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Elusive cause of chest pain? Heart? Tumor? Nerves?

Posted by Nyah K.

I keep getting chest pain and cramping around my heart, in my left arm and between my shoulder blades. Doctors have already checked my heart: multiple EKGs, an echocardiogram and an exercise stress test, so I don't think it's that.

What could it be? It has been going on for quite a few months now. I'll have days where I'm mostly OK, but then it will come roaring back worse than ever.  I haven't found any specific triggers, either.

I have already considered anxiety and am taking Xanax to try and help that, but it can only do so much. It's not heartburn or acid reflux, either, because I have dealt with that in the past and this pain is MUCH different.

I am currently trying Milnacipran/Savella as well because SNRI's can sometimes help with pain, but so far it hasn't done much. I'm only on 25mg per day at the moment because it has raised my bloodpressure and I want it to stabilize before I raise the dosage (which it seems to be doing).

Did I mention I am only 24 years old? Male and caucasian, too.

I have no other health conditions as far as I know.

The doctors assure me it's not my heart, but when I keep getting constant cramping in that area it's hard to believe that at times. If it's not my heart then what in the world is it? Why can't they figure it out?

I'm thinking maybe I have some sort of nerve damage or something, but I don't know. I am considering giving Neurontin a try, but I don't really know if it will help much. I heard pure magnesium supplements do pretty much the same thing as Neurontin anyway and I'm already taking those, so I'm a bit skeptical.

I really don't know where to turn at this point. Are there any other heart tests I should push for even though the doctor is certain my heart is fine? An angiogram, for example? And on that note, do they even do angiograms if there's no evidence of a heart problem in any of the other three tests I've had?

Sometimes the pain and discomfort wakes me up at night, but not often.  When I do, I'm not usually in pain but something just feels off/strange.

Is there any way this could be a tumor in that area?  If so, what test would I need to rule it out?  Would an x-ray suffice?  I had an echocardiogram on/around my heart, though, so if it was in that area I think the doctor would have likely seen something, no?

Anyway, that's enough for now. I really need some guidance and advice.

I am a 24-year-old caucasian male.
I eat relatively healthy and am not overweight.
I don't smoke or do drugs.
I already saw a neurologist as well and have had multiple blood tests/etc.
Pain does not increase with exertion.

Thank you for any help you may be able to give.

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