Stress / Anxiety :: Constant Mild Chest Pain In Center


Nov 12, 2013

I'm a 37yr old male. I've been experiencing this chest pain/aching feeling in the center of my chest for several days now. It's really weird; It happened a couple times before, but never lasted long, I'd say about an hr or so. But this time, this time it's been going on for almost 5 days now! This time it started, as what I'd describe, as a panic/anxiety/stress attack (pain in chest/cold sweats/lightheaded/flustered feeling). I wasn't doing anything stressful at the time either, I was just hanging out with my friend in his living room chilling. The feeling Death entered my mind and hasn't left...prob just my own paranoia. 3 days after this chest pain didn't go away, I was in the movie theater with my kids and towards the end of the movie the pain got more intense, again all the symptoms as above. All I could think of was "Please not here, not now!" After we left the theater, I called my ex wife to come get the kids because I was pretty scared of what was going on and didn't want to alarm my kids. So once she picked them up, I went to the ER to get myself checked out. They did an EKG and blood work, everything came back fine. I was still experiencing these symptoms (not as bad as when it peaked) but everything still came back fine. They gave me something like Mylanta for gas or something to rule out gas. I'm not sure if it helped or if I was just feeling calmer. When I left the hospital I was feeling hungry so I went to eat. In the middle of eating I started feeling weird again. But eating has nothing to do with this, as I wake up and the pain is still there.

Sense then the pain/aching in my chest hasn't gone away. I've taken Tums but doesn't really help. I'm more concerned now sense all of those tests the hospital done all came back OK. That only tells me that it's something else. I'm pretty worried about this, as it's a Real pain!

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Gallbladder Surgery :: Persistent Mild Dyspepsia, Mild Nausea And Appetite Loss

RECENT HISTORY

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TEST RESULTS
After the Hida scan came back positive with an ejection rate of 11%, I scheduled my new a1c test, ekg (family history of heart disease), I was cleared and scheduled for surgery. I stopped taking the ppi as I believed this to be the cause of all my problems. btw, I was 254 the end of june and lost 25 pounds by the time of surgery (average daily caloric intake ~900-1200 prior to surgery

POST SURGERY

After the surgery 7/21-one week ago, I had my two days of pain and adjustment, and recovered decently with a soft food and liquid diet. I noticed the general sickness was gone! Hazzah!, except on Saturday I was feeling bloated, cramping, and I could not eat a solid one bite without feeling sick. I knew I was constipated. I stopped the pain meds the day before and I knew I had not eaten too much but it was over a week since i went. I took magnesium citrate and nothing after 7 hours, I drank another 1/2--then BOOM it was insane. I was sooo wiped out and tried to replace lost liquids but I believe I was dehydrated. I was sick that night and stomach was not happy.

Sunday was much better but I was wiped out still and felt generally just depleted of all my energy. I ate, walked a bit and then came back home. That night I started feeling very uncomfortable and the symptoms were somewhat similar to prior to surgery of the general dyspepsia and nausea chronically. I could not sleep because of my back problems (had to sleep upright on my back all week). I woke up in the middle of the night turned to my side and then all of a sudden I felt a warm rush of something just above my stomach and the constant burn in my stomach no reflux. I could not sleep until the morning.

NOW,
I have had really bad gas (low fat diet) for the past few days. I was getting and feeling better on day four but now this!

I felt extreme discomfort all day, felt like a low grade fever 98.6 (no fever) incision site is also slightly red, but the doctor said to call if I had a fever. I was worried about an SSI. The pain was like I threw up (I never have even starting out back in at the coffee shop) and that ache afterwards. The burning sensation let up later in the day after I took some antacids and saltines (I must have some acid issues, but I have read a lot of people suspecting many people may actually have low acid).

The thing is a lot of people have episodes after food, but mine is chronic with mild discomfort, burning sensations, upper abdomen and stomach discomfort (with some nausea), and food helps it initially and then it comes back. I feel week, slight low grade fever even though I don't have one. I keep thinking I have an infection of H. Pylori or something. Food takes a while to do much, I walk after I eat everything. I feel like I could eat but I get so much bloating and indigestion that it is uncomfortable. I drink plenty of water, but I wonder if I am low on essential things for the long ongoing low calorie daily diet. I can't eat more then 800 calories even with smaller meals-since Thursday.

Why was my gall bladder inflamed in the first place? I had no stones, and the surgeon said I had a very long a big gallbladder (ready to rupture!) that was really inflamed including a little on the liver. Pathology reports came back negative. I theorize my rapid change in weight and blood sugar levels inflamed the organ or an infection.

Possibilities:

diabetic Gastroparesis
H. Pylori
Peptic Ulcer (was never officially tested)
Gastritis
Anxiety
Low/High Stomach Acid
Low bile leak?
Sphincter of oddi dysfunction

What I feel could help:

HCL Betaine
Digestive Enzyme (Garden of life chewable vegetarian)
ppi (I would hate to take them unless I had to)
something to coat my stomach if I do have an ulcer to heal
ability to eat more so I can have more assimilated minerals, ect.
Anxiety med (first year i've had a lot of anxiety-mainly school related and upcoming wedding planning for next year
more tests!

My burning anxiety questions:

When will I get my appetite back?

(i really suspected my odds were decently good that I would get better after surgery, I had a great surgeon)

Did anyone have any of these chronic symptoms? Is it due to an infection or some issue with surgery?

Have some people eventually been able to eat what they wanted after a period of time?

How many had these excessive bloating, indigestion, nausea and general malaise through the day, worse a little while after food or between meals?

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