Medical Questions > Conditions and Diseases > Chest Pain Forum

3 1/2 yrs, chest pain, low BP, testicular and abdominal pain

I'm a 26 year old guy. About 3 and a half years ago I was healthy as can be, have always been my entire life. Then things suddenly changed out of nowhere.

It began with right side testicular pain. It was dull and achy and appeared out of nowhere and stayed for days to weeks at a time, would vanish and come back with no real ideas of why. Went to the doctor and was told everything was fine, probably being cased by anxiety.

A month later the abdominal pain started. Middle-Left side. Dull ad gnawing like something was stuck in my stomach that didn't belong. Came out of nowhere. As with the testicular pain would come and go without warning and would last for days to weeks. This made me completely miserable. Couldn't eat, couldn't sleep. Made me extremely nauseous. Got an endoscopy and colonoscopy, CT scan and barium swallow. All normal. Same with blood tests. These two symptoms coming and going at random lasted nearly 2 years. Eventually with no answers and after trying acid reflux medications which did nothing, they gave me a capsule endoscopy and thought they saw something. Referred me to get a double balloon colonoscopy. Everything normal again. Except from this point on a new pain in the right side of my abdomen became apparent.

This new pain in my abdomen was on the right side and much more apparent. A very sharp pain that could be intensified by pushing down on the area, which would cause nearly unbearable pain when it was occurring and also caused a sharp pain in the left side of my abdomen when being pressed. MRI, more bloodwork, more doctors... no results.

Had an ultrasound of the testicles done, normal. One night pain was so bad I went to the ER. Results finally showed something... epididymal cyst. Finally I thought, a reason for some of this pain. Followed up with 2 urologists, both said they weren't known to cause pain, and mine was very small. Tried ibprofein for pain, didn't do anything. lived on.

One night the abdominal pain in the right side becomes very intense. I become hot and feverish, break into a cold sweat and feel a may vomit. Have a few rough bowel movements on the toilet with little relief. See doctor the next day and am told they are concerned of appendicitus because of the location. They told me to go to the ER if it got worse. It got worse that night, went to the ER... Blood work, and abdominal CT scan. Slightly Low potassium level which I'm told isn't anything to worry about, blood normal besides that. CT scan normal except for enlarged spleen.

Explain this to my primary care doctor. He still thinks its all anxiety. I go on Paxil. Been on it for 4 months now. Notice a change in my life socially but my physical symptoms have still come and gone without warning.

Go to gastro, he says my spleen can be felt with a physical exam and it is enlarged. He takes more blood and does an ultrasound of the spleen and stomach. Says the ultrasound is completely normal with the blood flow and everything but the spleen is indeed enlarged for a reason he can't find. refers me to a hemotologist who I haven't seen yet.

I also go to see a doctor that specializes in Lyme disease (thats what my symptoms always seem to point to in my research). He says enlarged spleen isn't typical of lyme. He refers me to a infectious disease doctor who I haven't seen yet.

About 5 months ago I start to get extreme chest pressure. This is around the time just before I go to the ER for abdominal pain. I assume it's the abdominal pain causing it. Starts to come on its own after ER visit and abdominal pain subsides. Another symptom that comes and goes without warning. Can't pin point it, just extreme pressure in my chest, feels like blood is flowing too much or too little into my chest and neck. Gives me an intense discomfort that makes me actually want to cry.

I start to try to get physically active (I'm slender, 26 years old and weigh 140 so I'm not unhealthy, just not physically active per say). I attempt to go jogging, after about a minute of very light jogging I nearly pass out. Vision starts to go black and patchy, cold sweat, pounding heart and shaky. I lay down on the grass for 30 minutes before it finally gets better. Go to school doctor and get EKG and chest x-ray. normal. wake up one night a few weeks later with intense burning spreading in my chest. Actually wakes me up. Go see cardiologist. He thinks heart problems are out of the question. I do a treadmill stress test and after 12 minutes I almost pass out. He tells me my blood pressure dropped severely which caused me to nearly faint. He explained that my body was overcompensating for when my heartrate reached its peak and instead of slowly dropping my blood pressure it severely dropped it all at once. I get an Echocardiogram and 64 slice heart CT scan. Everything normal. I also like to point out that when they put an iv in me for contrast during the CT I fainted 5 minutes later. This was my first time fainting and I've gotten needles in and out of me for nearly 4 years now.

Chest pressure continues. Comes and goes without warning. Hard to sleep but coming to terms with it. Last night I was sitting at a friend's house and almost faint for no reason. No physical activity within hours. Suddenly cold sweat, patchy vision, heart pounding and a tingling numbing feeling spreading from my chest. Exactly what it felt like when I did faint before. I put my legs up and while the fainting feeling subsides I still feel terrible and extremely shaky. I go to the ER. THey take blood, all normal. Discharge me. Today the chest pressure is still here and I have had it get bad a few times during the day where I was sure the fainting feeling was about to start but never did.

I don't really know what to do. I've tried so much and am running out of money. If anyone has any ideas of what is wrong with me, I'd very much appreciate it so so so much. I'm scared and I'm tired of living this way. I'm only 26 years old and for these symptoms to just click on one day for no reason and keep appearing worse and worse just doesn't make any sense to me. Please let me know if you have any thoughts or ideas. And if you read this thing, then thank you so much.

To sum up my problems are:
-left side dull abdominal pain and nausea
-right side testicular pain (maybe caused by epidytimal cyst)
-right side sharp abdominal pain (made worse when pushing and causes pain in left side when pushing)
-Extreme Chest pressure
-Nearly fainting with exercise
-Nearly fainted while sitting and doing nothing

Also I might add I've had other weird aches and pains like bad tailbone pain, stiff neck and back pain and random low grade fevers.

Right now I'm sitting here desperate. My anxiety meds are doing nothing for how I physically feel and I feel as though my chest is going to collapse on itself or that my body is going to shut down and I am going to die. This has consumed my life. Please help me if you can.
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replied June 11th, 2012
That is a long complicated story, and yet one would want to know more. What is your past history, what is the family history and is there any particular disease in the family, do you have siblings and how is their health, are you married, what was your occupation, did you smoke, have you taken any drugs, have you been out of the country, etc.
The one objective finding in the history is the enlarged spleen by test and physical examination. And some of the symptoms certainly suggest some sort of ongoing process. For example, the report of intermittant low grade fevers.
I am unable to define a reason for the multitude of symptoms that you describe, but feel strongly that you should see a hematologist and perhaps a specialist in infectious diseases.
Please be aware that I am unable to diagnose medical conditions online.

An easy-to-read book about the heart for lay persons. Available at major online book retailers and other fine bookstores.
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replied June 12th, 2012
Thank you for your response, Dr Miller. My family history isn't much out of ordinary. My mother had breast cancer in her 40's, but besides that everyone has been relatively healthy until my grandparents in their old age. I have an older brother who is in fine health, my father is in fine health, and my mother was diagnosed with chronic fatigue years ago.

I have been very healthy up until all of this started happening about 3 and a half years ago. Never smoked, Drank maybe a hand-full of times in my life, and have never even touched a drug. The only time I've been out of the Country since I was a tiny kid was 4 or 5 years ago, but it was only to Tokyo and I didn't eat anything strange. I am single, never married, and a college student.

I have an appointment for later this month with a hemotologist and am waiting to see what they say before seeing an infectious disease specialist. I am also in the process of attempting to go to Mayo Clinic to see a doctor about dysautonomia. I was told my blood pressure is probably what is causing my near fainting spells and a tilt table chest was suggested. For now I'm just trying to hold on until I can see someone and hopefully finally figure this thing out. I had another episode last night waking up after an hour of sleep to a spreading pain in the left side of my chest, a cold sweat and extreme discomfort. It's becoming hard and scary to even go to sleep at night now.

I keep fearing something is wrong with my heart, but with multiple EKGs, an echocardiogram and a 64 slice CT scan I keep trying to tell myself that isn't the case.
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replied September 23rd, 2016
Hi I know it's been a while but I'm suffering very similar sypmtoms but with sore little lumps accross my chest . Did you ever work out what the problem was?
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