i went to er for chest pain, racing heart, dizzy. ekg / troponin / chest xray negative heart attack. still hurts 5 days later. possibly still heart?

Question

Squeezing chest pains radiating to back & down left arm. Troponin, D-Dimer, EKG, Chest X-Ray & heart monitor.. All normal! Could it still be cardiac?

Answer 1

Chest pain: Still possible. Pericarditis is common at your age. But non-cardiac chest pain is more common. Ie: esophageal reflux, musculoskeletal pain, gas pain, etc

Answer 2

Nitroglycerin: Nitroglycerin relieves cardiac related chest pain by dilating the coronary arteries. These are the arteries that supply blood to the heart. Improving blood flow to heart muscle will relieve the discomfort caused by a partial blockage of the blood vessel with plaque.

Answer 3

Ntg: Nitroglycerine opens the blood vessels of the heart, improving oxygenation thus relieving chest pain.

Answer 4

↓es heart workload!: Nitric Oxide, long called Endothelial Relaxing Factor (http://en.wikipedia.org/wiki/Nitric_oxide & http://en.wikipedia.org/wiki/Glyceryl_trinitrate) mostly relaxes veins, thus ↓ing blood return to both right & left heart, less so arteries, ↓ing heart work load & may relax heart artery spasm at narrowing: ↑ing blood flow to heart muscle with ↓blood flow from which pressure/discomfort is perceived.

Answer 5

Yes: I assume you are talking of disc surgery, which the nerve involved. We have to consider two things. How chronic the painwas? How much the nerve injury is? It may take days? Few weeks? It may have residual pain for long time?

Answer 6

Not normal but: Ideally, everyone wants relief of all their symptoms. Sometimes there may be a co-existing neuropathy or even a compression neuropathy like a tarsal tunnel syndrome that nay gave not been diagnosed pre op. Sometimes even after a successful surgery in terms of freeing up the nerves they don't always fully recover. Get an EMG done and a repeat MRI with contrast to check for possible reasons.

Answer 7

Best to discuss: With your surgeon who knows your individual case.

Answer 8

Normal: The corpus luteum is the cyst in the ovary where ovulation occurred. It is an important source of hormonal support to the early pregnancy. This is a normal, healthy finding.

Answer 9

Corpus luteum: A corpus luteum is normal and a necessary part of pregnancy until at least 8!weeks gestational age.

Answer 10

Maybe: The burning pain in your chest is most likely due to the disc herniation touching/compressing the nerves that go to the area of your chest where you feel the pain. If the hernia gets bigger it can squeeze on that nerve further, and can cause permanent damage to this nerve, sometimes decompressing the nerve through surgery may help but not always, medications such as gabapentin, Cymbalta (duloxetine) may help.

Answer 11

Back pain: The back pain can be caused by muscle strain, spinal stenosis, ruptured disc, nerve impingement ... It sounds like you are experiencing nerve pain. Before we can say if this bad, we need to know how severe is your conditions. Please see a pain management doctor or spine surgeon, you might benefit from a comprehensive evaluation and treatment.

Answer 12

NO: No you should see your doctor first , for full physical examination, blood tests, endoscopic examination along with radiological tests to find the cause of your symptoms. Some one at your age a malignancy is unlikely, may be ulcerative colitis, or other conditions that could be cured and get it treated with out delay.

Answer 13

See a doctor: Sounds like it is time to see a doctor to find out what may be wrong. Cannot tell in this forum what may be the problem without more history & information. May need to have some tests performed.

i went to er for chest pain, racing heart, dizzy. ekg / troponin / chest xray negative heart attack. still hurts 5 days later. possibly still heart?

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