Unrelenting chest pain despite normal heart tests

[@txdave2]

I went to the ER 14 times over several months with chest pain radiating into my neck and jaw. Every time, my EKG and cardiac enzymes were perfectly normal. The ER doctors would tell me it wasn't my heart and send me home. I felt like I was going to die. FINALLY, a cardiology doctor came to evaluate me and said he did not feel comfortable sending me home. He admitted me to the hospital and ordered an angiogram. I had a 95% blockage of my LAD and two 80% blockages in my right coronary artery. I received three stents and was put on a blood thinner and multiple blood pressure medications. Thank goodness for doctors who pay attention to their instincts.

[@sm_au]

David Clay I was in similar situation. My LAD on angiogram was 50% and they did not consider it significant. They said they would stent it at 60% which is what the CT scan showed. All tests otherwise were fine. Very fortunate your cardiologist was called in to check it out!

[@joybrooks564]

David Clay I'm sure you thank God every day for that cardiologist

[@ederdmann7347]

I had the same thing. EKG was fine blood test showed a very small rise so they did a stress tests that showed nothing so they did an angiogram and found I had a 100% blocked chronic total occlusion with bridging collaterals at the top of my RCA and 2/3 down was blocked 95%. They didn’t do anything and sent me home. Went to another doctor and they stented both open.

[@txdave2]

joy brooks Yes, I do. Also my wife who insisted I go back to the ER that 14th time.

[@txdave2]

Ed Erdmann WOW! Glad you got the treatment you desperately needed.

[@denishawkes2528]

This man is worth his weight in gold. For helping people beyond any normal cardiologist . Thank you 😊💓

[@anibabikian]

Waiting for a book you write! 48 years of being a Registered Nurse and I HATE to say that you really are one of a kind. Won't say more than what I have said in the past of how amazing and how this and that that you are but I just want to say you are every parents dream of a son. I bet your dad in heaven and your mom on earth are the the proudest parents for raising such a kind and humble human being!

[@nellab5314]

Agree wholeheartedly ❤

[@Mrsknightful]

I feel like crying from relief everytime I watch your videos because I am so frustrated from years of expensive and time consuming testing and doctor visits..all to find nothing and I am still miserable and it consumes my life. But you are the kind of doctor I wish I had. You bring me comfort and help educate. Instead of being treated like your crazy. Thank you so much. ❤

[@michaelclapper6312]

It's truly sad the way many health care systems work. Doctors seem to not even care about the patient. I wish you good luck :D

[@daddyo3d990]

Me too just learn to live with the tightness of chest and dizziness I also have high blood pressure but every dr tells you your fine after a stress test or ekg or tell ya you need to see a psychiatrist or gives you more blood pressure meds or Xanax

[@Mrsknightful]

@@michaelclapper6312 Thank you.

[@Mrsknightful]

@@daddyo3d990 EXACTLY!

[@daddyo3d990]

@@freeman5354 Thank you !

[@GHSMusicApp]

I wish all doctors were as patient and explained things like you do. People would be more at ease. Thank you for all you do!

[@YorkCardiology]

thanks so much Dax It'd mean a tonne to me if you'd consider subscribing to the channel. Wishing you a happy new year

[@kellyfogg7398]

He is so good at his job and I wished I had this lovely doctor in my local hospital because I am finding it hard to see a heart doctor because I am really worried and suffering because of the pain

[@kellyfogg7398]

​@@YorkCardiology thank you so much for doing these videos and you are so special doctor that really explains what else

[@queenslyric800]

This is an awesome video. Although the cause of my pain has been found, I do believe a chest pain clinic would benefit us here in the states. It took 6 years for my diagnosis but I had been living with my issue my entire life. Doctors will ignore you because you don't fit in the boxes. Wrong age, gender, etc and I could have died while they were playing around.

[@johnmeraz7348]

What was your diagnosis?

[@scflooring8658]

Thank you so much Doc for taking your time to help others out!! All of this info is priceless and you don’t realize how great it is to find you when someone is having chest pain!! You could very well save someone’s life and also save someone from rushing into the ER when it’s not necessary!! I wish there were more Doctors willing to do this and help other people! Thank you from the bottom of my heart!!

[@jackneals5585]

This content is Gold. Best medical KZbin channel.

[@EkaterinaDark1]

Dr Gupta, you are one of the nicest and caring doctors I have ever seen in this life, thank you for all your videos.

[@uberanalysis2599]

This channel is gold.

[@finehindu]

Best info from a best Doc in the earth .. Love from India

[@bitmx]

Thanks for sharing your wisdom. I was worried about my heart because of chest discomfort, but it was just gastritis.

[@25inspector]

Thank you for all your explanations...not all Doctors are good at explaining what is going on in our bodies. You have a rare talent to explain it so that non medical people can understand.

[@joybrooks564]

Your patients are fortunate that you care about finding the cause. In the U.S. if cardiologists cant find a heart related resolution will write the patient off as crazy and give them xanax

[@rebeccahayes1007]

Same in the UK, if they cant find an obvious cause then its depression/ anxiety, and you're told to clear off. I think the people of York are fortunate to have this man.

[@LadyFrosti]

Very true.

[@luisperez7420]

That's exactly what they did to me, then come to find out I have a little bit of cardiomyopathy

[@joybrooks564]

Luis Perez wow, how are you feeling now?

[@daddyo3d990]

Oh I know that’s right !! That’s what they told me go to a psychiatrist 🙄😳 and gave me Zanax ☹️

[@TheAmtwhite]

If the pstient at the beginning was a woman, she would have been told it’s just anxiety and sent home. Women are much more likely to have issues with the small vessels.

[@alimo1611]

thats my biggest problem middle aged woman must be hysteria

[@rebeccahayes1007]

Tell me about it. Same story here. They just say menopause to everything, or depession.

[@jfryer485]

TheAmtwhite just a thought but putting physical objects in anyones bodies cannot be good long term. Better surely to try to see if other non invasive techniques would give better long term survival? There is a lot of this type of pain with COVID-19. Many drugs and even things we eat and drink get into our blood. Would any of these be a better long term remedies?

[@ironllama]

I'm a male and they did this with me. I have no angina but I have pvc and pac. I also have sharp pains every now and then they blame it on anxiety

[@ironllama]

Where can we get this spray?

[@mawalie1]

Dr. Gupta rocks! I'm diagnosed with costcocronditius and the pain never goes away.

[@khyatikhan4172]

Are you fine now I am also having costochondritris from last 2 yr on n off but it always feel like heart and ECG came nrml

[@Sunnysideup01]

Buy the BACK POD it really helps

[@ja17.17]

Backpod

[@Ghost124-v6b]

@@khyatikhan4172 what your symptoms

[@KOOLMEMER]

as the others stated, i had costochondritis for 6 months and after a few weeks of daily use with the backpod i was cured.

[@dagda16]

This video is incredible. Very reassuring that my chest pain is something other than cardiac related.

[@peggymicsky8607]

You can always come back to Sanjay's videos over and.over again because as you learn more, you understand more what he is saying. That's why his videos are invaluable. This doctor is well ahead of the curve and we're blessed! Thanks, Sanjay!

[@beverleyprice7468]

Thank you for articulating what I am experiencing in terms of symptoms and my conversations with medical professionals- am told it is ‘probably’ IBS chest pain

[@rajeswarysumner9638]

I'm from Lancashire. I had chest pain, rather sharp in left side. It occurred randomly. As two members of my family died due to heart attack and one is suffering from the heart condition, I was checked out immediately. However, they could not find anything, which was pleasing. Prior to that, I had to go for breast cancer clinic as they felt that my mammogram from previous time, three years ago, was slightly different from the present. The procedure required inserting a long needle to my right breast in order to investigate the cause. This left my breast tissue tender. After a couple of months, I stated Gym, doing my usual cardio and gental weight exercises. Within few weeks i started getting a sharp pain in my left chest as I mentioned before. I was certain that my pain was due to the insertion of the needle that may have left my breast muscles prone to damage on stretching. This video appears to confirm my reasoning. Thank you Dr Gupta.

[@suehunt8483]

Thankyou so much for all your vlogs. Clear and reassuring. Please keep doing them. York is a very lucky community to have you.

[@donovanwilliamsroker4734]

A thousand thanks Dr. Gupta! I’ve been having this symptom for over 10 years. And hospitalized 4 times only to have tens tests done. Then be told that my heart is 100% five. Only to return home and have the same symptoms. I’ve recently start Magnesium 575mg in the mornings. This seems to be doing the trick. The symptoms aren’t a frequent or severe. Again, thanks a million!

[@cues8200]

Which brand please

[@donovanwilliamsroker4734]

CUES, I use a generic brand off of eBay: Magnesium Ultra 576.

[@ferozemalik7171]

Are you man?

[@donovanwilliamsroker4734]

@@ferozemalik7171 , yes, I am a man.

[@ferozemalik7171]

@@donovanwilliamsroker4734 Did you have Severe chest pain for ten years? Did you also do angiogram was it normal?

[@sniperjordan8216]

This man is a master of his craft

[@trashout]

I have had chest pain for more than a year and a half. It began in a small area at the Centre of my chest, compared to now, it radiates as far as the left and right sides of my chest. have done a few heart tests such as EKG stress test and will be going for ultrasound at the end of this month. All of the tests have come back normal and now, I have been having dizzy spells with the sweats but I try to get on with things. When I lie down in bed to sleep or rest, I get these sharp pains on the left side more, and the right, sometimes have to take pain killers. In all this, additionally, I have an overall feeling of malaise everyday. I have also checked for Acid Reflux Disease and will be doing an ultrasound of the Pancreas, the Gallbladder and the stomach. Thank you for the information in this video, it has helped.

[@MrMustangMan]

any news.???

[@Sunnysideup01]

I have same symptoms which got worse after covid vaccine

[@kryscarson5560]

Any update?

[@trashout]

@@kryscarson5560 yes A little more than a two and a half years later, still have chest pains and for about three or four months I have been having intermittent pain right on the middle right clavicle, so far only at night. I have had ultrasounds of the gallbladder which was fine but they found five stones in my bladder. Have taken meds which have dissolved most of them. Sorry to sound like I’m wining but every morning now I get extreme anemic symptoms of which I thought was low blood sugar🤔 I plan to visit doctor very soon to find out more about the clavicle pain, there is a swollen area on my upper back. Thank you for your interest🙏😊 I will post doctor visit results hopefully before end of year🤗

[@theotherchannel2028]

​@@trashout any news?

[@msms4659]

Pains and Palpitations. Same process. Then 2 weeks of halter monitor. HUNDREDS of irregular heart beats, extra beats, skipped beats and was told it was normal. The pain isnt terrible, but it's uncomfortable. I had previously had excruciating chest pains years ago and found out it was a peanut sensitivity. Esophogeal Spasms, I guess.

[@mohittyagi6662]

I think anxiety disorder

[@MsElke11]

@@mohittyagi6662 do you know how to treat anxiety disorder? I too suffer from palpitations under stress.

[@shellynoel5732]

Take magnesium

[@MsElke11]

@@shellynoel5732 LOL, I"m doing that right this minute!!

[@nikkichevere]

how did we get so lucky to have access to you and this amazing knowledge you provide us with. how i wish i had a doctor who even gave half as much time to me as a patient and putting me not just at ease but also educates me as you do with all of us here. its truly amazing

[@francesbruno8445]

Used to be an oncology nurse. Night before surgery, patients often got chest pain, and standing orders were to give them an antacid to see if there was relief, and there usually was. I had my own episode with pain and paralysis loan my left arm, but I can been doing a carving, lost track of time, and did a 7 hour stint. It was a combination of wearing a leather apron tied around my neck, hunched over the carving, thus irritating my torn rotor cuff and nerve impingement, which physio aided.

[@TravelTrax]

Very lucid and reassuring explanation on cardiovascular symptoms and conditions

[@terryperring104]

I have a 'Peptic Stricture' that sometimes brings on what I think is called: 'Nutcracker Esophagus'. It's excruciating. The first time I had it-it was mistaken by others in the restaurant as a heart attack. The pain goes all across the chest. Its a really knotting, twisting, torque of a pain.

[@jlvandat69]

Excellent, excellent video. Thank you. As i read through the comments, something quite surprising popped out.... the large number of people who are experiencing undiagnosed or untreated or ineffectively treated chest pain. This is very interesting. On the one hand, it's very good to hear these personal stories as it helps everyone realize how common such medical conditions exist. On the other hand, it begs the question, "How many undiagnosed or ineffectively treated medical conditions exist?" It's very concerning, and a very complex discussion. I feel bad for the top doctors such as Dr. York who are helping so many, but understand the limited amount of assistance available relative the scope and quantity of medical conditions in the general public. I am also having undiagnosed chest pains but only when doing aerobic exercise and only intermittently. Therefore, I do not consider my condition serious but will seek medical advice at some point. Good luck to all, and thanks to everyone for sharing your story so we can all learn.

[@That_Cyber_Dude]

i am 35 years old with constant chest Pain/Upper right quadrant pain and doctors dont know what the pain is from. I have done Hietal hernia test, CT scans, Ultra sound, xrays, blood work, urine test but no answers. Gave me ulcer meds that did nothing. Pain is mostly at left chest and I dont know what to do now? SO FRUSTRATING

[@jlvandat69]

@@That_Cyber_Dude If I had your condition, the first question I would require the docs to answer is, "Can you tell me with full confidence that the pain I am experiencing is NOT something that indicates a very serious medical condition that requires immediate attention?" The docs (if they are properly qualified) absolutely must be capable of answering that question. If the answer is, "no", or, "we cannot be certain", then I would start working up the food chain. Demand a reference, i.e., specialist who has a thorough background in your particular issue. The point is this.... plain and simple, there is a near-certainty that SOMEONE can diagnose your condition. The bad news is that you may have to fight until you get the answers you need. Happens often in the medical field. good luck.

[@That_Cyber_Dude]

@@jlvandat69 Appreciate your feed back! Seems like I will have to press the issue to get answers.

[@DrOrson]

Thanks for this video. My girlfriend recently had a similar experience, though the pain was not so serious. We went to emergency and had a lot of testing done: EKG, xray, blood test for clots, BP was fine. The doctor said it could be that something was developing like a cold or flu, but not to worry. As you have said, one has to consider everything in a person's lifestyle, and in her case, she is not obese, consumes a very clean diet, no smoking etc. As a teach however, she is under some stress. I will share this video with her. Again, thanks

[@MsElke11]

Some stress?? As a teacher as well the stress is unbelievable. It's a nonstop job from morning to night.

[@jodieburns9090]

I love watching these videos when I'm feeling really anxious. Very reassuring. Thank you for the information :-)

[@summerrose9565]

I have coronary artery spasm / micro vascular angina diagnosed by Prof Kaski in London following two confirmed heart attacks . My heart attacks were recorded whilst undergoing angiogram, elevated troponin and ecg. It took years to be taken seriously by my cardiologist in my local hospital as my ecg can be normal during my heart attacks. ECG change was noted when I was in the ambulance but it’s intermittent so the chances of it being noted is low. My cardiologist said to me if he hadn’t seen it on the ambulance ecg he would never had thought the chest pain was cardiac related. When I call an ambulance with terrible chest pain I can’t cope with I have to ask the paramedics to keep watching the ecg even if normal as it will show up then disappear then pop up again. I manage my unstable angina 95% of the time at home and only ask for help if I am desperate. What is dangerous is to be told oh don’t worry coronary artery spasm is painful but harmless. It’s NOT, it has caused two heart attacks aged 39yrs old and again at 45yrs old confirmed by Prof Kaski.

[@sm_au]

Truth! Thanks for pointing that out. Even some doctors don't think it could lead to a serious real cardiac event.

[@mariahcherrynolan6408]

Please what was the final verdict

[@JasonCameron774]

Thank you so much Doctor, this is not only reassuring, it's educational.

[@midris7887]

I wish all doctors where like you. I was in A and E with really bad chest pains. Once they did ECG and blood test and it came negative, they told me to go home without even a pain relief. That dismissal is the worse thing you could do to a patient. I am really glad I listened to this. Will book an appointment with my GP and if they to ignore my pain, send them this video. It does affect one's quality of life. Thank you

[@darrenhirst9900]

Sir thank you for taking time out of your busy day to do these videos. I really appreciate all the great work our hospitals do. Once again thank you sir.

[@moonflower825]

This is so clearly said. It is exactly what is happening to me. I was diagnosed with microvascular angina and spasm after an mri showed ischaemia and angiogram showed clear arteries but with spasm. 6 years later my condition has got so bad a few months ago I was literally wretching with chest pain sweating and mother of all angina attacks after very little exertion and having to use alot of gtn almost daily now.I am really disabled by it which is horrible because I love nature and I love to walk. Anyway so today I had another angiogram and it is still clear. I am baffled. The doctor said my heart is fine and it is not in danger and is even dismissing my previous diagnosis. And I am left with crippling pain that almost makes me want to die.

[@ferozemalik7171]

@moon flower how are you feeling now?

[@akshaymudgal4959]

Homepathy works- aspidosperma and gold drops. Give it a try. All the best

[@ferozemalik7171]

Are you a man or woman?

[@carmella88]

Are u ok now. Hopefully u respond

[@myasusphone5823]

Ask your doctor about diltiazem

[@guydicarlo]

Thank you so much Doctor. Very informative. I'm suffering from constant chest pain. I wish my Doctor was as thorough as you are.

[@IntelligentElephant]

Me too. Any thing help you

[@DB.907]

This video was very helpful and comforting. It’s great to hear it from an actual doctor as apposed to google where everything is a heart attack. My doctor tells me my chest pain is most likely exercise related. I think you have put my mind to ease about the whole situation.

[@Ghost124-v6b]

What your symptoms bro

[@RSJ1947]

Thank you 🙂 That was an exhaustive list of investigations a doc must do. So your patient came back negative with all these physiology? They had to resort to managing it instead of digging deeper? If you could provide an update to this 3 year old video with latest findings that will be great. Appreciate you helping the community 🙏🏼

[@jettagliturbo]

Just if all doctors were 5% as good as this doctor 🙏

[@muhammadanwar7217]

Very very useful and informative thanks for uploading free of cost

[@hyoungjinpark5877]

Love your lectures. Plz keep posting your marvelous videos.

[@markvilla4227]

Thank you very much for this info , I was having sharp/stabbing pain near my sternum , easily localized , my anxiety instantly jumped to heart attack , not having any knowledge of when to recognize when it I cardiac or not , now I know, it is not my heart , simply the sac where the heart sits , or stomach issues !

[@throughtheeyesofachild61_45]

Thank you Dr Gupta, this video was extremely helpful for me personally, I’m sharing it on my social media, have a wonderful day 😁👍🏻

[@ningdepakakibo4202]

Thank you Doc Sanjay Gupta. Good to know different types of Chest Pain and what resources we need and go to. More Power.

[@elvislady]

Thanks, For sharing this info Dr Gupta. I have microvascular angina. It's good to hear different opinion of chest pain.

[@kasiaday212]

Hello did you have a problem with your stress test, but a normal echo and ct? What made them look further?

[@elvislady]

@@kasiaday212 I had a VT episode...213 beats min, They recorded it on a holter monitor. So I had a angiogram which shown all was ok with regards blockages and structurally. Also echo gram was ok. I have constant palpitations daily. But they are part of my daily life now.

[@Ghost124-v6b]

What your symptoms

[@bbs3470]

Thank you so much for explaining in detail. I wish other doctors would do the same. I would be interested in the correlation of Levothyroxine and heart function, if there is any. Thanks again.

[@ccpperrett7522]

Thank you Doc! This was VERY informative.

[@andreiiasi]

My cardiologist works harder then me telling me that it's nothing wrong with my heart and yet during running my heart is always in pain. So often times the doctors just want to get paid but much less work .

[@ZuluHotel1977]

There's a load of these people out there. Be careful

[@ay_m9656]

I get chest pain with exercise

[@jdillon3035]

A month ago I went to see a cardiologist for mild chest pain. An EKG and stress test came back normal but chest pain/pressure got worse. 3 days later I walked into the Emergency Room where I was told I had 100% blockage in the OM and immediately had a stent put in. When I followed up with the cardiologist why he couldn't diagnose the heart attack, he explained it as the blocked OM artery had a connection with another artery that rerouted the blood flow. He said it's rare...I'm not sure if I believe that explaination. Is this plausible?

[@suzihazlove4979]

There's another video on you tube about blocked arteries and a therapy that squeezes legs to create new networks of circulation. I bet your body did that naturally!

[@Ghost124-v6b]

J dillion how your pain feels like?

[@Ghost124-v6b]

Is it only pressure on chest?

[@jdillon3035]

@@Ghost124-v6b The pressure was intermittent for almost 2 months before I started to suspect something might be wrong. I have moderate anxiety so I thought it might be connected to that The pain was never intense and I didn't have shooting pains either. Two days before I went to the ER, I went to a Korean spa that has many heated room and there I felt much better. I learned later that the heat was expanding the artery so the pain was gone. The pressure came back when I was no longer at the spa.

[@jdillon3035]

@@Ghost124-v6b Yes. Pressure was only on the chest. P.S. The whole time I had the pressure on my chest but didn't suspect anything like a heart attack, I got morbid thoughts and started to choose music I wanted for my funeral, etc. I think that my unconscious mind knew something my conscious mind couldn't or wouldn't see or accept.

[@stewart5284]

He should try EECP heart therapy for chonic angina if all my suggestions below fail. Also what is his diet like? He may be lacking in enough electrolyte minerals and other essential nutrients and he's experiencing cardiovascular cramping. Is he obese? Is he holding a lot of fluid around his heart sac due to a high carb diet? He should fast for a couple days to see if it goes away. Drugs are not always the answer and should be the last resort because of side effects. You have to think holistically.

[@spaceghost8995]

I had chest pain all the time. After going on a strict carnivore diet, the chest pain is gone. It wasn't just acid reflux although that was part of it. I was inflamed from whatever else I ate. It was like a pleurisy-type pain around my lungs as near as I can figure, but it is gone now. IDK if anyone concurs with this, but it's what happened to me.

[@theebottomliner]

Space Ghost how did you know what to cut out?

[@ironwolf1773]

You are doing great educational job. Thank you. Much easier to know that my pain not similar to any that you just had mentioned.

[@sm_au]

Thank you Dr Gupta, chest pain that does not reveal itself on ECG or via angiogram is very stressful and frustrating. It took a while to diagnose my coronary artery spasms.

[@kikizag]

sm au How they find out that you have coronary artery spasm? What tests they did to you?

[@sm_au]

Lu AZ Hi, I had a CTCA, angiogram and exercise stress test. These test results were ok. Coronary artery spasm not triggered by the stress test. My symptoms were very typical for the spasms, it is relieved with angina spray, occurs at rest, and usually late at night or in the early hours of the morning. So a lot of the diagnosis came from review of the symptoms and how/when they occur.

[@kikizag]

sm au thank you for answer me back. I have chest pain at any time of the day also at night. Today I couldn’t sleep bc the chest pain, but I wonder if the pain was related with my IBS and GERD? or it was a coronary artery spasms 😞 I don’t know 😔

[@sm_au]

Lu AZ I can imagine GERD/GORD would give you the feeling of chest pain. A cardiologist would be able to work it out.

[@kikizag]

sm au last night I had to take nitroglycerin sublingual cause the chest pain didn’t go. And that medication helped me. Finally the chest pain is gone. Before to take the medication my BP was kind high 138/96 and the heart rate was in the 90’s sometimes up to 116 but it went down right in the next second, but it couldn’t down to the 70’s until I took the medication 🙌🏻🙌🏻🙌🏻 I think I had a bad esophageal spasms 😔

[@zazo6620]

I relate to the man said the chest pain make him feel that he want to kill himself , specially if you are a woman who no one believes( even though you have some heart and hypertension problems) and no one want to help ( not to mention the humiliation of being called a lair , attention seeker or mental) .... you feel like you live in a cave where you are left to suffer alone and no one will help you ....... as if they saying you are worthless and you should just suffer and die with no help ..... no one will help you until it’s too late or even ever 😔

[@alecram28]

I did not hear you say anything about a chaterization.. when one was finally performed on me the found 6 occluded 15:28 Arteries 95 to 75% The did it as I came in with GERD which the EMTs explained to the ER Dr the gave me nitro I was not acute at the hospital So the blood test showed a a minute amount of Cardiac Protien and did a Catherization this would not have been done if I were acute and this Dr saved my life I was in 3 hospital for 3 monthns would not have been done had I gotten the acute.

[@ningdepakakibo4202]

Thank you Doctor Sanjay for your very informative health tips regarding our heart.

[@pickpac1]

I have one...Signs of paraesophageal hernia include, gastroesophageal reflux (heart burn, bloating, burping) chest and/or abdominal pain, shortness of breath, nausea and vomiting, For patients with a paraesophageal hernia who are experiencing symptoms (abdominal pain, gastrointestinal bleeding and/or reflux), surgical treatment is typically recommended to prevent a strangulated hernia. Surgical intervention usually involves pushing the stomach or other protrusions back into place. The surgeon then narrows the gap in the diaphragm (hiatus) with sutures and mesh materials to prevent another hernia

[@zuvlet]

you do wonders sanjay gupta true god, doctors underrated

[@rameshkumarkumar4820]

Very useful information you have been educating the heart patients like no one else god blessyou doctor OM NAMASHIVAYA SRK INDIA

[@mimifunkee9508]

You are simple the best thing that has happened to me in 2021 I love the way you love humanity kudus Dr

[@adama5239]

Could be GERD, hiatal hernia, even gallbladder sometimes believe it or not... sometimes also lung disease or lungs problems...

[@southerncalifornia3155]

I noticed that too...when i get chest pain...and out of breathe , I suddenly burp alot like for more than 1 hr.then i feel relieve ...but its weird because ,my chest bone is lil bit popping out...

[@adama5239]

@@southerncalifornia3155 I mever burp. I have to force myself to ever burp.

[@jayaniatapattu4653]

Best information . Very helpful . Thankyou.

[@nicolem73]

Thank you from a primary care nurse

[@rachellechery47]

This is priceless! I thank you for this video and others, Dr. Gupta👍👍🙏!

[@basheerahmed9018]

Always helping me to understand more about chest pains Thank you for your explanation 😁

[@momienmohamed7752]

I been to lung specialized for ex ray. he saw dark patch. I been to other lung specialized he say I don't have lung problem I get v bad pain in left side. I have to take pain tblts.or rub. Voltage. to ESE pain..think u doc please rely to now more.if I do have..I had a v stressed full life..

[@matains88]

My doctor just won't send me to any heart tests because he thinks i'm too young to have heart disease at 31.

[@nayalifigueredo4254]

My husband was turned away from a chest exam because they said he was too young (at 20) to have heart problems. He went back to the hospital after diluted medication wore off 2 weeks later he woke up from a induced coma with a new heart valve. Listen to your gut feeling.

[@TheAmtwhite]

Time to find a new doctor.

[@kylereese458]

Not even basic first line tests like an ECG? I suppose there are things that can act as a guide clinically to what the chest pain is, for example, pain occuring mainly after meals, especially if laying down straight after eating would strongly suggest non-cardiac cause, acid reflux. However, for chest symptoms that are less obvious, it's impossible for doctors to know for sure that it's not a heart problem without first doing the test. Many doctors simply play the percentages, which means most the time they are right, but that isn't a good outcome for those who fall on the unlucky side of the percentages. You can have all kinds of heart problems at any age, however, certain problems with the heart such as clogged arteries obviously much more commonly occur with age. It's rare under 30, uncommon under 50 but then becomes common rapidly after that. I read a study that defined key risk factors relating to smoking, blood pressure, obesity, cholesterol and so on, for a patient that had zero of the defined risk factors, the risk of coronary heart disease was extremely low even after 65. For those with two or more of the established risk factors, coronary heart disease was extremely common over at 65.

[@Samantha-iv6pq]

Very informative and thorough. Going to share 👍

[@kennethsouthard6042]

I have had esophageal spasms for about 20 years and yes at times when they hit it can feel like your heart is being squeezed like a sponge. The key thing for me to where I always knew that it was gastric is that it usually occurs after eating certain foods, almost like an allergy. Sometimes I can get these with increased frequency, other times I may go months without one. After years, they finally did an endoscopy after one harrowing episode and found that my esophagus was narrower than normal and actually dilated it during the procedure. They believe the root cause is a form of GERD and now have me on 20mg a day of Omeprazole which I am not happy about. After reading about GERD and it causes as well as seeing other videos on Dr. Gupta's channel, I have also started taking Magnesium.

[@mist4926]

i too was prescribed omeprazole stopped those started digestive enzymes they really help did not need omeprazole anymore. but we are all different

[@59kuphoff]

I have learned so much from your videos. Thank you! Can you explain why my blood pressure shoots up in the middle of the night?

[@preciousloveslopez]

My pressure is high at night as well along with palpitations and chest pain 😭😭😭😭 I'm tired of suffering

[@59kuphoff]

@@preciousloveslopez I have found two things that have been extremely helpful for me. 1. I eat less (as the Dr recommended). For my age and level of activity 2 meals and a snack are sufficient. 2. I had stopped drinking coffee and this is when I started have problems with my blood pressure. Despite all the evidence that says coffee raises blood pressure, when I resumed drinking 1 cup of coffee (12 oz) in the morning my blood pressure went down 20 points. With these 2 changes, my blood pressure is never over 140/90 and almost always lower. My night-time spikes have ceased. Hope you find a good solution.

[@preciousloveslopez]

@@59kuphoff I'll definitely take it into consideration. At this point I'll try anything. My cardiologist keeping brushing me off and saying I'm to young and not to worry, but I feel like it's getting worst. Thanks for responding 👍

[@shashimoghe3920]

Thanks dr sanjay gupta sir for this video on some different problems/ symptoms on heart related pains. Very useful feedback as usual 20/01/2021

[@lindagonzalez2898]

Thank you for the information, doctor. I would like to know about fast heart rate after eating. I tend to get that a lot and it’s really scary since I am 8 months pregnant. I’ve suffered from a fast heart rate before and I have got all heart exams and it all led to anxiety. But I feel like it’s not normal to get a fast heart rate after eating or for no reason

[@ay_m9656]

I think it’s normal, or everyone gets it, just people who are more aware see it I’m 22 and I get this every time I eat dosent really concern me no more

[@kalihatten6237]

Are u ok now?

[@applejuice2949]

Im pretty sure when eating your heart sends more blood towards your digestive system

[@legallyredone5561]

Me! Me! This is me! Angina doesn't stop after a minute, an hour, a few hours ..... It lasts 12-14 hours every single day for weeks. Prior to that, I might have a few days without angina. This has been 2 years. All tests say I'm fine. I AM NOT! doctor says vascular angina. I'm now on Verapamil and just started isosorbide ER. While for the first time, I am free of angina --- for maybe an hour or two while the migraine takes over! Which one is worse? I don't have to choose because within a couple of hours I have both incredible migraine & disabling chest pain! If nothing can ever fix this, then I don't know that I can handle it much longer. No-one would live this way. Certainly I don't think I can.

[@legallyredone5561]

Vasospastic (variant)Angina. Miserable pain. No test shows pain.

[@christinestearns331]

Thank you my husband has been experiencing this!

[@sheilaabayateye1558]

My partners cardiologist is saying its safe to send my partner home with the LAD 70% blocked while they wait for the ffr test. He gets chest pain at rest.

[@virajanand9659]

My father is complaining of chest pain and breathlessness for the last 2-3 months. Angina was normal and moreover, there is no issue with Lungs as well and also no gastric reflux issue. Not sure what to do? He is sleeping the whole day complaining of pain.

[@conniemorgan6055]

Thank you so much for this video, my sister suffers from chest pain that travels to the back down her shoulder, down her arm and heart issues were ruled out...appreciate the information

[@tangerine2164]

huh...It looks angina pectoris from the way the pain travelled down to her arm. What was it if not angina?

[@rabens02]

Have her check to see if her potassium is low. Low potassium is needed for heart conductivity. Severe chest pain and left back pain is one of my symptoms along with increase heart rate, heart palpitations, and shortness of breath with activity. My symptoms are worse when I go to lay down and at night.

[@conniemorgan6055]

@@rabens02 Thank you, I am not sure will check with her about the potassium. I know she has done a lot of tests and seen a lot of doctors and they have ruled out pretty much everything that could give you chest pain. I know she tells me her family doctor is always saying her blood work is great.

[@rabens02]

@@conniemorgan6055 Same here only thing they found was that my potassium was low but they did not attribute my symptoms to the potassium even though my level was low. So when I started taking it was an instant difference, I ended up needing daily supplements of it. I can feel when it gets low and when I take it feels better. This Covid 19 is causing a continuous loss of potassium to varying degrees in people, yet hardly anyone or any doctors are talking about it. Now that I recognize the symptoms and can say I've had episodes of this for years but I never knew what it was so something is making me prone to it. She can request or look back at the results of her BASIC METABOLIC PANEL and see what her potassium levels are. See if they are on the low end. She can also start with adding some potassium rich foods and should notice some improvement pretty quickly if that is indeed some of the source of her symptoms. It is called Hypokalemia and there are multiple conditions that can cause it and it can be a side affect of other diseases, poor diet, and genetic factors. She can look that term up and compare symptoms to hers easiest test is to try the food change first.

[@conniemorgan6055]

@@rabens02 Thank you will give her that information.

[@Resseduee]

I feel like I'm dying but they say im perfectly fine

[@joehouston2833]

Just live your life..

[@ezraklassen6740]

Me to bro

[@k8lynmae]

I have a depressed sternum and it pushed my heart to the left. When I get pain in that chest and heart area I don’t know if it’s chest or heart pain 🥺.

[@joehouston2833]

Chest most likely.. you're anxious

[@omarraps5887]

I been feeling chest tightness for about 2 months already. I’m really scared and I’ve gone to the hospital I’ve done all kinds of tests and everything turns out normal but I continue to have the tightness. Ima soon meet up with a cardiac specialist I hope I’ll be okay.

[@Abdayem111]

Any update bro ?

[@chinatownimportscom1434]

I was told "you dont have cardiac pain" by a cardiologist, then for 3 years the primary care doctors pointed to that diagnoses and did nothing. Then I almost died and they found an 80% blockage in the LAD. The first cardiologist wanted to save his employer $350 instead of ordering a CT angiogram.

[@mrmonique7]

how old are you?

[@bryankalaswa478]

Very helpful information. Thank you 😊

[@Sunnysideup01]

This is happening to me , constant chest pains very sharp And all over my chest not located in one area either . I’ve had this for 8 months I’ve gone everywhere no one can help me . Breathlessness as well .

[@shemmytoyou]

I find nitro lingual spray my last resort medication, mainly due to the immediate migraine that follows the use of this medication. Allow me to explain for the last 20 yrs I have suffered from familial hypotropic cardiomyopathy. 20 yrs ago I was told to enjoy life, as I had no more then 6 months,20 years later ,11 heart attacks and this dutchie is still kicking, I agree nitro lingual spray is fabulous, but suggest a doctor explains all the side effects this medication can cause. Thanks Doc!!

[@josephdecesare4885]

I wish all doctors were like u my friend god bless u so genuine it’s unbelievable

[@deb6616117]

It could also be the esophagus I have these pains all the time and I've had them for about 4 years when this comes on it starts out like a very slight feeling in my neck and it goes down to my chest within seconds I feel like a snake is being wrapped around me and squeezing me I can breathe just fine but the feeling in my chest is so heavy I can barely move and it runs around my back if I don't get to it right away. When this first started happening I happen to grab a carbonated soda and drink some of it really fast I didn't know what else to do it went away immediately I mean immediately. So now what I do is I always have cold water with me or a carbonated soda. I never know when this is going to happen I can go a couple of months without it ever happening and then just be in the grocery store and I feel that sensation and I know it's going to happen.

[@nawangsonamdorjay9091]

It's been three years now. My middle chest, just above the abdomen hurts for almost one to two weeks once in every three to four months. I went to the cardiologist and gone through every medical experiments but everything is normal. Still I am not able to figure the real cause behind this pain. But I have one issue and that is high cholesterol.

[@rssiddharth3134]

Thank you Doctor for your so detailed information on a subject which no cardiologist ever gets time to tell to his patient particularly in India's super speciality hospitals...I myself have passed through such situation...btw kindly enlighten if one need a second angiogram if done once ? What should be the gap between the first test and the second one...Does it require at all to have angiogram again and again ? Best regards.

[@kirstimachuca9685]

Thank you Dr. Gupta. I have just finished a series of all kinds of tests, x-rays, tomographia, but no, no reason is found for my chest pain, unless hiatal hernia, which is described as 'importante', and acid reflux. But these were detected already in 2009. Last summer, on Aug. 24 my husband frightened me thoroughly, and immediately I felt my heart and all my strength melt away. Since that day and until now, Feb.29th I feel the chest pain, which makes me feel out of breath, hard to walk, lift anything etc. Often in the evenings I feel a sharp pain in my left breast, but I've got no explanation for that. What could I do to get well enough to work in my garden a liitle instead of staying in bed ?

[@Sunray786]

Hope you are better now🙏

[@Philxxxxxx]

I really like these videos, they are really informative 👍

[@igakenneth6587]

Its the same thing that i am suffering from and i also did a coronary angiogram and it came out negative! Thanks so much.

[@kph11863]

Two years after a false positive result from a cardiac cath (which my inferior doctor - who I later fired - reasoned was stress), chest pains returned which were diagnosed as pains from a gall bladder which had a 1.5-centimeter gallstone lodged in its neck. The gall bladder was removed, and such pains have not recurred since - even 12 years later.

[@suzihazlove4979]

Oh my God. I have chest pressure AND gallstones .....

[@audramuth4147]

Hello ! I’m 37 years old . All my tests came back clear . No past MI no embolus No abnormal heart rhythms . I have palpitations every once in a while when stressed . For 6 plus months I’ve been having random flare ups of discomfort all around left side of my chest . Sometimes it’s under my boob …. Sometimes it’s on the left side of my boob sometimes it’s in my sternum . It’s localized pain . It goes away . But I have it all the time . No rhyme or reason to it . What is wrong with me !???

[@lawrence-bishnoi-Tihar-Wallah]

costochondritis

[@harrisonwoodard623]

Thank you so much Dr. your channel has so much useful information

[@tomdavila7]

Your a wonderful helpful human being and doc. Thank you!!

[@all_things_handmade]

What dosage do u recommend. Thanks doc

[@madchad3692]

Can you do a video on costochondritus please?

[@carmenpecco2376]

I too would love this!been suffering from costo for 3 months now,had all the tests ecg's,chest x-rays,blood x-rays ...all clear apart from a 24hr ECG which I had done last week and my heart rate was "above average".not really had much information on costocondritus and I can't help but think if the diagnosis is correct?the pain in frightening and I'm constantly calling my doctor or a paramedic!

[@sncnutrition7118]

@@carmenpecco2376 Try an anti inflammatory diet. Magnesium glycinate, Curcumin, Bone broth, Wobemzyme.. a cool dr could do a lil sq injection of procaine .

[@thomashudson9064]

Carmen Pecco I’ve had costochondritis for 7 years. Have had all the tests, echocardiogram, thousands of ECG’s, 20-30 ER visits. sometime’s it manifests as localized pain like Doc said, other times it can feel like a pressure in your chest all over, and it can radiate. ibubrofen/motrin, anti-inflammatory meds can dull the pain if it’s really bad, and if you get relief from the motrin then you know it’s consto and not your heart. i also have paroxysmal afib and PAC’s all the time so I feel your pain of being weary of trusting that the tests were correct. google ‘back pod.’ a lot of times costo can be relieved from releasing the tension in your spine that has been ‘frozen’ from bad posture or some other invisible injury. once the pressure is relieved and is no longer pushing on your sternum joint the pain will subside.

[@jamesblevins7115]

I've been diagnosed with cervical stenosis radiculopathy my neuro Dr tells me his belief is this is causing my angina and discomfort. I'm wondering if this is a common issue or something I should pursue

[@mxm7688]

wow, amazing advises doctor, thank you a lot