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I get chest tightness & shortness of breath in the afternoon/evening. It is pressure along the bottom of my ribs, which makes my breathing feel restricted. It lasts 15min to several hours. When it started, I also experienced chest (center mostly) & back (between shoulders) pain, & worse shortness of breath. My HR was 100, normally is ~80beat/min. I also had several episodes where my vision when black for a couple seconds (no fainting), with difficulty breathing & chest heaviness/tightness. I have not had these episodes lately, it is just chest tightness/shortness of breath now.

I received blood & urine tests, ECG, chest x-ray, pulmonary function test & an echocardiogram...All normal. I have crohn's & take humira biweekly. I have asthma & anxiety, but it is neither of these. I'm 25, female.

I've been to the doctor & am looking for suggestions, as they can't figure it out. Odd part is it only happens late in the day, any ideas of chest illnesses with a temporal pattern like this?

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replied October 25th, 2018
Chest Pain Answer A64527
Thank you for asking at Ehealth forum!

I read your question and I understand your concern.
As all labs and imagings are normal,it could be psychogenic. I would suggest you to consult psychiatrist to evaluate you as chronic disease has strong association with psychiatric illness.
I hope it helps. Stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor.
Take care

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