initial pain begins in back and radiates around to front of chest. Usually sleep on left side; sometimes rib area feels "swollen." No significant sleep problems. I cannot determine pattern to when or why pain starts. Can be any time of day, active or inactive, seemingly not related to food. Is becoming extremely disruptive as I am often uncomfortable and worried about it.
Medical investigation to date: After consulting with GP was referred to Cardiologist; had 2 stress tests, echocardiogram, CT-angiogram, full cardio workup. He found nothing to be concerned with (passed stress test with flying colors). Referred to Gastroenterologist; he did EGD and other (?). Again, nothing unusual showed, except: mild GERD, and small hiatal hernia. Prescribed Nexium, which I take about 1x/day. Referred to Neurosurgeon; had full work up and he found nothing to explain symptoms.
Currently trying physical therapy: stretching, exercise, but have not been able to recreate pain/spasm while with therapist. Am awaiting an appt. with Rheumatologist in the next month.