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Pain radiating to neck and jaw

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Okay, so basically since last fall I've been getting these strange attack things that I believe might have to do with my heart? The pain starts in my abdomen and moved upward to my neck and jaw. Radiates, if you will. It's really hard to explain. Sometimes they last a minute or two and sometimes it lasts 30 minutes. But here's the dilemma: I'm 17, I'm not overweight - never have been, I have low blood pressure - not high, I've had 2 ECG's, 2 chest x-rays, blood work etc. but I'm not sure if these were the correct tests or not. I'm just really scared. It happens once sometimes one or twice every few months and it's really painful. Sometimes it's my right side and sometimes left. Sometimes both, too. That confuses me a little.
I AM going to go to the Doctor Monday and see if I can get another referral to the heart specialist. I'd just like to know someone's opinion on this beforehand.
Thank you so much.


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replied April 30th, 2010
Heart Disease and Heart Attack Answer A11632
Hi, welcome to the ehealth forum and I am glad to help you.
You seem concerned about pain abdomen radiating to neck and jaw off and on every few months.
Some patients report epigastric distress with myocardial ischemia and the pain or discomfort can radiate to neck, jaw, teeth, arms, or shoulders. Ischemia of the heart is usually caused by atherosclersis of coronary arteries but can also be caused by hypertrophic cardiomyopathy, aortic stenosis which can occur at young age as well. Blood pressure monitoring, thorough examination including cardiac examination and ECG and chest x-ray are the important investigations. If these tests suggest any ischemia then exercise ecg and echocardiography may be considered to quantify the diagnosis. The other possibility to rule out is the gastroesophageal reflux disease and these may respond to antacids/proton pump inhibitors. CT chest may help to rule out emergencies like aortic dissection etc.
You must consult your doctor for definitive diagnosis as the same cannot be made online.
Hope this helps. Take care.



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