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Primary Root Symptom: morning onset of non-sharp, dull, vague, uncomfortable, achey, centered chest tightness. I feel it around below sternum as well. Short of breath,
airways feel tighter, breathing is more labored. I am more winded with everyday activities, and cardio and exercise are a lot more tougher to peform with
the constricted airways.

Physical Attributes:
30 years old, single male
Parents are healthy, with no coronary disease/high blood pressure
5-6 height
before chest tightnesss 170lbs. currently 149lbs (loss 20 lbs in a month)
do not smoke
drink on occasion once every 2-3 weeks before chest tightness. Do not currently drink alcohol.
don't drink caffeine.
blood pressure was normal before chest tightness - its currently 10-15pts higher ie: 130/88
exercising, and running does not bring sharp pains to the chest, but it makes blood pressure go
up and brings upon shortness of breath due to tightness.
i can do aerobic exercise, but its uncomfortable due to tightness, and i dont
have the same strength as i did before the chest tightness.
sometimes would take naps 2-3 hrs after eating a meal, wake up and start using the computer late at night, and then go back to bed (before chest tightness)
Very minimal and rare heartburn, reflux...once every few weeks depending on diet.. after eating chocolate, fried foods etc, foods high in oil/fat content.
i dont burp, regurgitate food, or have pain in the throat. no constipation or loose stools are rare (only if i eat bad mexican food, bad fast food)

Post-tight chest Symptoms (brought on by tight chest, also made worse by some medications ie: atenolol, prilosec)

- anxiety
- night time palpitations
- body aches (shoulder, neck, below left pectoralis)
- hip pain
- head ache/pressure on side of head
- cold feet legs
- increased high blood pressure off and on.
- constant urination.
- heavy palpitation at night..body pulsates to heart beat.
- waking up many times at night to racing palpitation. 3:30, 4:30am, 5:30am
- muscle spasm
- short of breath, feel like im not getting enough oxygen
- heavy head
- head ache
- tight jaw
- tender scalp
- tight calves
- fatique
- dizzy head
- cold body
- groggy
- loss of extra weight
- hard to gain weight
- persistent muscle tension
- legs take longer to heal after working out
- left side chest pain from heart beating to hard from tightness.
- working out increases soreness in the heart area due to excessive beating/ high heart rate.
- get winded easily from everyday activies ie: exercise, jogging.

Previous Medical History-
- nasal congestion
- scoliotic neck, with convexity leftward centered about c4-5
- dessicated disk c5-6, with mild annular prminence with only minimal flattening of the csf. some mild left neural foraminal
stenosis.
- weakness in left arm from neck pain
- neck pain, has been off and on, but usually not to severe unless i play basketball, or exercise stenously, or aggravte it by turning my
neck to much..ie: looking behind shoulder while driving.

tests i took:
bloodwork - fine
EKGx3 - fine
Chest Xray - fine
Stress Test - fine, no irregular heartbeats, but fast ones.


im male, 30, 5-6, and 150lbs. i was pretty active(played basketball, and run, lift weights), and healthy guy before this onset, occasionally i would eat a lot, but i would balance my diet. i did have a habit of taking a nap before my actual real sleep at night. and have a habit of eating dinners late, around 8:30 or 9:00pm

Long story short, few months ago 12-15-11 I woke up one morning with some tight heavy discomfort in my chest area. I tried to see if it would go away if I did some running, but it was made worse.
Later on in the evening I went to the ER to get checked out as I was out of breath. While in the ER, they did ekg, bloodwork, blood pressure, and the chest xray came out fine.

they gave me ativan and diagnosed me with anxiety, the anxiety was there, i dont believe the chest tightness was caused by anxiety though. it felt like tightness brought on by something else. im not sure how i got the tightness of the chest, maybe from straining the internal chest muscles somehow/or over breathing or maybe reflux hitting the lower esophagus tightening the airways that happened in my sleep or when i was in bed.

so weeks later the symptoms did not improve so i went to the doc and he told me to try prilosec. I tried the OTC Omeprazole for a few weeks and had noticed some side-effects. i also did not see improvement)and stopped after two weeks. So lately i have been eating lite, and cutting out the heartburn/reflux inducing foods..so i dont get reflux much and have been eating healthy losing 20lbs. but my chest tightness was still there.

Before taking the prilosec i was slowly developing inability to sleep and started getting heavy night time palps. i experience rapid fast heart palpitations when i wake up at night to use the restroom. this palps would continue on into the morning.

fast forward, i go back to the doctor again few weeks ago feeling like my heart was going to pop he says i have high blood pressure based on the in-office blood pressure 150/100 (very anxious in the office) he did blood work, and he checked my thyroid and it was fine.

so he prescribes me atenolol. i tried it off and on to see how my body reacts to it, it helped to slow my heart rate but the side effects made me
feel terrible. I took the atenolol at night at 10pm and felt my heart rate slow down, but i can still feel my heart thumping, and stomach growling,
it makes my sleep pattern even worse. i feel worse the next day.
giving me these symptoms - groggy, muscle weakness, ringing in the ear, some joint pain, depression, fatigue, lethargy, made my chest heavy, gave me shortness of breath. after a week of using it, i have decided to quit cold turkey. So the Atenolol did not help relieve my chest tightness.

I have found a few ways to control my blood pressure, i have been eating healthy, ie: wholegrains, veggies, nuts, fruits, apple cider vinegar, taking fish oils, magnesium, drinking tea. I got it to drop down a bit, 120/85 at night. they would calm down a bit, however tightness is still there around the chest areas.

I already took some tests to help me to believe that it is not my heart, and in my mind i feel like it can be something brought on by possibly reflux or something physically inside/or heart. I still don't know for sure it's cornary related, mvp, GERD, asthma, chest infection/strain, stress, coupled with anxiety.

And im sure all the other symptoms i am experiencing afterwards are a result of my anxiety making things worse. So it's my goal to get to the root cause, so I dont have to keep worrying. At this point im trying to be comfortable with my symptom and learn to handle and relieve them.

I hope that someone has experienced the same thing so i can find a way to recover. What other tests can I do to help figure out what this is? anyone have any ideas? has anyone experienced this? im trying to find ways to relieve the chest tightness, it doesn't seem to be getting any better, and nothing relieves it, ativan (slightly), not atenolol, not prilosec.

if anyone can help with this, it would be greatly appreciated.

thanks for taking the time to read this long post. imm just trying to be detailed as possible.





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