Health issue: Pain in chest

Since it seems that there are plenty of people with broad health knowledge, here is one for you to solve:

From time to time, at more or less random moments, I get a sharp pain in my chest, more or less where the heart is.
Over time I come to realize, that drinking 1 glass of ( preferably very cold ) water solves the issue immediately.

Sometimes there is no drink in vicinity ( last time was in the train ), so I collect as much spit I can, and then "pretend" to drink.
Sometimes it happens in the middle of the night, and I have to get up to get a drink

It is not a heart attack, ( otherwise I would be dead since a while ) and I don't suffer of high blood pressure.

Curious to see what OZBargain has to say.

closed Comments

  • +46

    What has your doctor (or otherwise trained medical professional) suggested it might be?

    • +17

      Sensible advice, and should be the end of the thread.

      • -7

        Since I didn't die in the first place, I started to look-up on the Internet. There seems to be other with this symptoms, and they all went to doctors and has all kind of things checked. No one came back wiser.
        I do not think much of the doctors here in AU, as I has gone through pneumonia ( 3 doctor visits ) without the GP realizing what it was. Till I was already getting better, a specialized doctor, told me. His answer "I can give you antibiotics, but at this stage they are not going to change much, as you are already in remission"

        • +4

          Late diagnosis aside, what is wrong with:
          "I can give you antibiotics, but at this stage they are not going to change much, as you are already in remission"

          Why would you want antibiotics if your body was already doing its thing?

          Furthermore, medical professionals > internet community (in particular an internet community revolving around bargains) when it comes to medical issues almost all of the time.

        • +4

          I can understand a persons reluctance to seek medical advice if you've had a bad experience or have a particular symptom and seen a doctor or multiple doctors a number of times and had no resolution.

          Its easy for people in your life or online to say/post that you should seek medical advice or if you've had a bad experience than try someone else but there is something to be said about the hope one gets when they see a new doctor thinking maybe this time someone will take me seriously or solve this issue and when that doesn't happen there is the inevitable crash when you realise all the hope and time is for nothing and you end up back at square one.

          I get that the default position is see a doctor but the the medical system is complicated, doctors don't know everything and may simply not be interested in helping you especially when you have vague symptoms.

          I'm not saying to anyone don't seek medical advice but just be prepared it may not help you or you don't find answers. Not because you don't want or deserve help but because you may find a doctor having a bad day, you may find a disinterested doctor, you may find a doctor who does one token basic test and when that doesn't show anything they politely tell you to get lost or you may find a doctor who would rather paint their patient as a hypochondriac or blame it on mental health rather than do some actual work and solve the issue.

        • @barghunt1: i totally agree.

  • You could try webMD, plug in your symptoms and it will suggest an ailment.
    http://symptoms.webmd.com/#introView

    But uh, self diagnosis is never accurate, and neither is WebMD.

    • Thank for the Hint, I think I "like" this one:
      "Esophageal Spasm:
      Esophageal spasms are sudden, painful contractions in the muscles of the esophagus that last a few minutes. Experts aren't sure why they happen, although swallowing a pill, a large chunk of food — or drinking very hot or very cold drinks — can trigger them. People with heartburn are more likely to get them. The pain can be intense; some people mistake an esophageal spasm for a heart attack. Most esophageal spasms don't need treatment, but chronic esophageal spasms can be disabling and sometimes need medicine or surgery."

  • +23

    Go see a Doctor. Please.

    • -4

      I have it since 10 years, more or less. Still kicking ! So no rush.

      • +9

        Have you heard of preventative health?

        Ie. You take your car in for regular servicing to avoid major breakdowns. When you haven't serviced your car for 10 years and something breaks, don't expect the mechanic to be able to magically fix it.

        Its called a right off. Except in medicine it could mean death or horrible disability.

        Things like blood pressure, cholesterol, diabetes status, alcohol excess gnaw away at you from the inside and the first sign of damage may already be too late - heart attack, stroke, etc.

        Source: Emergency doctor - see all this crud when things go wrong and people ignore preventative health. Also stops me from doing my job (look after really sick people) when at 2am you decide that this one episode of whatever the cause of your chest pain is bothers you enough to call an ambulance and clog up our emergency department. Go see your GP. Find a good one and stick with them - they're not all equal (just like mechanics). Some of the better ones may not bulk bill, so don't be stingey. It's your health, which ultimately is the best thing you have as everything you do/want to do revolves around you staying healthy.

        • +3

          Oh and please don't use Dr Google.

          There are some conditions where this may be appropriate. Chest pain is not one of them.

        • +5

          Its called a right off.

          No, it's called a write off.

        • +4

          @ronnknee:
          Thanks for picking up on the important points of the post ;)

        • +1

          +1 Plasmapuff

          I completely agree with where you're coming from. :)

    • -3

      Can I add to this…."go see a GOOD (Asian or Australian trained) doctor.
      And when I say Asian, I mean not from the sub continent of India. Asian doctors are the best, Aussies come in second. However, the best ones are Australian trained doctors of Asian heritage.
      P.s. I am Skippy Australian not Asian

      • where can i find them australian trained doctors from asian heritage preferably in the south or central sydney

        • -2

          Well all the docs at my local hospital (prince Alfred, Brisbane) were Australian trained and of Asian heritage and they were magnificent. Go to your local hospital. There you will find young intelligent dedicated doctors. Just don't go to the bush, they will give you a half trained half witted imcompetant like jayant Patel (Google it if you don't know who he is, he was working in qld and got away with murder….. literally)

        • @jovialjosie2002: but not everyone can go to a local hospital. Correct me if im wrong, you need to be referred to go?

      • I'm sure if you used a few more words you could be more offensive and racist.

  • Is that the pain when you breathe in and it hits you for a few breaths? I get that sometimes.

  • +1

    Trapped gas, eat a better diet

    • Thought that too, but sometimes it's hours after I had something to eat. And how does the drink of water help? I never had to burp after the drink, and it just got better with it.

      • +1

        Go to a GP and ask for a gastric emptying study. Even if this is normal, You can still generate heaps of gas on an empty stomach

        • +7

          @cameldownunder:

          The amount of radioactive material used to perform this is really minuscule.

          A chest xray scan is 20 mSv.
          A gastric study is 0.3 mSv.

          In contrast, the residents in Japan who were exposed to nuclear radiation post-Fukushima disaster experience 5-10x the amount of a Chest-ray over the period of two weeks in the exclusion zone. Still with that amount of exposure, it's considered the 'safe' level and is of no significant harm

          https://xkcd.com/radiation/

          If the total effective dose of radiation used in Gastric scan was 0.4 mSv and you are a 30 year old male, then your chances of getting cancer increases by roughly 0.003506 percent. Nothing to worry about. Source

        • +3

          @cameldownunder: This test is very safe. Above post explains it well.

          To put it in perspective:
          In Australia people receive about 1.5 - 2.0 'millisieverts' of ionising radiation every year. Some X-rays and similar procedures provide higher radiation doses, with a typical X-ray/CT scan of your head exposing you to 2.6 millisieverts. - See more at: http://www.ansto.gov.au/NuclearFacts/AboutNuclearScience/NaturalBackgroundRadiation/index.htm#sthash.4R587hkW.dpuf

        • +5

          @cameldownunder: I assume you've never been on a plane before if you're so worried about radioactivity ?

        • @timthetoolman: I was going to say the exact same thing..

  • +3

    Maybe it's GORD?

  • If you life is in danger, dw about saving money.

    • -4

      As I said, no blood pressure problem. I add: No smoker, slightly over my best weight. Walk about 6km a day. Cholesterol is fine. No hair loss. So no candidate for Heart Attack.

      • +8

        Anyone can have a heart attack, even people who are not 'at higher risk'. Constant chest pains and believing it's not your heart because you're not dead yet / it hasn't killed you, is really stupid logic. Constant chest pains are a sign of heart issues and if you get them you go to a doctor to make sure.

        • I would not call it constant, period of 2 month to 6 month. I agree with the suggestion of cramping.

        • obviously the guys been to the doctors and from his post, at least MULTIPLE times.. so when you tell him to "go to the doctors", do you honestly believe he hasnt? c'mon.

        • @Thenarrator:

          He hasn't been to the doctor for this condition. That is obvious his comments.

  • +3

    Some form of GERD / reflux?

  • Is it a sharp pain, where you have to hold your breath and not move to wait for it to go away?

    • It comes suddenly. Holding breath does not make it go away. I would say more like a cramping up. Like a cramp in the carve.

  • +11

    Maybe someone has a voodoo doll of you

    • +2

      I think then they would stick the needle somewhere else, but I don't have pains there :-)

  • +2

    Precordial catch syndrome? Typically happens in left but possible in right.

    • Thanks. Could be that. Will try the elbow thing next time, see if it helps.

      • I get it a lot in the lower right lung. Went to a few doctors until a specialist finally told me it was that.

        • I get it right over my heart :)

    • I was going to suggest this. I have this. Incredible stabby pain that I can get rid of by breathing in sharply.

  • +4

    That sounds like reflux.
    But I wouldn't bet my life on that though and you shouldn't too!

    Go see the doctor about ANY chest pain!

  • +1

    Some sort of heartburn/reflux? Id be tempted to get gp to give you a prescription for a ppi. Take it for a week and see if anything changes.

  • Heart attack, get opinions from other doctors

  • -4

    So far you had two free assessments, one from yourself and one from OzBargainers. Why not get another free assessment from someone qualified. Front up to the hospital and say "I have pains in the chest". No need to go to your GP first, they will do some tests and if all is ok then you can concentrate on the things that aren't going to kill you. There's plenty of people in the cemetery "that weren't having a heart attack" and ignoring the symptoms. I was found to have a 95% blockage with no symptoms or risk factors, so you won't know for sure until you have it checked.

    • +8

      OP said they had this since 10 years old. It is more appropriate to see a GP. ED staff are better off investigating acute cases

  • +4

    History of complaint:
    -Site: central chest/left sided
    -Onset: exercise related, after meals, before meals, skipping meals or COMPLETELY random?
    -Character: sharp. Throbbing?
    -Radiation: do you feel it moving to your back/shoulders/elbow?
    -Associated symptoms: shortness of breath? nausea? vertigo? visual disturbances? Do you experience sharp pains in your feet after walking some distance (eg, to the shops)?
    -Time: how long does it last? anytime of day in particular? How often do you get it?
    -Exacerbating/alleviating: anything makes it worse?

    Past medical history:
    - any medical conditions?
    - do you currently see a GP? Any issues your GP manages for you?

    Family history:
    - anyone in your family have heart problems/ blood pressure issues/ cholesterol

    Social history:
    - do you smoke/drink alcohol? how much?
    - recreational drugs?

    Medications:
    -any current medications, including over the counter and supplements?

    TL;DR
    - These are all private and confidential information needed to establish a proper list of differential diagnoses, including assigning the likelihood of of each differential.
    - Go see a GP.

    • obviously the guy's been to the doctors and from his post, at least MULTIPLE times.. so when you tell him to "go to the doctors", do you honestly believe he hasnt? c'mon.

    • haha clearly a med student here
      nice use of Socrates ;)

  • +1

    As you have been experiencing this pain for many year go see your GP. Sooner rather than later. It sounds very much like GORD - gastric oesophageal reflux disorder which is often mistaken for cardiac pain. If your GP makes this diagnosis he will prescribe you with medication which should relieve your symptoms.

    • +3

      Seconding that, undiagnosed and longstanding GORD can lead to Barrets' oesophagus which can lead to oesophageal cancer.

      Burying your head in the sand is not a wise choice with help, prevention beats a cure everytime! Go and see a GP!!!
      Your GP will probably do a quick ECG, test your bloods including lipids and diabetes tests, and most likely (if your fit and able to walk/run) send you for an exercise stress test (Treadmill test).

      About the missed diagnoses of pneumonia, you probably saw the GPs when you had a simple upper respiratory tract infection that developed into pneumonia (did you have a CXR each time that showed consolidation??)

  • +1

    How is this three still going?

    Concerned about chest pains? See a (profanity) trained medical professional.
    The end.
    Anything else is just wank factor.

    • *thread

    • -4

      I got many useful replies. Proofs that OZBargain did save me going to the doctor !

  • +8

    As a physio who has had to send people with ongoing chest pains to emergency several times - I would say firstly go to a GP ASAP

    The common misconception about heart attacks is that people get sharp pains in their chest and they just die, but usually there are precursor symptoms that can go on for months or even years as a complete blockage of your artery can take quite some time to occur.

    I've had a handful of people who end up being diagnosed with Angina (partial blockage of the artery causing chest pain - i.e. a precursor to a heart attack) who have had no clear risk factors such as obesity, high blood pressure or history of smoking.

    Chest pain is a huge RED FLAG - so whilst it is unlikely that you may be experiencing anything heart related, you're better off being safe that sorry.

    • Never seen an AMI or angina resolved by a glass of water though. Still prudent for the OP to categorically rule out the heart as a cause, then chase up GI involvement.

      • yes the main thing is to RULE OUT the heart - even it's unlikely, as there are many atypical presentations of heart conditions

  • Agree with spaceangelz, chest pain does not necessarily equal heart attack but it can be angina which requires medical management. Can happen without high blood pressure.

    Ask around to find a good GP in your area rather than return to the one you were unhappy with.

  • +6

    This thread is a troll. A quick summary so far:

    OP: I have random chest pains
    OzB: Go to a doctor
    OP: Doctors are useless, internet searches will solve it.

    Trolled.

    • -4

      Not true. There are many useful replies. I might even go to the doctor. See, no trolling.
      OzB did not only have "Go to a doctor" suggestions.

  • Sounds like GERD to me

  • +6

    Oh dear, I'm afraid you have Acute OzBargain Syndrome (AOBS).

    There is no cure unfortunately, however symptoms can be treated by regularly administering Eneloops and MicroSD cards.
    In severe cases, multiple SSD drives may need to be prescribed by a health professional.

    In all seriousness, go see a doctor.

  • You're a hypochondriac

  • And you haven't been doctors because there is now a $25 Medicare Co-payment fee to see the doctors? Oh wait, Liberals have not won the election yet. Must be all the time travel shows I been watching.

  • I think its Heart Burn. I had the same thing!

  • I'll go to the GP with all OzB diagnosis, and let him choose one.
    But I'm not spending hours going from GP to Hospital to X-Rays, go shamans, vodoo doctors.
    I rather spend my money on Enelopes.

  • +1

    Vasculitis, Parasites or Lupus.

    Actually scratch Lupus, it's never Lupus.

    • Surprised you know what Lupus is. I have Lupus. Not something you want to live with at all

  • go to a doctor

  • +1

    +1 for reflux. It can give you pains in the chest. Suffered from moderate to bad reflux for 2 years on and off. Somehow I think it was caused by hidden anxiety, was okay straight after Upper Gastrointestinal inspection and hearing the words nothing is wrong with you. cured by placebo effect perhaps, havent needed to take an antacid for 6 years now.

  • -2

    why are so many people being negative on cameldownunder? he has raised something that he would like discussion on, if you have nothing but stupid things to say or just generally down voting all of his comments for no reason, go do something better with your day. go make a positive impact on the world, rather than another negative one!
    In regards to post, I love being google doctor, hours of fun. sounds gastric of some sort, like others suggested, just chat to the doc next time you go in for something else. 2 birds, 1 stone. ;)

  • -1

    Dull, pressing pain - centre chest = Heart Attack
    Sharp, piercing pain - either side of rib cage = Muscular/Costochondritis

    I get the muscular pain every now and there, and it ain't pleasant at all; slow deep breaths seem to alleviate the pain somewhat…

    • +4

      Dull, pressing pain - centre chest = Heart Attack
      Sharp, piercing pain - either rib cage = Muscular/Costochondritis

      Except not all cardiac chest pain presents typically. Depending on the population you're looking at, there would be a significant portion who present with atypical chest pain or sometimes even no chest pain at all and still be having a heart attack.

      Of the more obscure ones- nausea, hiccups, R arm pain alone have been random associated symptoms of heart attacks that I've seen and if you look at the literature while there are more "classical" symptoms of heart attack, essentially symptoms alone are unreliable.

      See:
      http://amaprod.silverchaircdn.com/data/Journals/JAMA/5001/jc…
      http://jama.jamanetwork.com/article.aspx?articleid=201900

      If you haven't had seen a doctor and had at least an ECG done, you're doing yourself a disservice/burying your head in the sand/clogging up emergency departments when one of your chest pain episodes which you've had for 6+ months is suddenly "a bit worse".

      TLDR: See your GP. They don't go through a minimum of 9 years of formal + ongoing continuing studying/keeping up to date to be replaced by someone who can also do a google search. Yes there might be dodgy GPs out there (just like there are dodgy mechanics) - if you're not happy with your current GP for what ever reason, then find someone else. From personal experience, its harder to find a "good" bulk billing GP depending on where you are simple due to the economics of medicare. Use the money you save on Ozbargain to pay to see a good GP.

      I use google too sometimes for random things I've never heard of, but then I integrate that new knowledge with my existing medical knowledge and use it to look after patients. Good on you for researching online, it makes a lot of sense especially after you've had a firm diagnosis so you can learn more about it. Its dangerous when you're just essentially guessing.

    • I'm sorry but this is terrible advice

      I hope people arent misguided by this post.

  • +1

    Next time you see a doctor ask if they can share any bargains.

  • I had the same issue, did a gastro check, turn out nothing. Went to the emergencies, not a heart attack (they did ecg and check for that chemical/heart attack indicator).

    I'm thinking:
    -stress related
    -exercise related injury

    I'm trying:
    -stretching
    -watch my diet
    -do cardo exercise
    -de-stress via stretching ;)

    I like the comment about costochondritis
    http://patient.info/health/costochondritis

    Don't get con'ed about gastro, ads on TV convince you about everything

  • +2

    Its cancer of the anus.

    Cheers
    WebMD

  • See a doctor. Anything else is lunatic. Or don't, and risk dying. V simple.

    • Or one less person to compete for my eneloops

  • +2

    I will also recommend getting brain checked.

  • +1

    sounds like its your prostate, better get that checked.

  • Go to your local emergency department as soon as possible (preferable 2 am on a saturday night).

  • +1

    You're right to be suspicious as this problem could be very hard to diagnose. Doctors usually come up with a list of possible diagnoses and err on the side of caution. At worst, it could be a serious problem that requires a lot of tests to diagnose. At best, it's simply a quirk of yours.
    E.g. I have reflux but never knew was it was, until a dentist noticed erosion on the underside of my teeth. However, my doctor refuses to consider this as a possibility.
    You're probably fine, but it's impossible to know that without testing you.

    • After reading your comment. I think I have reflux. As i have erosion on the underside of my teeth. Are you getting treatment? if you are, can you give some more info. thanks.

      • My doctor refuses to look into it so I'm not getting treatment. Over the next few weeks, pay attention to your burping and any regurgitation (involuntary). You might find that you often regurgitate food and swallow it without even noticing. One possible cause of erosion is the stomach not closing completely, causing gas to continuously enter your mouth. I stopped having enormous breakfasts and exercising after eating, which seems to have curbed my reflux a little. I still burp a lot though. Regarding your teeth, you can buy fluoride paste from any dentist receptionist. That gives your teeth extra protection against reflux.

  • I can somewhat understand why you prefer seeking an alternative advice instead of health professionals. I work as a nurse and I have been diagnosed with a poor prognosis (Lupus). I go to check ups every 2 months and the amount of airheads i see is ridiculous. Its a new doctor every time because i go to a public health system. i have seen a lot of stupid doctors who arnt passionate in their practice. But you just need to find the right doctor.

    My previous family doctor was negligent with his practice. He was seen by all my relatives and us included. My uncle had coughs for more than 8 months and he has seen his doctor every fortnight to a month. He was very suspicious that every medicine that was given to him did not work and never made him feel any better. My uncle was struggling in mortgage and kids, he could not afford private doctor but he went because he needed to get better to continue working. The private doctor immediately assumed the worse and found cancer in his lungs after 1 consultation. My uncle passed away shortly after chemotherapy. Now his family is struggling and forced to sell their assets. We are providing as much as we can to his family until the kids can sustain themselves. We have a mortgage as well, but not as large as theirs. But were definitely not well off either. I worked since i was 15 and just been sustaining myself and my immediate family while my parents funded theirs. Finally after 10 years my uncle's kids are old enough on their own and i can finally save money.

    I feel you should do your research on which doctors to see, get your GP to refer you to a specialist, if you are not scared of death its not just about yourself. Its more on your loved ones and the ones around you. They have to live with that. My uncle died knowing that he had too much to do in his life, and loans he had to pay, he couldnt see his kids' growing up and he was only 39.

  • Had 2 recent episodes of chest pain… Never had the feeling before…went to my GP and just to play safe, he recommended that I get a stress ecocardiogram (whatever the hell that is) and he gave me a referral letter, my family has a history of heart disease.. …. Go see your doctor …. Tomorrow

  • Since you are "Curious to see what OZBargain has to say"

    I would suggest you go bust a nut and see if that helps.

    If you are looking for excellent advice please refer to the first post

  • -1

    Dispensing medical advice is just as bad as some asking for legal advice on ozBargain. Not going to contribute to either since I have no expertise and don't want to be subjected to litigation. Seriously, go see a doctor

    /thread

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