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Old 06-28-2008, 11:46 AM   #1
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I have had a weird heart pain for months now

The weird thing is it comes and goes, some days worse than others. I seem to get the pain like a day after having a few beers, or working out heavy. My heart never used to race when i drank alcohol, but now when i do ( which isn't alot) it races, both due to the fact that i'm thinking about it and maybe something else?
Sometimes it would hurt when applying pressure, which made me think it was forget what it's called, conchronidits(speeling?) But i would get the pains at random, even when not pressing on my pec area.

Whats weird about all this is it seemed to all start with a weird burning sensation in my leg ( that i still have and comes and goes) one day it got so bad i felt numbness in all my extremities, and then i started noticing the heart pain (thats how it started) I go to my doctor and when he looked at my leg all he did was feel around for a "cyst" and didn't ask for any tests or anything! ( he thinks i'm a hypochondriac though) and when i brought up my heart all he did was listen with a stethoscope and say " there is nothing wrong with your heart" I brought up " could it be a blood clot" which would make sense, it could have broken off from my leg and moved to my heart, thats why my heart hurts. I still have the pain in my leg too though. I mean I even brought up blood tests! but he said " you just had blood work last year, you are a completely healthy adult man with the chart of somebody in their 80's"

This was month ago and after FINALLY finding a new doctor that accepts my health insurance i am seeing a new one this week. I will explain my heart worries to him, but what i need to know what is the best test to bring up for something like this? certain blood work , maybe i have diabetes? i'm in great shape though. Or i could have an enlarged heart from it beating so fast due to my anxiety

 
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Old 06-28-2008, 12:41 PM   #2
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Re: I have had a weird heart pain for months now

Quote:
Originally Posted by Lourage View Post
The weird thing is it comes and goes, some days worse than others. I seem to get the pain like a day after having a few beers, or working out heavy. My heart never used to race when i drank alcohol, but now when i do ( which isn't alot) it races,
Alcohol effects the nervous system and causes the release of various hormones, which can cause all kinds of problems, especially in people with weakened immune systems. I used to drink my share of beer. Heart failure didn't stop me from enjoying a pitcher, or two of brew. What stopped my enjoyment of beer was Insulin Resistance (pre-Diabetes). Even though my health has improved dramatically due to diet and exercise, my body does not tolerate any kind of alcohol, whatsoever, or I get breathing problems, racing and irregular heartbeat, etc.

Quote:
Whats weird about all this is it seemed to all start with a weird burning sensation in my leg ( that i still have and comes and goes) one day it got so bad i felt numbness in all my extremities, and then i started noticing the heart pain (thats how it started)
Burning and numbness in the extremities could be due to Insulin Resistance (ref: Metabolic Syndrome).

Quote:
maybe i have diabetes? i'm in great shape though. Or i could have an enlarged heart from it beating so fast due to my anxiety
You could also have pre-diabetes, or Insulin Resistance, which can cause all kinds of nasty heath problems, and also neurological problems, especially effecting the extremities and one's anxiety/stress levels.

Have you know your blood sugar levels at one hour, and two hours and eight hours after eating? Do you know your triglyceride levels?

Also...... a heart that does not rest properly, in between beats, will slowly weaken. Prolonged, fast beating, or prolonged improper beating, will slowly weaken/damage a heart.

Are you overweight? How healthy do you eat? You are already doing physically demanding exercise, which is great for your health. Combine your exercise with a healthy, low Glycemic Index, low Glycemic Load, balanced diet of proteins, carbs and healthy fats, and you might experience some improvements.
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Old 06-28-2008, 02:04 PM   #3
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Re: I have had a weird heart pain for months now

Thanks for the reply. Funny you bring up triglycerides cause my old doctor ( one before last) actually listened to me and my symptoms and had me set up for a triglyceride count for my next lab work to see if thats why my heart beats so fast. I didn't get the changes to go as right after he stopped taking my insurance. Thing is i have social anxiety and any little thing can sometimes make my heart start pounding like crazy. Thing is i was always told by doctors that anxiety can't kill you, and your heart racing due to anxiety isn't the same as someone who has a real heart problem and can't cause any damage. Well, now after certain recent studies i have heard otherwise, that anxiety , which leads to stress can kill.

Thing is though Machaon is i feel great! which is why maybe the symptoms are just all in my head? i'm 5'7" 160 pounds, work out every other day. I really thought some of the pins were due to overtraining , especially soem of the stuff i do such as weighted push ups, pull ups, which really can put pressure on the pec area. My family history is nobody with any heart problems , no diabetes. never had blood sugar checked.

So what would i say to my doctor about what blood work i need done and what to look for? like "give me the works" LOL or should he know what to check for? I used to drink a Ton of beer in my early 20's and not a week went by for like 8 beers when i didn't go a week without drinking like 8 beers, especially in my college days. But i have since cut down to once/every few weeks and stopped smoking years ago. I have always lifted weights since i was a teen. Figures once i start getting healthy i notice these problems right? Whats weird though is right this second i have no pain, or weird feelings, i really think the leg burning sensation and the heart pain has something to do with the other. I even feel a few lumps in my ankle area!! like little balls, and one big on my calve , they only show up when i flex my muscle though and of course my other color ruled those out as well! how can it be a coincidence i have that pin in that same leg where those tumor like balls are?

Weird thing is the heart pain hasn't gotten worse ,and it always seem like on days when i don't think about it , it's not there, but then other times i feel it. and sometimes wake up with the pain. It's never constant either. I really think it's a blood clot. Like i said i have had it for months now ( around february) so if it was something really serious like a heart attack i think i would have had it by now. Also i never have any of the pains WHILE exercising and my heart rate is up. Even though my doctors appointment is coming up on tuesday and it's a new doc, i can't help but be apprehensive just from past experiences, that i wont get results for weeks, and if he wants me to see a cardiologist that would take another month probably to set up an appointment. I really want to go to the ER , this way i would get tests right away, ya know? But like i said i'm not in any pain, and if i went in there saying ' chest pain" they'd throw me on a gurney or something LOL and i would flip the heck out! Oh well, either way i'm sure the damage is done since it's been so long! between the anxiety for almost my whole life, the beers, the working out my heart is probably the size of a basketball!

edit: also forgot to answer your question about how i eat. I have an occasional cheat meal here and there, otherwise i eat pretty clean. I even got out all caffeine months ago. I take omega 3 supplements and whey protein powder.

Last edited by Lourage; 06-28-2008 at 02:09 PM.

 
Old 06-28-2008, 03:02 PM   #4
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Re: I have had a weird heart pain for months now

One more question. I just looked over some symptoms of heart disease/enlarged heart and the only symptom i have is palpitations, but thats usually due to my anxiety and have had them for years, also the tightness in chest, but like i said it always goes away.

Thing that i was wondering is was it even possible for my doctor to tell just by listening through a stethoscope that my heart was 'fine" like he said? Am i really over reacting, which in turn is causing my blood pressure to go up and adding stress? How did you first find out something was wrong with your heart macheon? did the doctor listen with a stethoscope and immediately know that something was off? Can a doctor really tell alot of from listening to the heart through one? will i just never be satisified no matter what tests are done? Still doesn't helmp me understand what was wrong with that ekg at the hospital! even wheni told my doctor about that he didn't seem concerned (he has a ekg machine in his office and didn't even hook me up to it) and said the doctor at the hospital shouldn't have told me anything was wrong with it and it was my anxiety and racing heart rate that gave it a bad reading?!?! Then how come other people with racing hearts and have high anxiety post about having them done and them being "perfectly normal" Does my doctor just want me to drop dead for some reason? LOL. Also is it possible for me when seeing my new doctor, to have them call up the hospital? or if they wnat me to see a specialist have them call up and get a copy of my ekg to see what the heck was wrong with it?

Sorry for the long posts again, and thanks for the help!

 
Old 06-29-2008, 12:17 AM   #5
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Re: I have had a weird heart pain for months now

Quote:
Originally Posted by Lourage View Post
The weird thing is it comes and goes, some days worse than others. I seem to get the pain like a day after having a few beers, or working out heavy. My heart never used to race when i drank alcohol, but now when i do ( which isn't alot) it races, both due to the fact that i'm thinking about it and maybe something else?
Sometimes it would hurt when applying pressure, which made me think it was forget what it's called, conchronidits(speeling?) But i would get the pains at random, even when not pressing on my pec area.

Whats weird about all this is it seemed to all start with a weird burning sensation in my leg ( that i still have and comes and goes) one day it got so bad i felt numbness in all my extremities, and then i started noticing the heart pain (thats how it started) I go to my doctor and when he looked at my leg all he did was feel around for a "cyst" and didn't ask for any tests or anything! ( he thinks i'm a hypochondriac though) and when i brought up my heart all he did was listen with a stethoscope and say " there is nothing wrong with your heart" I brought up " could it be a blood clot" which would make sense, it could have broken off from my leg and moved to my heart, thats why my heart hurts. I still have the pain in my leg too though. I mean I even brought up blood tests! but he said " you just had blood work last year, you are a completely healthy adult man with the chart of somebody in their 80's"

This was month ago and after FINALLY finding a new doctor that accepts my health insurance i am seeing a new one this week. I will explain my heart worries to him, but what i need to know what is the best test to bring up for something like this? certain blood work , maybe i have diabetes? i'm in great shape though. Or i could have an enlarged heart from it beating so fast due to my anxiety
Hello Lourage,

Heart related pain can come in the following situations. 1. When the heart is not getting enough blood during the time of stress, and the heart lets you know that i am under stress, so stop. 2. When there is a heart attack - that is when the blood flow is cut off and that is pretty severe and does not go off easily, you sweat and sometime may vomit or faint. The best method to know for sure are 1. Myocardial Perfusion Scintigraphy (stress thalluim) or 2. Dobutamine Stress Echocardiography or 3. A CT coronary angiography. if these are all normal then the pain may be due to another reason called Reffered Pain - due to acidity - from the beer you have or from hot food or from a gastric problem and could be non related to heart at all.

 
Old 06-30-2008, 06:57 AM   #6
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Re: I have had a weird heart pain for months now

Quote:
Originally Posted by Lourage View Post
Thing is i have social anxiety and any little thing can sometimes make my heart start pounding like crazy.
The heart's electrical systems are very complex and are effected by MANY things, including high blood sugar, insulin levels, stress, anxiety, foods, allergens, irritants, injury, hormonal imbalance, etc.

Have you ruled out all other possible causes of your heart racing, and determined that anxiety, alone, is the cause of your heart rhythm problems?

Quote:
Thing is i was always told by doctors that anxiety can't kill you, and your heart racing due to anxiety isn't the same as someone who has a real heart problem and can't cause any damage. Well, now after certain recent studies i have heard otherwise, that anxiety , which leads to stress can kill.
Anxiety is a real problem with real health consequences. A racing heart is a racing heart is a racing heart, and it is not healthy for a heart to be constantly racing, regardless of the cause.

Most doctors are no more than auto mechanics, who chose to work on human bodies rather than car bodies. How many auto mechanics do you trust?

Quote:
Thing is though Machaon is i feel great! which is why maybe the symptoms are just all in my head?
If your heart races, your heart races, period! It doesn't matter if it is anxiety, or food, or allergens, or whatever. If your heart is not beating correctly, it is not beating correctly.

Almost everyone suffers from some heart rhythm problems, like skipping a beat, or a premature beat. But, if your heart is noticeably and frequently beating hard and fast, it is not healthy over the long term.

That doesn't mean that you are immediate danger, but, your goal should be to find a way to calm your heart. Normally this is done through medications, such as "inexpensive" beta blockers (Coreg), CCB (Verapamil), Ace Inhibitors (Quinapril), etc.

But...... prior to taking heart medication, I would prefer to try a healthy, balanced, low glycemic index, low glycemic load diet.

Quote:
i'm 5'7" 160 pounds, work out every other day. I really thought some of the pins were due to overtraining , especially soem of the stuff i do such as weighted push ups, pull ups, which really can put pressure on the pec area. My family history is nobody with any heart problems , no diabetes. never had blood sugar checked.
There is an epidemic of serious disease, sweeping this country, called Insulin Resistance, or Pre-Diabetes, or Metabolic Syndrome, which largely goes undiagnosed. You can have normal blood sugar levels, and still be sick from Metabolic Syndrome, including having heart rhythm and high blood pressure problems.

The best approach in dealing with, or preventing unexplained, or untreated, or undiagnosed health, heart or anxiety problems is through diet and physically demanding exercise. You have already taken a commendable step towards good health through demanding exercise. Good for you!

Quote:
So what would i say to my doctor about what blood work i need done and what to look for? like "give me the works" LOL or should he know what to check for?
I would get a standard blood test, which tests normal body functions, such as the liver, kidneys, etc., including cholesterol, triglycerides and blood sugar.

Doctors don't really know what causes most cases of high blood pressure, or heart rhythm problems, so there are only so many diagnostic tests they can do, without significantly high costs.

Quote:
edit: also forgot to answer your question about how i eat. I have an occasional cheat meal here and there, otherwise i eat pretty clean. I even got out all caffeine months ago. I take omega 3 supplements and whey protein powder.
How many calories do you eat with each meal? How many calories do you consume each day? How many foods do you eat each day that are high on the Glycemic Index, or having a high Glycemic Load? What percentage of your diet is protein? Carbs? Fat?

As you can see, I am a strong believer that, many of what ails us can be improved through diet and exercise. But, most people are not willing, or do not have the time, or do not want to spend the effort, or don't have the inclination to eat healthier.
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CHF, A-Fib, HBP, Diabetes, Asthma doing great

⇒ Avoid allergic & non-allergic irritants/triggers
⇒ Low calorie ovo-vegetarian diet
⇒ Power walk, weight lifts, pushups
⇒ Coreg 25mg bid

Last edited by Machaon; 06-30-2008 at 07:00 AM.

 
Old 06-30-2008, 07:13 AM   #7
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Re: I have had a weird heart pain for months now

Quote:
Originally Posted by Lourage View Post
One more question. I just looked over some symptoms of heart disease/enlarged heart and the only symptom i have is palpitations, but thats usually due to my anxiety and have had them for years, also the tightness in chest, but like i said it always goes away.

Thing that i was wondering is was it even possible for my doctor to tell just by listening through a stethoscope that my heart was 'fine" like he said?
A doctor can listen for breathing problems, heart valve problems and heart rhythm irregularities, by listening with a stethoscope, but the best non-intrusive, and most frequently used tools to diagnose heart disease, and heart failure are the EKG and the Echocardiagram.

If you do have a weakening heart (heart failure), then the best approach to dealing with heart failure, or any other health problem, is DIET and EXERCISE. I've had heart failure and persistent atrial fibrillation (a deadly, progressive combo), for over 20 years, and my health is significantly improving as I approach my eighth decade of life. I was getting progressively worse, each year. I've completely turned around my heart disease and my health problems, and I fell GREAT, through Diet, Exercise, and by avoiding the "triggers" that cause heart rhythm problems, high blood pressure and immune system over-reactions.

So...... as you can see, if you believe my story, heart failure, even if compounded by Persistent Atrial Fibrillation and Aging, is not a death sentence.

I've got to run. Busy, busy, busy. Will address the rest of your post later.

Take care!
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CHF, A-Fib, HBP, Diabetes, Asthma doing great

⇒ Avoid allergic & non-allergic irritants/triggers
⇒ Low calorie ovo-vegetarian diet
⇒ Power walk, weight lifts, pushups
⇒ Coreg 25mg bid

 
Old 06-30-2008, 11:44 AM   #8
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Re: I have had a weird heart pain for months now

Thanks for the replies joyajith and machaon! very Insightful and i'll be sure to bring these things up with my new doctor tomorrow. Extra thanks to You machaon for taking the time to answer all my questions and really explaining everything to me. Congrats on both how long you have lived with heart problems and ow old you are!


But yea, the first blood tests i got last year my doctor didn't find anything wrong, then again he wasn't looking for any problems from my heart, it was just a standard blood tests to test organ functions and what have you. So then i started the anti anxiety meds ( which did nothing for me) i'm totally off them now and my next step is find a psych and see if i can beat it through CBT or other therapy. On side note i been taking track of my BP at home at different times to show my doctor, cause it's always so high when i get it checked at the doctors! I think thats why my previous doc refused to give me anything for high blood pressure( even though mine spikes high) probably thought it was white coat syndrome. Anyways my reading just now was 128/68 with a pulse of 66. Is that fast resting pulse? or just right? cause whats weird is i have that racing butterfly feeling in my stomach as of right now, which made me think my heart was racing, that nervous feeling, yet i took it and it was pretty low? (which also makes me think alot of this is in my head and it's really my anXiety thats driving me crazy LOL.

Last edited by Lourage; 06-30-2008 at 11:44 AM.

 
Old 06-30-2008, 11:49 AM   #9
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Re: I have had a weird heart pain for months now

Oh and i don't really keep track of my calories per meal. Just as long as i get over 2,500 a day ( trying to put on more muscle mass) I try to stay away from all simple sugars/ anything with high fructose corn syrup in it. Like i said i take a few protein drinks a day as supplements to meet my protein intake, i try to get atleast 20-30 grams of protein with every meal, don't worry about carbs, and i try and stay away from high sat fat foods. What i also forgot to mention and not sure if this related is when i urinate i notice a ton of bubbles, and not from hitting the water fast cause sometimes they aren't there, yet other times they are, usually always after a high protein meal or just waking up. I been reading hat this can be a sign of kidney problems! and extra protein in the kidneys. Maybe all this stuff is related. I'm going to amke sure to write down some of the stuff you told me so i remember to talk to my doctor about it and so i don't forget anything to go over with him.

Last edited by Lourage; 06-30-2008 at 11:50 AM.

 
Old 07-08-2008, 10:23 AM   #10
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Re: I have had a weird heart pain for months now

Well after going to my new doctor, she thought i should see about seeing a psych for my anxiety before dealing with any BP issues ( surprise) fast forward to yesterday! i woke up having trouble catching my breathe, now i have had anxiety attacks before, but never when i had trouble breathing, my heart also felt weird, i said enough is enough and decide to go into the ER. I also felt my ears burning up ( clear sign of high BP) I was put on a monitor and had an ekg done, my Bp ta it's highest was around 158/112!!! i told them about my anxiety, and they said still, there is no reason it should be that high. They gave me 3 shots of lopressor intravenously and it still didn't go down, then they gavce me an oral, as that was the limit. Doc even said it should have gone down. The lowest it went to was around 145/77 but the last reading shot back up to around 150/90. I was in agony laying in that bed for 7 1/2 hours!!! they wouldn't let me even go pee, i had to use a urinal thing LOL it sucked.

So the hospital lady prescribed me 50 mg's of lopressor twice daily. Now i'm no doctor but i think that is WAYY too much, especially given the fact that my BP only spikes during certain situations. Still they couldnt find a cause for my high BP at all and now today i had to make an emregency ,eeting with my real doc to see what we can do to follow up.

here is the report from the ER in brief.

History:abdominal pain:

chest x-ray

The heart is magnified in this projection. The trachea is midline. The visualized hilar and mediastinal structures are un remarkable. Impression: NO acute disease.

I guess this one is from my ekg, but it's a graph with what looks like heart rythms, it says on the top

Rate: 123. sinus trachycardia
RSR' in VI OR V2, Probably normal variant

PR 180. Borderline T abnormalities, inferior leads
QRSD 78
QT292
QTC 418


The rest are p[ages and pages of the blood work they done, all of which was fine, they even checked thyroid, D-Dimmer to rule out blood clots. The doctor said while my heart was in fact racing, the beats were normal beats and not abnormal, arrhythmia.


So now if it's not my heart..could it just all be do to overstress and anxiety? maybe the pain was from overtraining from working out? I don't get it, am i just a nut or what?

Last edited by Lourage; 07-08-2008 at 10:24 AM.

 
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