Medical Questions > Conditions and Diseases > Chest Pain Forum

What can cause chest pain induced by talking?

User Profile
When I talk a lot, my chest hurts really bad. It's also accompanied by chest tightness, shortness of breath and pressure in the chest. My lungs have been checked and are fine, it's not my heart..that's been checked several times. I just had 2 recent CPK's and an Aldolase, all normal. I was just diagnosed with Sjgren's Syndrome before Thanksgiving but that doesn't involve much, if any, muscle issues. Tonight it was so bad it feels like someone took a hammer and smashed in my chest bone. I took Ibuprofen, Klonopin, have a moist heat pack on my chest and no luck. This is what sent me to the ER before as suggested by my doctor. PLEASE SOMEONE HELP ME! I'm having a barium swallow test aka Upper GI Evaluation Study soon but don't know if it's going to show much, if anything. My doctor said I need to be symptomatic when I have it done and NOT to take my Klonopin that day. I do have anxiety but that's not why I'm on it. I take it for the muscle relaxant property of the drug for Dysphagia/neck muscle spasms. I'm so worried about ALS because at first they thought I may very well have MS. I had the whole workup more than once, but right now, clinically, it's not there so they can't diagnose me. But I have a confirmed DX of Sjgren's Syndrome. I just hope it wasn't misdiagnosed as something it's not. My Anti-SSA was very high at 7.7 so I know I have it, I just wonder if ALS could be something I'm dealing with as well since my symptoms mimicked MS and all these autoimmune disorders kind of mimic each other. Trouble swallowing, chest pain when talking, shortness of breath, chest pressure? God ..that sounds so "classic ALS." I hope not. I'll take anything over ALS..even cancer. In fact, I might have thyroid cancer just discovered on a thyroid ultrasound on 12-14-12. So any help would be appreciated. PLEASE...ANYONE WHO KNOWS ANY INFORMATION ON THIS ISSUE, PLEASE RESPOND! Thank you!
Did you find this post helpful?
|

User Profile
replied December 20th, 2012
Hello, and thanks for your medical question on eHealth forum!

Your symptoms (Trouble swallowing, chest pain when talking, shortness of breath, chest pressure) sound more like an exacerbation of gastric reflux. It could also be hiatal hernia. Treatment is a combination of drugs to reduce the acid and lifestyle changes. You will need to take a combination of medications (under medical supervision) like a proton pump inhibitor such as omeprazole, lansoprazole or pantoprazole empty stomach in the morning and an antacid gel after meals for complete relief. Possibility of H pylori infection too should be looked into by a carbon urea breath test and a combination antibiotic tried. Many a times a persisting H pylori infection can be the cause behind acidity not responding to treatment.

Life style changes that will help include: Drink cold milk. Avoid heavy meals and eat frequent small meals. Avoid too much of caffeine, tea, smoking, fried food and drinks both alcoholic and non alcoholic fuzzy ones. Avoid heavy exercises within 4 hours of a heavy meal. Raise the head end of the bed by pillows to 30 degrees. Avoid lying down for least 2 hours after food. Maybe these tips will help you.

If these tips do not help, then liver function test, pancreatic enzymes, and HIDA scan for gall bladder should be done. Food intolerance and inflammatory bowel conditions such as IBS, Crohn’s, celiac etc should be considered. Log in what you eat and see if there is a correlation between a certain food type and the symptoms.

You should consult a gastroenterologist (a specialist who looks after the diseases of our digestive system) or a physician for this. Hope this helps. Take care!



|
Did you find this post helpful?

replied May 25th, 2015
Look at a possible diagnosis of intercostal neuralgia?
|
Did you find this post helpful?

replied September 16th, 2016
Gary84 did you ever get a cure?? I literally have the same thing .. Pain when talking and noone can figure it out!!
|
Did you find this post helpful?

replied September 22nd, 2016
I have similar symptoms but no sharp pain on the chest. For 2 years they treated me for reflux and now they are looking at a moderate scoliosis on my back thinking is affecting my nerves because they disregarded is reflux related. And yes, I have done all the test in the book. Mines goes up and down all day long except when I sleep which is gone. Anxiety for sure makes it worse. They also found I have the Celiac Gene and gluten sensitivity which I have been on a grain free/FODMAP diet with no improvement. Btw, I'm also getting therapies from a Chiropractor with no improvements as well. ;-(
|
Did you find this post helpful?

User Profile
replied March 10th, 2017
Any Body got any solution i m suffering for two years had all tests even heart angiography, even any depressants but no answer from any doctor...For god's sake please reply please help
|
Did you find this post helpful?

replied January 22nd, 2018
Same here 1yr of suffering please help me i cant talk that much same symptoms pain in the chest i feel like im losing my breath, i experience more pain when i shout any idea pls doctors
|
Did you find this post helpful?

User Profile
replied June 29th, 2018
For people who have had all their tests done and still find no relief, the answer is anxiety.
Anxiety is causing all the weird little sensations that doctors can't figure out.
Read, the DARE response book(available on Amazon).
|
Did you find this post helpful?
Must Read
What is pneumonia? Learn basic facts about pneumonia here, plus how doctors define the different types of pneumonia that people can get....
Some people are more at risk of getting pneumonia than others. Are you one of them? Learn more about how you get pneumonia and who is at risk here....
Chest pain is typical during cases of pneumonia. But what other signs and symptoms should you look for? Know when to seek medical help by starting here....
DISCLAIMER: "Ask a Doctor" questions are answered by certified physicians and other medical professionals. For more information about experts participating in the "Ask a Doctor" Network, please visit our medical experts page. You may also visit our Chest Pain , for moderated patient to patient support and information.

The information provided on eHealth Forum is designed to improve, not replace, the relationship between a patient and his/her own physician. Personal consultation(s) with a qualified medical professional is the proper means for diagnosing any medical condition.