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Old 03-13-2010, 11:09 PM   #1
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melobious HB User
Costochondritis or Tietze???

Hey,

I am a 26 year old female and about 7 weeks ago i went to the ER as i was suffering from extreme pressure on my chest. Slight pain just more pressure / tightness on the left hand side! I had all the test done for my heart (ECG, ECHO, stress test) and lung (CT Scan and xrays) as well as blood test (all clear)

They believe it is Costochondritis or Tietze, my concern is that im not really feeling pain just pressure. Everything i have read on both conditions say extreme pain. i do have some tender under my breast and under my left arm.

Has anyone just had extreme pressure on the chest and only slight pain (not much at all)? im worried that this could be something else due to the lack of pain (not that im complaining about lack of pain just wondering the right diagnosis was made!!)

Thanks

 
Old 03-14-2010, 12:00 AM   #2
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Angry Re: Costochondritis or Tietze???

Quote:
Originally Posted by melobious View Post
Hey,

I am a 26 year old female and about 7 weeks ago i went to the ER as i was suffering from extreme pressure on my chest. Slight pain just more pressure / tightness on the left hand side! I had all the test done for my heart (ECG, ECHO, stress test) and lung (CT Scan and xrays) as well as blood test (all clear)

They believe it is Costochondritis or Tietze, my concern is that im not really feeling pain just pressure. Everything i have read on both conditions say extreme pain. i do have some tender under my breast and under my left arm.

Has anyone just had extreme pressure on the chest and only slight pain (not much at all)? im worried that this could be something else due to the lack of pain (not that im complaining about lack of pain just wondering the right diagnosis was made!!)

Thanks

 
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Old 03-14-2010, 12:03 AM   #3
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Re: Costochondritis or Tietze???

have you been experiencing any gas? upset stomach? vomiting, diarrhea? do you still have your gallbladder?

 
Old 03-14-2010, 04:41 AM   #4
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Re: Costochondritis or Tietze???

Hello,

Yep still have my gallbladder. I am not experiencing any of the symptoms that you have described just constant pressure and a few tender ribs.

 
Old 03-15-2010, 11:53 PM   #5
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Re: Costochondritis or Tietze???

Costochondritis should be distinguished from Tietze syndrome, a condition involving the same area of the front of the chest. Costochondritis is not associated with swelling, as opposed to Tietze syndrome where swelling is characteristic. Tietze syndrome is an inflammation of the costochondral cartilages of the upper front of the chest.
Patients with Tietze syndrome develop tenderness and swelling over the ribs and cartilage near the breast bone (sternum). Redness, tenderness, and heat can also be present, but a localized swelling is the distinguishing finding. The pain is variable, often sharp, can be confused with heart pain, and can last from hours to weeks. It can cause difficulty with sleeping and even rolling over in bed is sometimes painful. Blood testing (sedimentation rate or C-reactive protein test) can show signs of inflammation in patients with Tietze syndrome, whereas patients with costochondritis alone typically have normal tests for inflammation.

 
Old 04-25-2010, 12:58 PM   #6
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Re: Costochondritis or Tietze???

Hi Melobious,

I was diagnosed with costochondritis at the beginning of march.I have never had any chest problems before and while I was sat at my desk at work taking calls I started getting really bad chest pain..I thought it was just summat that would go away so went home had a bath to see if it would help,and then by the time I got up in the morning to go to work I could barely breathe the pain in my chest was horrendous..I had only ever felt chest pain like that before when I was diagnosed with gallstones 10 yrs ago.

Me and my hubby were both worried so went straight up to A & E to get it checked.They were very thorough with me I had bloods taken,chest xray,2 ecg's and a thorough examination,and luckily the doctor that was dealing with me had a lot of experience in this field and she knew just where to touch to check and she was correct.

I was told to just take it easy for a couple of days and take some ibuprofen etc..unfortunately the symptoms got worse and worse and I ended up back at the hospital,they told me that it would be a minimum of 3 mths before I noticed even a slight improvement,and he prescribed me some 'NAPROXEN' and advised to take with co-codamol,which to be honest only just touches the sides.

I have had to give up work because the job I did was very stressful and the slightest bit of stress and I can be doubled up in agony,and they weren't happy with all the time I was having off.

I was at the doctors last week and he has now put me on naproxen and codeine and I also take 1 ibuprofen and 1 co-codamol at once..it is helping and I do have good days but there are normally more bad days..and in about 5 weeks my gp is going to start me on the cortisone injections..so will let you know how that goes..

So I completely and utterly sympathise with you,and if you want to keep in touch for support then feel free.

 
Old 04-27-2010, 02:05 AM   #7
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Re: Costochondritis or Tietze???

Hey Mrs Wah,

I am now past the 3 month mark and still have the same horrible feeling....... i THINK its better but now i don't know anymore!!

I have developed anxiety because of this and i think i have made it worse due to all the worrying!! Stress makes this condition worse!! my mistake was looking up "chest pressure" on the net!!! i convinced myself i had all these serious issues!! most if not ALL have been ruled out..... so i guess its a wait till it goes away type thing. its so frustrating

All i have been given is strong pain killers but they don't seem to be doing much!!!

i have given myself Reflux as well...... so getting an endoscopy this Thursday (apparently chest pressure can be caused by Acid Reflux) so this is another thing i will rule out.

I hope you feel better and let me know your progress!!!

Thanks for writing me!!!!

 
Old 04-27-2010, 07:01 AM   #8
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Re: Costochondritis or Tietze???

I've been diagnosed with costochondritis also- OCT I noticed it and it is still there. I've had tons of tests done also to rule other stuff out- CT Scan, XRAYS, Blood work, and ultrasounds. They cannot find anything with my chest/ribs, even though I feel a hard spot on the rib bone on the left side. It is painful when I lay on my stomach in bed and bending over hurts and sometimes just sitting does if I have tighter pants on. I hate COSTO. I don't think Motrin works either, nothing does for me. Some days are worse than others.

 
Old 08-03-2010, 07:21 AM   #9
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Re: Costochondritis or Tietze???

Was diagnosed with CC about 3 months ago. Thought I was having heart attack. Was given EKG/Echo/xrays for heart/lung/sinus. Internist diagnosed as CC. She prescribed Flector patches which I am not out of. I saw where some use the Salonpas so started with them although I didn't read the directions thoroughly and left on more than 8 hours and burned the dickens out of my upper chest..waiting for healing to begin using again.

I have such fatigue with this ailment, have to nap about 2-3 hours in the afternoon. Can't watch TV at night as always fall asleep, very unusual for me.

I feel I am some better. Mine was pretty severe in my right area, before that area right below my right breast gave me tremendous pain (had more than one GB scan which was negative so attribute to the CC)..mine seems to have localized with the pain above my left breast area and moves to the center, wake up with it during the night at times and certainly gives me pause when I bend over, phewww...

Was so hoping this would go away with time.

Jan

 
Old 11-15-2010, 08:33 AM   #10
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Re: Costochondritis or Tietze???

I have i believe Costo right now. In the past however, it was thought i had it and it turned out to be pleurisy and pericarditis which is inflammation around the lungs and heart. Since i've had both those and costo i can tell you the pain starts out exactly the same. Only difference is with costo it hurts, and is mostly bad when i move or breath deep. With the pleurisy or pericarditis it hurts constantly and is so bad i end up in tears and pacing the floor because the pain is so bad. With the pericarditis i also had fluid around the heart as well. Just a minimal amount, but they told me if the fluid builds up too much the pain goes away or greatly minimizes and it just feels like pressure and a full feeling. They also say if you lean forward your pain subsides. Just a thought since you said your pain isn't that bad.

 
Old 11-18-2010, 02:49 PM   #11
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Re: Costochondritis or Tietze???

Hey,

Well here i am 10 months later and the pain/pressure has eased but is still there!! I have exhausted all testing possiblilties!! I have done everything....

Its definately not Lung or Heart issue as i had all the heart and Lung tests possible and there was no sign of pluerisy or fluid or anothying like that. Thanks for the suggestion though!!

Recent tests: Gallbladder scan and it turns out i was born without one!! hehe so yeah dont think that is my issue..........Also had a bone scan and no signs of anything serious

Went to a rheumatologist and he believes I have fibromyalgia so CC is a definate symptom of Fibro.......... so my chest pain / pressure appears to be a part of bigger issue!! YAY for me hehehe

Hope everyone who has written on the thread is feeling better.......... Any updates??

 
Old 11-22-2010, 01:02 PM   #12
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Re: Costochondritis or Tietze???

I have an update since my post- I never had costo, I had celiac. I was just dx'd with it in September. Have you been tested for that? My rheum was the one that found it! I guess some ppl with it have left sided rib cage pain.

 
Old 11-25-2010, 05:36 PM   #13
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Re: Costochondritis or Tietze???

Good evening ladies,

I'm soo pleased I have found this forum as i'm soo baffled and confused.

So I have visited A&E twice in the past 3weeks with chest pain. On both occasions I had bloods taken, chest x ray, ECGs (had 5 in total between Drs, ambulance crew and A&E staff) and urine test which all fine. Last night the Dr put the chest pain down to stress and Costochondritis. I've been taking painkillers for over a week and nowt is working. Now my mum has suggested I take an anti inflammatory and co codemal, in the bid to try and alleviate some of the pain. I am now attached to my bean bag which I heat in the microwave and put on the areas which are giving me trouble (ie left side under the breast, across my back and sometimes on the right side).

I am at my witts end with this because I feel tired all the time, feel breathless (although I don't sound it), the pain comes and goes, ie sometimes when I breath in, the pain is there, and sometimes it's not, im unable to earn any overtime @ work because it requires me to move a lot and i'm always crying with the pain. Also I have this feeling of pressure, like someone is pressing down on my left shoulder, is this part of the Costochondritis??? . .

I was just wondering really what else I could do to try and help with this pain???? . . I really would appreciate some advice, help as im @ my witts end .

Thanks!

Last edited by dancinggirl86; 11-25-2010 at 05:40 PM.

 
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