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Zee J
Zee J,
Category: Medical
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Experience:  Expert
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Help please feels like someone is sqeezing my heart serve

Customer Question

Help please feels like someone is sqeezing my heart serve pain
Submitted: 8 days ago.
Category: Medical
Expert:  Zee J replied 8 days ago.

Hello and thanks for your question. I’d be pleased to assist you. Kindly answer following questions for further advice:

Age? Male or female?

Past medical history?

Any medicines using?

Customer: replied 8 days ago.
I am a female
I am 18
No medicines
No past history
Expert:  Zee J replied 8 days ago.

Thanks

Customer: replied 8 days ago.
Okay
Expert:  Zee J replied 8 days ago.

Kindly explain your situation in more details

Customer: replied 8 days ago.
I have had this feeling for 2 weeks it lasts all day effects my sleep etc, it feels as if someone is squeezing my heart and it is causing very uncomfortable pain radiating to jaw left arm main pain is in heart. I have gotten 4ecgs 2 chest X-ray and bloods. All came back clear but heart pain is still serve 24/7 sqeezing
Expert:  Zee J replied 8 days ago.

Thanks

Why are you saying it heart pain as all your tests are normal

which means it is not heart pain, first of all

Expert:  Zee J replied 8 days ago.

Did you have any ultrasound of heart???

Customer: replied 8 days ago.
No they said no need for more tests as all the bloods came back with no diseases etc, I had an echo on my heart 2 years ago was clear is that still valid
Customer: replied 8 days ago.
I personally feel they should do a test for blocked artery or blood flow as it is extremely painful and sqeezing of heart is extreme but I am not short of breath etc
Expert:  Zee J replied 8 days ago.

Thanks

The initial tests does not indicate that you have any heart problems

Customer: replied 8 days ago.
Is that good ?
Expert:  Zee J replied 8 days ago.

If you want you can go for private test although I would not recommend that

You most likely have muscular pain plus health anxiety

Customer: replied 8 days ago.
A private echo ?
Expert:  Zee J replied 8 days ago.

yes private echo or angiogram

Customer: replied 8 days ago.
Do you think that would find why it feels like my heart is constantly being sqeezed even though all tests are clear, no shortness of breath etc just sqeezing pain 24/7
Expert:  Zee J replied 8 days ago.

As I have explained already that all test indicate that you do not have any heart problems

Customer: replied 8 days ago.
Okay
Expert:  Zee J replied 8 days ago.

It is most likely muscular pain plus health anxiety

Customer: replied 8 days ago.
Okay thank you
Expert:  Zee J replied 8 days ago.

You are welcome

Please do let me know if you have any further questions in future I would be happy to answer

Best of luck

Customer: replied 8 days ago.
Even if the pain is travelling to my left jaw arm etc it is doubtful I have a blocked artery or reduced blood flow as there would be other symptoms I’m pursuming where all I feel is sqeezing heart pain 24/7
Expert:  Zee J replied 8 days ago.

Thanks

I would again suggest if you still want further tests to explore then the best test would be Cardiac Angiography which would look into the blood flow in heart arteries

Customer: replied 8 days ago.
Okay is that a safe option as I’m only 18 and they said I do not need more tests
Customer: replied 8 days ago.
Is there other tests to see blood flow in the heart ??
Expert:  Zee J replied 8 days ago.

That is the best test

You have to decide first either you would agree with doctors or want to have further tests

Expert:  Zee J replied 8 days ago.

Angiography is gold standard test for it

Customer: replied 8 days ago.
Off your personal opinion Do you think I need more tests considering my age and the previous tests done
Expert:  Zee J replied 8 days ago.

other could be Thallium scan of heart with dye injected

Customer: replied 8 days ago.
Okay
Expert:  Zee J replied 8 days ago.

My opinion you do not need any further tests

Customer: replied 8 days ago.
Okay so it could be health anxiety causing the 24/7 heart sqeezing
Expert:  Zee J replied 8 days ago.

Yes most likely

what is your heart rate normally at these times of pain???

Customer: replied 8 days ago.
The pain is here all the time my heart rate is usually 70-80
Expert:  Zee J replied 8 days ago.

That is fine

Expert:  Zee J replied 8 days ago.

My opinion you do not need any further tests

Expert:  Zee J replied 8 days ago.

The final opinion is yours

Customer: replied 8 days ago.
Okay is there anything you would recommend to stop the constant sqeezing pain in heart if doctors said my bloods etc are fine, if I was to get more tests doctors said they would come back 99% clear and it may be a waste of money as my heart bloods would show up if I needed more tests
Expert:  Zee J replied 8 days ago.

I would suggest beta blockers like propranolol plus anti anxiety medicines

Customer: replied 8 days ago.
Okay I was given amitriptyline is this good??
Expert:  Zee J replied 8 days ago.

Yes it is good

Customer: replied 8 days ago.
What is a beta blocker?
Expert:  Zee J replied 8 days ago.

Propranolol

Customer: replied 8 days ago.
What does it do. I have no palpitations or anything or raised heart rate just a serve sqeezing pain in heart.
Customer: replied 8 days ago.
Ok
Expert:  Zee J replied 8 days ago.

Good for anxiety also

Customer: replied 8 days ago.
Thank you
Expert:  Zee J replied 8 days ago.

You are welcome

Please do let me know if you have any further questions in future I would be happy to answer

Best of luck