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Chest pain when excited / stressed, left arm and armpit pain

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I've been trawling message boards for the past few months now when I get symptoms, so I thought it was about time I posted myself. I'm a 34 year old male, 6ft and 230 pounds. Although I'm overweight I am very active and run 10 miles every Sunday and run 4x 2.5 miles runs in the week. On top of this, I played 5-a-side football weekly, but in the past few months I've had to put a stop to this. I'm currently on a low fat diet and have already lost 3/4 stone, so I hope to get my BMI back under 25 soon. My cholesterol is currently 6.7 which I’m taking steps to lower (low fat diet + remove fatty proteins + plant sterols).

I seem to get pain over my left pectoral chest again whenever I get stressed, this pain often manifests itself in left arm pain, originating from the underside of my elbow. The pain in my chest appears to be a numb pain, around the breast bone. I would NOT describe it as constricting or limiting me to breath. Although it does scare me and prompts me to stop whatever I'm doing and take a break (if at work). I often get left shoulder pain when driving to work (which take about an hour) and this often radiates into my chest and arm. To rectify this I now only drive twice a week, and catch the train the other days.
Occasionally I get a very sharp pain over my heart area (9/10) which completely stops me in my tracks. This pain actually doesn't come at times of stress, and can happen at any time, although the last time it occurred my left elbow was raised on a chair which makes me suspect TOS. From what I read, heart pain does not manifest itself as sharp pain, which I take some comfort in. The strange thing is when I go for a run I don't get the symptoms and I find it very relaxing. However if I play football (some of you may call this soccer), I can often be shaking at the end of the game.

However I also get bad chest pains after a heavy meal which doesn't fall into the symptoms of TOS. I've had a camera down my throat (twice in fact) to check for anything abnormal there, and nothing was found. I've had a 24 hour ph study (with a probe down my throat) which showed only normal readings.

In general I don't wake up with chest pains, but they often come about mid morning.

Since January 2011 I've been able to feel a strange sensation under my left armpit, it comes and goes but it can be felt everyday. Recently (it is now Oct 2011) this feeling is with the majority of the time, it often is felt once I've been awake for 30mins or so.

Living in the UK, we have free medical care through the NHS but I also have private medical cover. So far I have had several EKG's and I have also had a cardiac CT coronary angiogram (where the dye they put into my arm caused me to have a nosebleed) and MPI (radio active dye and test at rest, week later same again but before the test I run on the treadmill). All the tests thus far have been negative which is a relief but it doesn't give me a way forward. Any advice on here would be appreciated and I will try to keep every updated on my progress.

I would like to add that I'm not a traditionally stressed person, I generally take things as they come in a laid back way. I actually have no reason to be stressed, apart from the chest pain itself.

I'm planning on running the Birmingham half marathon in a few weeks and my cardiologist says he knows no medical reason why I shouldn't run.

When I have trawled the net, I have taken comfort in reading other peoples blogs/messages when I can see how the case is progressing. I will hopefully report back as I get the results from my tests and if the symptoms get worse.
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replied December 13th, 2011
Just a quick update to say that I'm still alive and currently under nerve conductor tests. These have so far drew a blank, with normal reactions by my nerves. My
Neurologist wants to see me again in January but it appears I'm not going to get any answers from him.

I ran the Birmingham marathon with a little discomfort, but I felt that if I took it easy round the course the pain wasn't too bad and went away.

I think can be more exact with what brings on a chest pain episode, it is excitement and not stress. This occurs either at work, driving, playing sports or playing video games. It appears that I'm generally fine as long as I don't get too excited. Which is a pain as I love playing football but I feel so crap after a game.

I had a episode last night brought on by driving, which caused chest pain (centre - sternum) and left arm pain. I also suffered nusea and didn't eat much. I really want answers as I feel this has been going on for a while now.

Are there any other specialists I can see to determine the cause? If only I could get House in!

Any advice would be welcomed and I'll try to keep posting any results I receive.
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replied December 13th, 2011
Another point that might be relevant, after an episode I have the shakes. It's the day after my last episode and I appear to have a minor tremour. I ran 2.5 miles this morning and didn't get breathless, but I was a bit nervous at running after chest pain.
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replied March 25th, 2012
Its been a while since I last posted, but I recently saw a orthopaedic specialist to concentrate on the armpit pain. I have had a MRI on my shoulder and they have found fluid around my shoulder joint, which indicates bursitis. It's great to finally discover an issue, as the neurologist tests didn't find anything wrong.
I'm having an x-ray injection into the area around my shoulder joint in a few weeks, hopefully this will alleviate the armpit pain as well as the chest pain - although I’m not getting my hopes up too much.
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replied July 9th, 2013
Hello there i am experiencing all the same things shall i see a docter i am 14 years old and 7stone,Hopeyour okay Bren have not heard from you posting on this site since March 2012
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replied August 13th, 2013
me too
I have similar symptoms... when I talk longer with excitement / making a point / arguing... the pain in chest / armpit starts... if I do not take rest immediately it leads to dizziness which stays until I take enough rest.

did you find any solution
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replied December 22nd, 2014
Still no resolution, but I have managed to control the symptoms by stopping myself from getting too excited. I'm going to try and kick off more tests to determine what causes my symptoms.
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replied April 12th, 2015
I have almost the same symptoms for two years. I was a gamer, now i can't play anything at all. I can't even Run/walk without triggering the pain. All i do now is work at home and sleep.

Please, let me know if you ever find any clue.
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replied April 12th, 2015
I have almost the same symptoms for two years. I was a gamer, now i can't play anything at all. I can't even Run/walk without triggering the pain. All i do now is work at home and sleep.

Please, let me know if you ever find any clue.
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replied June 30th, 2015
No cure yet, but I've had heart, stomach, shoulder, nerves and back checked out.

However, I'm seeing a consultant this weekend in relation to adrenal glands. I'm hoping (probably not the best word to describe this!) that they find a left side adrenal gland tumor which has been causing these symptoms.

I will post should this be the pot of gold at the end of the rainbow.
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replied July 9th, 2015
update
Hi Ben, I struggle from something very similar to what you describe and am getting every test known to mankind done. Have you had any luck? Do you ever have brain fog? I fear I'm about to have a heart attack every time this happens. It scares me.

Hope all is well.
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replied December 13th, 2016
Hi Ben! Did you find any solution? Has anybody found something more? I'm experiencing something similar, now I guess I'm around the dizziness and kind of nausea part.
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replied April 9th, 2017
I have the same exact symptoms. It is driving me crazy. How do you guys deal with it any advice? Ben, have you found any solution? Anyone please I am desperate!
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replied September 13th, 2017
Large amounts of stress over a delayed time can cause muscle tightness and strain. This can prompt a wide range of a throbbing painfulness all finished, including the chest territory.

I have seen this specific issue around 2 years ago.Although you never get accustomed to it, you can unwind your disposition toward it.
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